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61. Final Progress Report: The National Quality Forum Fall Policy Conference 2008 (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
    January 01, 2025 - Final Progress Report: The National Quality Forum Fall Policy Conference 2008 The National Quality … Forum Fall Policy Conference 2008 Principal Investigator: Dwight McNeil Team Members: S. … Innovation in Patient Safety - National: National Coordination Council for Medication Error Reporting and Prevention … The Council was formed to actively promote the reporting, understanding, and prevention of medication … Division, US Pharmacopeia and Secretary, National Coordinating Council for Medication Error Reporting and Prevention

62. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/about/challenge-competition.html
    February 01, 2024 - for Improving Quality of Care was instrumental in guiding the creation of an initiative entitled "Fall … Initially focused on two medical-telemetry units and eventually expanding to include additional units, fall … prevention compliance audits have taken place each Friday. … The "Fall Free Friday" activities resulted in a 31% decrease in acute care falls from 4th quarter 2022

63. | Agency for Healthcare Research and Quality
    www.ahrq.gov/topics/index.html?page=0
    October 01, 2008 - Topics explored include ED boarding and crowding, infection prevention, and diagnostic safety. … Falls Each year, somewhere between 700,000 and 1,000,000 people in the United States fall in the hospital … , and about 1.3 million residents in nursing facilities fall.

64. Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions (pdf file)
    www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
    January 01, 2024 - and injurious fall rates. … Hospital and nursing executives should consider strategizing fall and injurious fall prevention efforts … fall prevention efforts by aiming for a decrease in staff response time to call lights. … Falls and consequent injuries in hospitalized patients: effects of an interdisciplinary falls prevention … Chapter 8-Safety Practice 33, Falls prevention. [10] American Nurses Association (ANA).

65. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
    March 03, 2008 - of the most important safety threats to our patients and initiated a performance improvement falls prevention … Interventions for patients assessed as instrument and falls prevention interventions were adopted … We believe that if we demonstrate through our actions that patient safety and prevention of patient … Evidence-based falls prevention: A study guide for nurses. Marblehead, MA: HCPro; 2004. 2. … Centers for Disease Control and Prevention. Falls among older adults: An overview.

66. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
    January 01, 2024 - Geriatrics Society, British Geriatrics Society, American Academy of Orthopaedic Surgeons Panel on Falls Prevention … Guideline for the prevention of falls in older persons. … Inpatient fall prevention programs as a patient safety strategy: A systematic review. … Pragmatic, cluster randomized trial of a policy to introduce low-low beds to hospital wards for the prevention … Hospital fall prevention: A systematic review of implementation, components, adherence, and effectiveness

67. 139-Nv-Hap-Prevention-Essential-One-Pager (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/139-nv-hap-prevention-essential-one-pager.docx
    October 01, 2024 - NV-HAP Prevention Essential Practices1-4 Practice routine oral care.4,5-8 Staphylococcus aureus is a … early mobilization.5,7,9 Conduct early mobilization, when possible, but it is important to consider fall … Healthcare- Associated Pneumonia (NV-HAP) Prevention: Essential Practices | 2 AHRQ Safety Program for … MRSA Prevention | ICU & Non-ICU Non-Ventilator Healthcare-Associated Pneumonia (NV-HAP) Prevention: … Non-ventilator health care-associated pneumonia (NV-HAP): Best practices for prevention of NV-HAP.

68. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
    www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
    January 01, 2025 - Prevention Conference in Florida in April 2003. … Fall rates and characteristics of inpatients who fall in an urban hospital. … Fourth Annual Evidence-Based Fall Prevention and Management Conference, Clearwater Beach, FL, April … Differences in Fall Prevention Policies Across Hospital Settings. … An Inservice to Involve Hospital Support Staff in Patient Fall Prevention.

69. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/impguide.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Implementation … of the Falls Prevention Reports Note: This part of the training consists of interactive exercises … program and choose the On-Time Falls Prevention reports to use in daily practice. … On-Time Falls Prevention that you will assist a facility team with is completing the On-Time Falls Prevention … The focus is on assessing the facility’s current falls prevention program.

70. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
    January 01, 2024 - of the National Coordinator for Health Information Technology CDC Centers for Disease Control and Prevention … DLS is working with the CDC Division of Heart Disease and Stroke Prevention, the National Association … : Reducing Fall Risk for Patients of All Age Groups … • Screening Patients for Fall Risk. … • Education for the Patient and Caregiver on Fall Prevention at Home and in the Community.

71. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
    October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Overview … Slide 1: Overview of On-Time AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator … Training Overview of On-Time Slide 2: On-Time Falls Prevention Facilitator Training 2-day … Ulcer Healing Falls Prevention Preventable Hospital and ED Visits Slide 7: Common Elements … Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation.

72. Nursing Homes | Agency for Healthcare Research and Quality
    www.ahrq.gov/topics/nursing-homes.html
    Preventable Hospital and Emergency Department Visits AHRQ’s Safety Program for Nursing Homes: On-Time Prevention

73. Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
    January 01, 2021 - Fall prevention process variables • Percent patients who fell assessed at risk for falling. … • Percent patients with fall prevention protocol in place at time of fall. … The report includes the graph shown, followed by a table listing the actual numeric fall rates for each … and injury fall incidence and rates. … In addition to the “report card” measures discussed above, CalNOC also provides detailed data on fall

74. Abt Single-Sided Body Template (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverviewmaterialspacket.pdf
    June 02, 2025 - Abt Single-Sided Body Template On-Time Falls Prevention: Overview Materials Packet Samples of four … On-Time Falls Prevention Overview Materials Packet 1 O n-Tim e Falls P revention: E lectronic … Fall Date Date 10/4/13 1/16/14 2/11/14 2/27/14 3/6/14 4/17/14 Fall Day Day of week Saturday Thursday … Shift Shift N N D E N N Fall Witnessed? Yes/no N N Y Y N N If yes, who witnessed? … Yes/no Y Y Y N Y Y PT Consult Date 10/4/13 1/16/14 2/11/14 3/6/14 4/17/14 On-Time Falls Prevention

75. Falls and Injury | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/index.html
    September 01, 2018 - to assist nursing facilities in providing individualized, person-centered care and improving their fall … Improving Quality of Care Each year, somewhere between 700,000 and 1,000,000 people in the United States fall

76. Report Organization | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal1.html
    January 01, 2013 - Based on this success, AHRQ contracted in fall 2008 with HRET to replicate this program nationally, starting … The contract was expanded in fall 2009 to include all 50 States, the District of Columbia, and Puerto … Many States used their regional HAI-prevention work groups developed as a result of the Centers for Disease … Control and Prevention (CDC) American Recovery and Reinvestment Act (ARRA) grants or other mechanisms … These included representatives from the State QIO, State health department, PSO, State infection prevention

77. High-Performance Work Practices in CLABSI Prevention Interventions | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/clabsi-hpwpreport/index.html
    August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Next Page Table of Contents … High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings … Types of HAI Prevention Activities Appendix 1. … Comparative qualitative research to explore the role of management practices in facilitating HAI prevention … Project Scan Findings The project scan was completed in fall 2010.

78. Appendix B30: Engineer Cane/Walker Inspection | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb30.html
    December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … _ → ___ Tighten the loose bolts and screws. ___ Replace the missing hardware. ___ Ask the Fall … Prevention Therapist to replace a wooden cane if it is cracked or weak.

79. Improving Patient Safety in Nursing Homes: A Resource List (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
    April 01, 2025 - General resources are divided into three sections: Fall Management/Prevention, Pressure Ulcer Reduction … Best Practice Intervention Packages for Fall Prevention https://health.mo.gov/seniors/hcbs/pdf/fallpreventioninhometrack.pdf … The topic of this package is fall prevention. 2. … Preventing Falls and Reducing Injury from Falls https://rnao.ca/bpg/guidelines/prevention-falls-and-fall-injuries … This best practice guideline focuses on the prevention of falls and fall injuries in all adults at

80. Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure Ulcers in Nursing Home Environments (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
    March 01, 2004 - Fall intervention programs focused on individuals most at risk can reduce fall rates substantially. … Ginter and Minn suggest that fall prevention programs must focus on resident-specific risk factors … • Guide development of care plans and interventions aimed at prevention. … Nursing home quality and pressure ulcer prevention and management practices. … Beyond the MDS: team approach to falls assessment, prevention, & management.