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psnet.ahrq.gov/node/40040/psn-pdf
December 21, 2014 - prevention intervention (written and video-based educational materials on falls
and physical therapist … The fall
prevention evidence base was also augmented by a recent study that used an individualized fall … prevention
strategy to sharply reduce falls in geriatric inpatients. … interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial … https://psnet.ahrq.gov/web-mm/another-fall
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/quarterlysum.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Electronic Reports
Table … Unsafe
Behaviors
Mental:
Cognitive
Impairment
Gait and
Balance Instability
Fall … :
8-30 Days
Fall:
31-180 Days
Psychoactive
Medications
Other
High-Risk
Medications … With
Major
Injury
Fall
With
Minor
Injury
Total Residents
Who Fell … Total
Residents
With >1 Fall
Total
Falls
Apr-11
# falls
3
13
11
3
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/faclevel.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Electronic Reports
Table … Unsafe
Behaviors
Mental:
Cognitive
Impairment
Gait and
Balance Instability
Fall … :
8-30 Days
Fall:
31-180 Days
Psychoactive
Medications
Other
High-Risk
Medications … With
Major
Injury
Fall
With
Minor
Injury
Total
Residents
Who Fell … Total
Residents
With >1 Fall
Total
Falls
Unit A
# falls
6
35
30
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www.uspreventiveservicestaskforce.org/uspstf/reconsidering-approach-prevention-recommendations-older-adults-figure-2
December 01, 2010 - Reconsidering the Approach to Prevention Recommendations for Older Adults - Figure 2
Share … The health outcomes include a reduction in fall-related fractures and serious injuries, improvement in … Minor adverse outcomes associated with specific interventions include: increased fall-related outpatient … KQ4: How are high-risk older adults identified for primary care fall interventions? … Clinical education or behavioral counseling includes exercise, fall risk reduction, and a home-hazard
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cds.ahrq.gov/sites/default/files/cds/artifact/127731/ASPIRE_ExerciseGuidanceforFallPreventionIntegration_Flowchart.pdf
July 18, 2023 - EHR service
to obtain patient's
observation info on
fall risk assessment and
conditions
Process … data returned from the
Exercise Guidance for Fall Prevention
CDS Service
Patient demographics, … Fall risk
assesssment
and conditions
Exercise Guidance for
Fall Prevention
CDS Service … Patient demographics,
fall risk assessment
and condition info
Recommendations,
label, … Exercise Guidance for Fall Prevention Integration
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psnet.ahrq.gov/innovation/stoplight-mobility-alert-system-safety-and-prevention-falls-children-physical-and
September 14, 2022 - EMERGING INNOVATIONS
The Stoplight Mobility Alert System for safety and prevention of falls in children … Citation Text:
The Stoplight Mobility Alert System for safety and prevention of falls in children … The SMAS was developed as an adjunct to the existing institutional fall prevention bundle and to address … Based on a fall risk assessment and the patient’s locomotion score (walk, wheelchair, crawl), they are … not require assistance
After admission, all patients are placed on a red mobility alert until a fall
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psnet.ahrq.gov/issue/special-issue-falls
May 05, 2021 - in this special issue explore falls in rehabilitation settings , including nurses' role in managing fall … Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention … March 17, 2021
View More
Related Resources
Infection Prevention … August 14, 2013
Fall prevention in hospitals: an integrative review. … March 2, 2012
Falls prevention at Mayo Clinic Rochester: a path to quality care.
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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - Implementing a Fall Prevention Program
December 1, 2011
Healey F. … Implementing a Fall Prevention Program. PSNet [internet]. 2011. … https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program
Perspective
Throughout the … The challenge facing health care staff is to balance fall prevention with privacy, dignity, independence … prevention opportunities are missed, and low positive predictive
value means fall prevention efforts
-
psnet.ahrq.gov/node/72670/psn-pdf
January 27, 2021 - care needs), reliance on home healthcare workers instead of rehabilitation professionals, and
lack of fall … The authors recommend systems-level changes to improve fall
prevention practices, such as use of electronic … issue/using-root-cause-analysis-reduce-falls-injury-community-settings
https://psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use … -60-united-states-hospitals-descriptive-study
https://psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use
-
psnet.ahrq.gov/node/35470/psn-pdf
July 10, 2008 - Prevention of fall-related injuries in long-term care: a
randomized controlled trial of staff education … Prevention of fall-related injuries in long-term care: a randomized
controlled trial of staff education … https://psnet.ahrq.gov/issue/prevention-fall-related-injuries-long-term-care-randomized-controlled-trial-staff … https://psnet.ahrq.gov/issue/prevention-fall-related-injuries-long-term-care-randomized-controlled-trial-staff-education … https://psnet.ahrq.gov/issue/prevention-fall-related-injuries-long-term-care-randomized-controlled-trial-staff-education
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psnet.ahrq.gov/issue/framing-patient-safety-initiatives-working-model-and-case-example
April 05, 2017 - (TIPS) program to engage older adults in fall prevention in a nursing home. … October 19, 2016
Safety standards: implementing fall prevention interventions and sustaining … lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit. … January 22, 2016
Reducing falls and fall-related injuries in mental health: a 1-year … February 1, 2012
Falls prevention at Mayo Clinic Rochester: a path to quality care.
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digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-slides-06152023.pdf
June 15, 2023 - *Advancing Fall ASsessment and Prevention PatIent-Centered Outcomes
REsearch Findings into Diverse … present.
10
ASPIRE Goals and Specific Aims
To develop fall prevention … strategies for an individual patient and to engage
patients and family in fall prevention decision … prevention in primary care (UFL PhD Thesis 2022)
17
ASPIRE Fall Prevention … Prevention User Requirements (Themes)
ASPIRE Journey Map
ASPIRE Fall Prevention Care Plan Collaboration
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/-YHCmR_8bdShSaMTx6Mrgx
Research Plan (https://www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/falls-prevention-community-dwelling-older-adults-interventions … /uspstf/document/final-research-plan/falls-prevention-community-dwelling-older-adults-interventions
https … )
• Fall-related
morbidity, defined as:
o Fall-related injuries
and fractures
o Disability (as … prevention interventions (e.g., remote provision
of intervention). … prevention
interventions
Community-dwelling,
ambulatory adults
age 65 years or older
who are at
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2012
January 01, 2012 - Lessons from the On-Time Pressure Ulcer program informed the development of an On-Time Fall Prevention … of tools to guide clinical decisionmaking for fall prevention. … prevention tools. … analysis of national data was conducted to identify nursing home residents who should be targeted for prevention … (Achieved)
Design the tools and establish the foundation for a fall prevention implementation effort
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
June 02, 2025 - staff generally do a good job of investigating
and following up after an adverse event, such as a fall … It is more difficult for staff to identify which residents are at
risk for a fall or pressure … we be sure to instruct the nursing assistant to stay
close by when she was ambulating to prevent a fall … Identify resident risk factors that may have caused a
fall. … Provide summarized fall data to improve prevention
practices, make timely interventions, and identify
-
psnet.ahrq.gov/node/836962/psn-pdf
April 20, 2022 - This study explored the impact of the COVID-19 pandemic and the implementation of a fall
prevention … program (focused on human factors and ergonomics principles) on inpatient fall rates at one
hospital … Findings indicate that fall rates significantly increased from pre-COVID to during the
first wave of … The fall prevention program – implemented in July 2020 – led
to a reduction of fall rates, but not to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
June 02, 2025 - Abt Single-Sided Body Template
On-Time Falls Prevention: Electronic Reports
Four types of reports are … On-Time Falls Prevention: Electronic Reports 1
On-Time Falls High-Risk Report
Table 1. … On-Time Falls Prevention Electronic Reports 2
Report Purpose
The Falls High-Risk Report provides … ; and
Provide summarized fall data to improve prevention practices, implement timely interventions, and … Weekly Fall Risk or Safety Meetings
On-Time Falls Prevention: Electronic Reports 16
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/_GZ-JwUgQJykdbvhgpTNph
January 21, 2025 - Summary of USPSTF Draft Recommendation: Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention … The Task Force is an independent, volunteer panel of national experts in prevention … Older adults who live at home and who are more likely to fall
can also benefit from structured exercise … (NIH)
STEADI - Older Adult Fall Prevention (CDC)
Vitamin D Fact Sheet for Consumers (NIH)
Calcium … /index.html
https://www.nia.nih.gov/health/falls-and-falls-prevention/falls-and-fractures-older-adults-causes-and-prevention
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess3.html
October 01, 2014 - Module 3: Falls Prevention and Management
Session 1
Previous Page Next Page
Table of … Contents
Module 3: Falls Prevention and Management
Learning and Performance Objectives
Session … According to the National Center for Injury Prevention and Control, "fall prevention takes a combination … Injury Prevention and Control: Home and Recreational Safety; Falls in Nursing Homes. … Centers for Disease Control and Prevention; 2011.
-
psnet.ahrq.gov/node/42732/psn-pdf
May 05, 2014 - Reducing falls and fall-related injuries in mental health: a
1-year multihospital falls collaborative … Reducing falls and fall-related injuries in mental health: a 1-year
multihospital falls collaborative … https://psnet.ahrq.gov/issue/reducing-falls-and-fall-related-injuries-mental-health-1-year-multihospital-falls … This commentary relates the experience of five hospitals that implemented different fall prevention … https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review