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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/slides.html
December 01, 2017 - Intrinsic Fall Risk Factors
Slide 5. Intrinsic Fall Risk Factors (continued)
Slide 6. … Intrinsic Fall Risk Factors (continued)
Slide 7. Extrinsic Fall Risk Factors
Slide 8. … Staff Strategies to Reduce Fall Risk
Slide 12b. … every year
Of those patients who fall, 30-40% will fall again
People ≥85 years are 10-15 times more … Not a method of fall prevention
Slide 11.
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psnet.ahrq.gov/issue/understanding-challenges-and-successes-implementing-hybrid-interventions-healthcare-settings
October 23, 2024 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention … Improving Diagnostic Safety and Quality
April 26, 2023
Patient perception of fall … risk and fall risk screening scores. … Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention … February 17, 2021
Patient activation related to fall prevention: a multisite study
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psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed
October 26, 2011 - March 29, 2023
Fall prevention with the Smart Socks System reduces hospital fall … March 24, 2021
Improving hospital safety culture for falls prevention through interdisciplinary … December 23, 2020
Evaluation of a patient-centered fall-prevention tool kit to reduce … December 2, 2020
Patient activation related to fall prevention: a multisite study
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digital.ahrq.gov/organization/aurora-health-care
January 01, 2023 - Using Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-related … Using Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-related … Using Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-Related … nurses in the development of care plans and involvement in quality improvement activities in the area of fall … prevention in acute care.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-patient-family-engagement.pdf
October 01, 2023 - fall risk factors and developing and following through on a personalized
fall prevention plan.19,20 … Fall and Injury Prevention. … Fall
prevention in acute care hospitals: a
randomized trial. … Fall TIPS: A Patient-Centered Fall
Prevention Toolkit. … https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apd.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Appendix D. … the In-Person Training
Previous Page Next Page
Table of Contents
Pressure Injury Prevention … QIS/Instructor
All participants
2C: Current Process Analysis
15
Assessing current fall … : Action Plan
2:10–2:25
15
Break
2:25–3:50
15
Module 5: How To Measure Fall … Rates and Fall Prevention Practices
Introduction
QIS/Instructor—facilitated group discussion
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digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall/citation/summative
January 01, 2023 - Usability testing of an interoperable computerized clinical decision support tool for fall risk management … Usability testing of an interoperable computerized clinical decision support tool for fall risk management … Project Name
Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall … Assessment and Prevention Patient-Centered Outcomes Research Findings into Diverse Primary Care Practices
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
February 01, 2018 - Background
On-Time Quality Improvement for Falls Prevention (On-Time Falls Prevention) is designed to … fall prevention in nursing homes. … AHRQ On-Time Falls Prevention
The AHRQ On-Time Falls Prevention Reports are listed in the table below … On-Time Falls Prevention Reports
1 Falls High-Risk Report
2 Fall Risk Factors Report by Unit or Facility … Specifications for Each Falls Prevention Report
3.1. Falls High-Risk Report
3.1.1.
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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - Various strategies are used for fall prevention in the hospital. … Many institutions may face financial or personnel constraints that make implementation of fall prevention … The absence of compelling evidence for different strategies hinders the adoption of formal fall prevention … The number and variety of potential interventions should make fall prevention in the hospital a
fruitful … Do hospital fall prevention programs work? A systematic review.
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psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
August 04, 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 … September 7, 2022
Evaluation of a patient-centered fall-prevention tool kit to reduce … July 8, 2009
WebM&M Cases
Another Fall
April 1, 2003
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psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
October 10, 2018 - This newsletter article provides a definition for a newborn fall or drop , highlights factors that increase
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digital.ahrq.gov/principal-investigator/hook-mary-l
January 01, 2023 - Using nursing practices and health IT to reduce fall-related injuries. … Using nursing practices and health IT to reduce fall-related injuries. … Using Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-related … Using Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-related … prevention in acute care.
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psnet.ahrq.gov/issue/relationship-between-call-light-use-and-response-time-and-inpatient-falls-acute-care-settings
March 13, 2008 - This study found that increased call light use was related to less fall-related patient harm, suggesting … December 15, 2011
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) … program to engage older adults in fall prevention in a nursing home. … Assessing the effectiveness of engaging patients and their families in the three-step fall … prevention process across modalities of an evidence-based fall prevention toolkit: an implementation
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psnet.ahrq.gov/node/837675/psn-pdf
July 13, 2022 - dashboard-design-identify-and-balance-competing-risk-multiple-hospital-
acquired-conditions
Many interventions targeting healthcare-acquired condition reduction and prevention … dashboard-design-identify-and-balance-competing-risk-multiple-hospital-acquired-conditions
https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program … https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/issue/diet-order-entry-registered-dietitians-results-reduction-error-rates-and-time-delays-compared
September 23, 2020 - Assessing the effectiveness of engaging patients and their families in the three-step fall … prevention process across modalities of an evidence-based fall prevention toolkit: an implementation … November 20, 2024
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety … ): a patient-centered fall prevention toolkit.
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www.ahrq.gov/action-alliance/resources/type-harm.html
April 01, 2025 - on falls reduction using quality improvement tactics to assist nursing facilities in improving their fall … AHRQ Fall Tailoring Interventions for Patient Safety (TIPS): A Patient-Centered Fall Prevention Toolkit … Organizations can use this report to understand fall prevention strategies. … ) Initiative: Older Adult Fall Prevention The STEADI initiative and tools are designed to support healthcare … prevention program; and videos.
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psnet.ahrq.gov/issue/appropriate-use-medical-interpreters-breast-imaging-clinic
October 16, 2024 - Assessing the effectiveness of engaging patients and their families in the three-step fall … prevention process across modalities of an evidence-based fall prevention toolkit: an implementation … November 3, 2021
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety) … : a patient-centered fall prevention toolkit.
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psnet.ahrq.gov/node/34036/psn-pdf
March 28, 2005 - Patient Safety created the Falls Toolkit to assist VA facilities in implementing or
improving falls prevention … The toolkit provides information on (1) designing a falls prevention and
management program; (2) effective … interventions for high-risk fall patients; (3) implementing hip protectors
for high-risk fall patients … ; and (4) educating patients, families, and staff on falls and fall-injury prevention.
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digital.ahrq.gov/principal-investigator/hurd-donna
January 01, 2023 - Hurd, Donna
Evaluation of AHRQ's on-time pressure ulcer prevention program … Evaluation of AHRQ's on-time pressure ulcer prevention program: a facilitator-assisted clinical decision … Description
Lessons from the On-Time Pressure Ulcer program informed the development of an On-Time Fall … Prevention module, which uses documentation data elements, actionable reports, and tracking tools to … address residents’ fall risk factors.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximplstrat.pdf
June 02, 2025 - Menu of Implementation Strategies - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention … AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Menu of Implementation Strategies … The On-Time Falls Prevention Menu of Implementation Strategies for using reports is a list of
potential … The Falls Prevention Menu of Implementation Strategies table below summarizes potential uses
for each … Falls Prevention Menu of Implementation Strategies
Existing New
Falls High Risk Report
1.