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psnet.ahrq.gov/issue/reducing-falls-safety-spotter-program
November 16, 2022 - Patients at high risk for falls can be targeted for personalized prevention interventions, but such … September 23, 2020
A randomized trial of a multifactorial strategy to prevent serious fall … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention … March 2, 2016
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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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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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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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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www.ahrq.gov/action-alliance/resources/type-harm.html
September 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/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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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/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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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/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-ig.pdf
June 02, 2025 - s Safety Program for Nursing Homes: On-Time Falls Prevention 1
On-Time Falls
Prevention:
Implementation … AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention 2
On-Time Falls
Prevention:
Implementation … AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention 4
On-Time Falls
Prevention:
Implementation … AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention 10
On-Time Falls
Prevention: … AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention 11
On-Time Falls
Prevention:
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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/47402/psn-pdf
March 13, 2019 - medicalsurgical-units-four-hospitals-united-
states
This prospective observational study found that patients who experienced a fall … This study lends weight to fall prevention as a patient safety priority. … medicalsurgical-units-four-hospitals-united-states
https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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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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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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psnet.ahrq.gov/issue/perianesthesia-nurses-role-prevention-opioid-related-sentinel-events
November 25, 2020 - Commentary
The perianesthesia nurse's role in the prevention of opioid-related sentinel … The perianesthesia nurse's role in the prevention of opioid-related sentinel events. … The perianesthesia nurse's role in the prevention of opioid-related sentinel events. … Talking about falls: a qualitative exploration of spoken communication of patients' fall … risks in hospitals and implications for multifactorial approaches to fall prevention.
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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.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/75ftPGW4rZ-3tdMQPstvDg
August 01, 2012 - Other Approaches to Prevention
The Centers for Disease Control and Prevention has
published details … However, many interventions
that have insufficient evidence to support their use in fall
prevention have … prevention
interventions. … The effect of an individualized fall prevention program on fall risk and
falls in older people: a randomized … Community falls prevention for people who call an emergency
ambulance after a fall: randomised controlled
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psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta
December 12, 2014 - relevant literature and determined that the number of patient falls has not been reduced by hospital fall … prevention programs, although similar efforts appear to be more successful in long-term care settings … April 11, 2018
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/multifactorial-interventions-reduce-duration-and-variability-delays-identification-serious
July 20, 2022 - substantial cumulative positive impact on delays in the diagnosis of serious harm resulting from a fall … Article
Study
The Stoplight Mobility Alert System for safety and prevention … June 8, 2022
Strength of improvement recommendations from injurious fall investigations … August 18, 2021
Improving hospital safety culture for falls prevention through interdisciplinary … December 23, 2020
An inpatient fall prevention initiative in a tertiary care hospital
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psnet.ahrq.gov/node/45980/psn-pdf
January 01, 2020 - issue/use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-
patient-falls
Fall … prevention is a critical patient safety activity. … use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-patient-falls
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial