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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/get-ready.html
September 01, 2017 - Prevention Program Implementation Guide
Fall Prevention in Hospitals—Webinars
Preventing Falls … Has your hospital identified hospital-specific reasons to change how it manages the prevention of falls … Has your hospital assessed staff attitudes about falls?
… If no, and a sense of urgency is lacking, has your hospital begun efforts to show stakeholders that falls
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-c.html
September 01, 2017 - Prevention Program Implementation Guide
Fall Prevention in Hospitals—Webinars
Preventing Falls … This webinar tells how to implement post-fall huddles, use data from post-fall huddles to reduce falls … This webinar focuses on how to incorporate critical thinking into staff education regarding falls and … DMAIC: A Deep Dive Into Reducing Patient Falls
Presented by Susan Mascioli, RN, B.S.N., M.S., CPHQ
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool4c.docx
January 29, 2013 - Does the education include staff training on documentation methods related to falls (e.g., circumstances … of fall if applicable, risk factors for falls, how those risk factors have been addressed)?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_slides_best-practices.pptx
November 20, 2014 - .
‹#›
Implementation Planning Goals
Determine the role/responsibilities of staff in preventing falls … determine who will be responsible for each task identified in your set of best practices for preventing falls … Reference: Developed by Falls Toolkit Research Team. … Tracking care processes to prevent falls is a measure of implementation success, and it should translate
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6txt.html
February 01, 2023 - Patient Safety News and Events
Education & Training
Resources
The Falls … Appendix B12: Fall Interventions Monitor
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Table of Contents
The Falls … Falls Engineer Instructions
Text Description
Resident: _________________________
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/overview.html
October 01, 2017 - Prevention Program Implementation Guide
Fall Prevention in Hospitals—Webinars
Preventing Falls … guidance on how to use and implement into practice the tools and strategies outlined in AHRQ’s Preventing Falls … Using Fall Risk Assessment Tools in Care Planning
Post-Fall Huddles: Reducing Preventable Falls … Program
Critical Thinking for Fall Injury Prevention
DMAIC: A Deep Dive Into Reducing Patient Falls
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
October 01, 2017 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Falls Prevention
Facilitator … Training
Overview of On-Time
On-Time Falls Prevention
Facilitator Training
2-day training provides … On-Time Reports for Four Adverse Events
Four Reports
Pressure Ulcer Prevention
Pressure Ulcer Healing
Falls … particular risk factor
October 2017
On-Time Overview
13
Examples of On-Time Reports
Examples from Falls … Prevention Reports:
Falls High-Risk Report
Quarterly Summary of Falls Risk Factors (by Unit or Facility
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/event-summary-leveraging-data-enhance-cr-program.pdf
November 12, 2020 - • Examining specific outcomes in the facility, such as the number of times patients are falling and … the location of the falls, can allow for improvement to facility conditions and safety in order to … Matt’s team traced increased falls back to changes in the gym
and track layout that allowed them to … make basic changes that reduced patient falls.
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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/852.html
February 01, 2023 - Preventing Patient Falls Using an Evidence-Based Intervention May Reduce Costs . … Preventing Patient Falls Using an Evidence-Based Intervention May Reduce Costs
Implementing the AHRQ-funded … After implementation of the Fall TIPS intervention, there was a nearly 20 percent reduction in falls … Policies to reduce all falls using evidence-based interventions could reduce the frequency of harms and
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ce.effectivehealthcare.ahrq.gov/action-alliance/resources/index.html
April 01, 2024 - Engagement
Workforce Safety
Learning Systems
AHRQ Resources by Type of Harm
Diagnostic Safety
Falls … Falls
Fall TIPS: A Patient-Centered Fall Prevention Toolkit
This resource consists of a formal risk … The toolkit has reduced falls by 25 percent in acute care hospitals and is used in more than 100 hospitals … Preventing Falls in Hospitals: A Toolkit and Training Program
This toolkit and training program … Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
This resource describes
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6.html
February 01, 2023 - Patient Safety News and Events
Education & Training
Resources
The Falls … Appendix B11: Fall Interventions Plan
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Table of Contents
The Falls … Falls Engineer Instructions
Text Description
Resident: _________________________
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt3.html
December 01, 2017 - Patient Safety News and Events
Education & Training
Resources
The Falls … C3: Unsafe Behavior Worksheet Sample
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Table of Contents
The Falls … Falls Engineer Instructions
Note: This form has been filled out with information for
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt9.html
December 01, 2017 - Patient Safety News and Events
Education & Training
Resources
The Falls … : Fall Interventions Monitor Sample
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Table of Contents
The Falls … Falls Engineer Instructions
Note: This form has been filled out with information for
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
November 01, 2017 - leading to an admission and
falls occurring in the institution. … ("Accidental Falls" [mh] OR Falls [tiab] OR Falling [tiab] OR Fall [tiab] OR "Accidental Falls" [tiab … ] OR "Accidental Fall"
[tiab] OR Slip [tiab] OR Faller [tiab])
AND
(hospital*[tiab] OR inpatient* … This rate was used for falls and VTE. … How are the costs of care for medical falls distributed?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/French.pdf
April 27, 2004 - Drugs and falls in later life. Lancet 2003
Feb 8;361(9356):448.
7. … Psychotropic
drug use, falls and hip fracture in the elderly. … Epidemiology of medication-related
falls and fractures in the elderly. … New
evidence on benzodiazepine use and falls: the time
factor. … Guideline for the
prevention of falls in older persons.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3o.docx
January 01, 2008 - key to maintaining the patient’s safety and for organizational learning about how to prevent future falls … Improving the capture of fall events in hospitals: combining a service for evaluating inpatient falls … The tool may be used for the purpose of root cause analysis to prevent future falls in this patient and … Yes
No
Falls precautions
Fall alert identifier (door sticker)
Bed alarm: if yes, check
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
November 19, 2015 - Events
Catheter-Associated Urinary Tract
Infections
Central Line-Associated Bloodstream
Infections
Falls … Events
Catheter-Associated Urinary Tract
Infections
Central Line-Associated Bloodstream
Infections
Falls … Events Catheter-Associated Urinary Tract Infections
Central Line-Associated Bloodstream Infections Falls … MPSMS
(2014)
In-Hospital Patient
Falls
260,000 7.9
Obstetric
Adverse
Events
PSI (2013) OB … Central Line-
Associated
Bloodstream
Infections
18,000 5,000 13,000 72% $221,000,000 2,405
Falls
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3c.docx
January 29, 2013 - Tool Covering Environmental Safety at the Bedside
Background: Facility safety is key to preventing falls … Reference: Adapted from AHRQ publication on the Falls Management Program for nursing homes.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
January 01, 2024 - Around 10-20% of nursing home falls cause serious injuries; 2-6% of the
falls result in fractures.17 … Medications are considered as a potentially modifiable risk factor for falls and
fractures. … Falls in the nursing home. Annals Intern Med. 1994; 121:442–
51. PMID:8053619.
16. … Medication-related falls in the elderly: causative factors and
preventive strategies. … Associations Between Drug Burden Index and Falls in Older People
in Residential Aged Care.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt7.html
December 01, 2017 - Patient Safety News and Events
Education & Training
Resources
The Falls … Appendix C7: Fax Back Orders Sample
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Table of Contents
The Falls … Falls Engineer Instructions
Note: This form has been filled out with information for