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  1. ce.effectivehealthcare.ahrq.gov/teamstepps/primarycare/handouts/pcvideo.html
    January 01, 2013 - As you identify breakdowns, consider for each whether it falls under the TeamSTEPPS component of leadership
  2. ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/handouts/video.html
    November 01, 2015 - As you identify breakdowns, consider for each whether it falls under the TeamSTEPPS component of leadership
  3. ce.effectivehealthcare.ahrq.gov/patient-safety/about/areas.html
    February 01, 2018 - Our areas of research and tools cover: Healthcare Infections Team Training Falls Pressure Ulcers
  4. ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
    November 01, 2021 - Program for Nursing Homes: On-Time Prevention End of Life Care Home and Community-based Services Falls
  5. ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=482
    January 01, 2024 - Emergency Preparedness (26) Evidence-Based Practice (932) Eye Disease and Health (36) Falls … Clancy CM AHRQ Author: Clancy CM Evidence-based toolkit helps organizations reduce patient falls … Evidence-based toolkit helps organizations reduce patient falls. … Keywords: Evidence-Based Practice, Falls, Tools & Toolkits, Patient Safety, Prevention Pagination
  6. Fallpxtool6A (doc file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool6a.docx
    January 01, 2007 - 6A: Sustainability Tool Background: This tool can be used to identify sustainability issues in planning and implementing your fall prevention efforts. Reference: Adapted with permission from: Edwards JC, Feldman PH, Sangl J, et al.Sustainability of partnership projects: a conceptual framework and checklist. Jt Comm J …
  7. ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/index.html
    August 01, 2022 - Improving Patient Safety Systems for Patients with Limited English Proficiency NICU Toolkit Preventing Falls
  8. ce.effectivehealthcare.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
    July 01, 2022 - A Model of Care Delivery to Reduce Falls in a Major Cancer Center (   PDF , 426 KB ) Nancy E. … Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities (   PDF , 338 KB ) Patricia … VHA's National Falls Collaborative and Prevention Programs (   PDF , 578 KB ) Erik Stalhandske, et al
  9. ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-6.html
    July 01, 2023 - ensuring the technology is worn, while the AI would provide daily summaries about fall risk and near falls … This information could lead to interventions to prevent falls.
  10. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
    June 29, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits - Transfer Note and Intake Note AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Transfer Note and Intake Note Transfer Notes and Intake Notes are not required, but the elemen…
  11. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
    February 07, 2014 - with CHF Pneumothorax Pulmonary embolism Case 8 *Saint S, Ann Intern Med 2002; 137: 125-7 Falls … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient … (reach elephant without rider) 32 Engage – Patients 33 *Saint S, Ann Intern Med 2002; 137: 125-7 Falls … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient
  12. ce.effectivehealthcare.ahrq.gov/cahps/news-and-events/events/webinar-051823.html
    December 01, 2023 - Managing Consultant The Lewin Group Falls Church, VA HCBS CAHPS Technical Assistance (PDF, 115 KB)
  13. ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-slides.html
    February 01, 2017 - Slide 14: Adverse Events 4 9 patients had 14 adverse event (<1% of activities): Falls to knees … Adverse events ranged from agitation to transient physiological events to dislodgements and to falls … (none of the falls were considered serious).
  14. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-facguide.docx
    January 01, 2017 - These included: five falls to knees without injury, four with systolic blood pressure less than 90 mmHg … from agitation to transient physiological events to dislodgements of catheters and other devices to falls … , though none of the falls described were serious, and they were rare.
  15. ce.effectivehealthcare.ahrq.gov/cahps/news-and-events/events/webinar-042121.html
    May 01, 2021 - Managing Consultant The Lewin Group Falls Church, VA HCBS CAHPS Technical Assistance (PDF, 119 KB)
  16. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-one-page.pdf
    November 01, 2019 - o Delirium, insomnia, and falls alone do not indicate a UTI.
  17. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-fracture-booklet.pdf
    November 01, 2023 - Taking care of your surgical wound ■ Showering ■ Urinating ■ Sleeping ■ Home setup ■ Preventing falls … toilet (called a: commode) 20 AHRQ Safety Program for Improving Surgical Care and Recovery Prevent Falls … Recovery at Home Taking Care of Your Surgical Wound Showering Urinating Sleeping Home Setup Prevent Falls
  18. Fallpxtool1D (doc file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1d.docx
    January 28, 2013 - 1D: Business Case Form Background: This tool can be used to create a high-level overview of the case for implementing a fall prevention program. The information gathered in this tool may be presented to the senior leader who will decide whether to support your program. For more information on who is part of the senior …
  19. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
    April 14, 2008 - Administration (VHA) proactive medication safety surveillance studies as part of its research focus on patient falls … It has established an international reputation in the areas of falls and safe patient handling and movement … Because of the recognized chance of certain medications to increase the risk of injurious falls in the … reconcile medications across the continuum of care and to reduce the risk of patient harm resulting from falls … Drugs and falls in community-dwelling older people: A national veterans study.
  20. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_slides_intro.pptx
    January 20, 2006 - and Teamwork Across Units Incremental changes evident through reduction of nosocomial infections, falls

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