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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
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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
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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
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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
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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
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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 …
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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
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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
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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.
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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…
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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
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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)
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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).
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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.
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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)
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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.
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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
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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 …
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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.
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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