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1. Falls | Effective Health Care (EHC) Program
   effectivehealthcare.ahrq.gov/health-topics/falls

2. CER 215 Executive Summary: Adverse Effects of Pharmacologic Treatments of Major Depression in Older Adults (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-215-depression-older-adults-executive-summary.pdf
   March 01, 2019 - • Duloxetine most likely increases the risk of falls over longer treatment (<24 weeks) • Adverse events … reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs) in older adults with a history of falls … Analytic framework Older adults with MDD Subgroups (KQ 2) • Age • Sex • Race or ethnicity • Risk of falls … SSRI 2 RCTs10,20 Any AE, blood pressure, falls, fractures, mortality, serious AE, weight, withdrawal … citalopram (++)20 Inconclusive: falls, fractures, mortality No data SSRI vs.

3. Making Healthcare Safer IV_Rapid Response: Patient and Family Engagement (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-patient-family-engagement.pdf
   October 01, 2023 - involves patients as active participants, employs education materials, and rewards patients for not falling … partnerships where patients coproduce or copersonalize their fall prevention plans or are rewarded for not falling … Patient and family engagement PSPs targeting patient falls demonstrated evidence of reduction in falls … Preventing Falls in Hospitals. … program • Falls rate decreased 71% from 8.06 to 3.18 • Average number of falls decreased from

4. Critical Analysis of the Evidence for Patient Safety Practices in Nursing Home Settings (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/pdf/nursing-home-safety_research-protocol.pdf
   July 22, 2015 - Falls in the nursing home. Annals of internal medicine. 1994 Sep 15;121(6):442-51. 4. … Falls in Nursing Homes. Atlanta, GA2015. 5. … Interventions for preventing falls in older people in care facilities and hospitals. … Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalised … Should older people in residential care receive vitamin D to prevent falls?

5. Cer-213-Appendix-D (xls file)
   effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-213-appendix-d.xlsx
   January 01, 2016 - 9 0.11 0.0018 Hafner 2009 (PMID 19675993) Microprocessor vs. mechanical knee Frustration with falls … 0.81 0.0018 Hafner 2009 (PMID 19675993) Microprocessor vs. mechanical knee Embarrassment with falls … 3 9 0.40 0.0018 Hafner 2009 (PMID 19675993) Microprocessor vs. mechanical knee Semicontrolled falls … level 3 9 0.37 0.0018 Hahn 2015 (J Prosthet Orthot) Microprocessor vs. mechanical knee Fear of falling … unilateral did -70 vs. -2.6 0.0010 Wong 2015 (PMID 25768067) Micropocessor vs. mechanical knee Fear of falling

6. Making Healthcare Safer IV_Rapid Response_Deprescribing To Reduce Medication Harms in Older Adults (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-deprescribing.pdf
   February 01, 2024 - Most studies found no reduction in falls;14,15,27,31,39 however, a systematic review by Shrestha (2019 … ) reported that half of the included studies reduced falls.40 Systematic reviews most often reported … 65 years • decreased number of medications • • “limited or no impact on mortality, QoL, falls … Outpatient clinics, acute care hospitals, long-term care Age ≥65 years • no difference in falls … Medication reviews and deprescribing as a single intervention in falls prevention: a systematic review

7. Effectiveness of Treatments for Diabetic Peripheral Neuropathy (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetic-neuropathy_research-protocol.pdf
   May 09, 2016 - proprioception causes imbalance and increased risk for falls … care for prevention of foot ulcers, as well as exercise and balance training for the prevention of falls … outcomes in our review: 1- Complications of diabetic peripheral neuropathy (foot ulcers, amputation, falls … Altered proprioception can also increase risk of falling and fear of falling. … Available evidence and Shortcomings Prevention of DPN complications (foot ulcers, falls and perceived

8. Disposition of Comments for Technical Brief 27 Patient Safety (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/related_files/ambulatory-safety_disposition-comments.pdf
   October 19, 2016 - One of the most frequent safety events are patient falls. … Excluding in facility falls could easily become preventing in home falls but this does not seem to … NQF measure 0101 is a 2 part measure noted as PQRS # 154- Falls Risk Assessment and PQRS # 155 – Falls … A falls risk screening using a validated tool or process assists in the identification of patients … Cluttered environments, torn carpets, uneven flooring, exam table injuries (e.g., patients falling off

9. Back-Pain-Imaging Clinician (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/pdf/back-pain-imaging_clinician.pdf
   April 01, 2016 - week, pain interference with activities, depression and anxiety, health- related quality of life, and falls … back pain intensity, pain interference with ac- tivities, depression and anxiety, health status, and falls

10. Management of Insomnia Disorder (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/insomnia_consumer.pdf
    August 01, 2017 - Insomnia disorder is a long-term condition in which a person has trouble falling asleep or staying … People with insomnia disorder have trouble falling asleep or staying asleep. … You may: � Lay awake for a long time before falling asleep. � Stay awake for most of the night. … ��Drowsiness could lead to falls, which may lead to severe injury.

11. Adverse Effects of First-Line Pharmacologic Treatments of Major Depression in Older Adults (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-depression-research-protocol.pdf
    February 07, 2018 - list recommended that clinicians avoid prescribing SSRIs and TCAs in older adults with a history of falls … include: • Age group (65 to 74y, 75 to 84y, and ≥85y) • Gender • Race or ethnicity • Risk of falls … events • Serious adverse events, as defined per the study • Hospitalization • Emergency room visit • Falls … Mortality Older adults with MDD Subgroups (KQ 2) • Age • Gender • Race or ethnicity • Risk of falls … include suicide, mortality, hospitalization, serious adverse events, arrhythmias, QTc prolongation, falls

12. Disposition of Comments for Technical Brief 24 Resident Safety Practices (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/nursing-home-safety_disposition-comments.pdf
    May 27, 2016 - Falls yes but infections, pressure ulcers? … When discussing falls, it is important to cite studies indicating that significant number of falls are … Exercise is typically targeted at falls. … because residents may want to move around more on their own when in fact this may increase the risk of falling … Falls with Injury.

13. Evidence Map on Home and Community Based Services (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/evidence-map-hcbs-protocol.pdf
    July 27, 2023 - care, mortality risk, time to nursing home placement, hospitalization , general clinical outcomes (falls … their health like cook a healthier meal, or doing stretches to maintain flexibility again to prevent falls … satisfaction • Person-centered outcomes • Hospitalization, rehospitalization • Clinical outcomes (falls

14. Effective Health Care (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0210_12-07-2009.pdf
    January 01, 2009 - The most common causes of TBI include motor vehicle accidents, falls, assaults, gunshot wounds, and

15. Prevention, Diagnosis, and Management of Opioids, Opioid Misuse and Opioid Use Disorder in Older Adults: Protocol (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/opioids-oa-protocol.pdf
    June 29, 2019 - even at doses considered therapeutic or appropriate.6 Studies have demonstrated an increased rate of falls … polypharmacy (resulting in drug-drug interactions), compromised respiration, hypogonadism, osteoporosis, falls … untreated pain has been associated with many negative consequences, including depression, anxiety, falls … What outcomes should be captured specifically for older adults (falls, cognitive function, cardiovascular … income-level/high-income 8 ● Any outcome, including: o Person-level clinical outcomes (e.g., death, falls

16. EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-iv-nursing-staff-shortages.pdf
    October 01, 2024 - nursing care is more likely to be missed, which can result in adverse events like medication errors, falls … leads to higher mortality, lower patient satisfaction, and adverse events like medication errors, falls … work, hospital-acquired conditions (such as infections, pressure injuries), medication errors, falls

17. #14 SUBSTANCE ABUSE (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1312.pdf
    December 01, 2013 - Moravian Falls (NC): Project Lazarus [accessed 2013 Jul 2]. [1 p]. … Moravian Falls (NC): Project Lazarus [accessed 2013 Jul 2]. [1 p]. … Moravian Falls (NC): Project Lazarus [accessed 2013 Nov 13]. [1 p]. … Moravian Falls (NC): Project Lazarus [accessed 2013 Jul 2]. [1 p]. … Moravian Falls (NC): Project Lazarus [accessed 2013 Jul 2]. [1 p].

18. CER 229 Evidence Summary: Opioid Treatments for Chronic Pain (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/cer-229-opioid-treatments-chronic-pain-evidence-summary.pdf
    April 01, 2020 - overdose (intentional and unintentional); and (3) other harms, including gastrointestinal- related harms, falls … risk of fracture and three observational studies found an association between opioid use and risk of falls … cohort study found modest associations between higher dose of long-term opioid and increased risk of falls … Association of opioids with falls, fractures, and physical performance among older men with persistent … Analgesic use and risk of recurrent falls in participants with or at risk of knee osteoarthritis: data

19. Comparative Effectiveness Review No. 241_Physical Activity and the Health of Wheelchair Users: A Systematic Review in Multiple Sclerosis, Cerebral Palsy, and Spinal Cord Injury (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/cer-241-physical-activity-wheelchair-evidence-summary-updated.pdf
    October 01, 2021 - general population include reduced risk of heart disease, stroke, type 2 diabetes, dementia, depression, falls

20. #14 SUBSTANCE ABUSE (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1406.pdf
    January 01, 2020 - Moravian Falls (NC): Project Lazarus [accessed 2013 Jul 02]. [1 p]. … Moravian Falls (NC): Project Lazarus [accessed 2014 May 27]. [3 p]. … Moravian Falls (NC): Project Lazarus [accessed 2013 Nov 13]. [1 p]. … Moravian Falls (NC): Project Lazarus [accessed 2013 Jul 02]. [1 p]. … Moravian Falls (NC): Project Lazarus [accessed 2014 May 27]. [2 p].