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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt3.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix C3: … Unsafe Behavior Worksheet Sample
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The Falls … Falls Engineer Instructions
Note: This form has been filled out with information for
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
April 01, 2025 - the spread and
transmission of HAIs and implementing design details that can reduce the incidence of falls … Prevention
AHRQ also funded projects exploring strategies for the detection and prevention of patient falls … • Evaluate the impact of single patient rooms on outcomes such as infection, patient
falls, patient … have occurred or when the risk of falls is increasing. … By detecting falls or increased fall risk early with sensors in the home, this new
technology can act
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/falls-infographic.pdf
December 31, 2021 - : Network of Patient Safety Databases (NPSD), events reported through December 31, 2021 in the NPSD Falls
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/instructor.html
October 01, 2014 - Falls Prevention
Appendix 1-A. Suggested Slides for Module 1
Appendix 1-B. … Falls Prevention and Management . … Falls Prevention
Principal Message
Principal Audiences
Workbook Content Overview
… Translating the Teaching into Practice
Quality Improvement
Applying QI to Improving Falls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
January 01, 2007 - Smaller numbers focused on infections, devices,
laboratory errors, surgical errors, and falls. … in a statewide falls-prevention collaborative. … QI efforts focused on falls, patient flow through the
emergency room, and medication errors. … Right after that, we saw a decrease in falls.” … Characteristics
and circumstances of falls in a hospital setting: A
prospective analysis.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb9.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B28: … Nursing Inspection List
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The Falls Management … Falls Engineer Instructions
Write the unit name, date, and room numbers across the top
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt7.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix C7: … Fax Back Orders Sample
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The Falls Management … Falls Engineer Instructions
Note: This form has been filled out with information for
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manwsa.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B7: … Seating Assessment (Text Description)
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The Falls … Falls Engineer Instructions
First complete the History box below. … Adjustment to back of wheelchair
__ Other ________________________________
Reason: Anterior Pelvic Tilt, Falling
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6.html
February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B11: … Fall Interventions Plan
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The Falls Management … Falls Engineer Instructions
Text Description
Resident: _________________________
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/spectorhudak.ppt
December 01, 2013 - at AHIMA
June 17, 2013
Baltimore, MD
Using HIT for Prevention in Nursing Homes
Pressure ulcers, falls … & managing high risk residents to:
Prevent Pressure Ulcers
Monitor Pressure Ulcer Healing
Prevent Falls … Modules
* planning to add/complete in 2013
Vendor Pressure Ulcer Prevention Pressure Ulcer Healing Falls … time-series design with comparison group
Shows 60% reduction when integrate 3-4 reports
California falls
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/spectorhudaktxt.html
December 01, 2017 - 2013
Baltimore, MD
Slide 2
Using HIT for Prevention in Nursing Homes
Pressure ulcers, falls … Prevent Falls.
Reduce Potentially Avoidable Hospitalizations & ED Visits. … Vendors & On-Time Modules
Vendor
Pressure Ulcer Prevention
Pressure Ulcer Healing
Falls … California falls evaluation:
Clustered randomized control study in California NH chain with matching
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www.ahrq.gov/hai/pfp/interimhac2014-ap1.html
November 01, 2015 - MPSMS (2014)
Blood Stream Infections Associated With Central Venous Catheters
5,000
0.2
Falls … MPSMS (2014)
In-Hospital Patient Falls
260,000
7.9
Obstetric Adverse Events
PSI (2013 … Line-Associated Bloodstream Infections
18,000
5,000
13,000
72%
$221,000,000
2,405
Falls … Central Line-Associated Bloodstream Infections
40,000
50%
50%
25%
10,000
$17,000
Falls … * Additional costs per HAC for Falls and Pressure Ulcers were modified in 2012 from earlier higher
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14.html
February 01, 2023 - 19,831
18,937
Pressure Ulcer
3,690
3,126
3,660
3,435
3,626
3,404
Injurious Falls … 22,008
20,929
Pressure Ulcer
4,133
3,523
3,912
3,945
4,035
3,846
Injurious Falls … 13,703
13,045
Pressure Ulcer
2,435
1,929
2,922
1,971
2,477
2,094
Injurious Falls … 5,764
5,235
Pressure Ulcer
1,524
1,248
1,380
1,455
1,569
1,307
Injurious Falls … 20,218
17,718
Pressure Ulcer
2,744
2,615
2,612
2,762
2,893
2,560
Injurious Falls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
January 01, 2021 - Patient outcome variables
Patient falls and injury falls
• Patient falls/1,000 patient days. … • Injury falls/1,000 patient days. … Fall prevention process variables
• Percent patients who fell assessed at risk for falling. … Falls/1,000 patient days; medical/surgical units in hospitals with ADC <100. … Hospital trend report for falls per 1,000 patient days.
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www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
December 01, 2017 - Patient Falls
Patient falls, which are common in hospitals, can result in serious injuries, extend … the Centers for Medicare and Medicaid Services no longer reimburse hospitals for the cost of patient falls … Patient falls can be avoided. … Poor placement of handrails and small door openings are two primary causes of patient falls. … A Collaborative Occupational Therapy and Nursing Approach to Falls Prevention in Hospital Inpatients.
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
January 01, 2019 - National efforts to reduce hospital-acquired conditions such
as adverse drug events and injuries from falls … Adverse
Drug
Events
-28%
CAUTI*
-5%
CLABSI+
-6%
Clostridioides
difficile
Infections
-37%
Falls
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb8.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B25: … Families Can Help Reduce Fall Risk
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The Falls … Falls Engineer Instructions
Reduce clutter in the room and bathroom
Take home items
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www.ahrq.gov/hai/pfp/hacrate2013-appendix.html
October 01, 2015 - MPSMS (2013)
Blood Stream Infections Associated With Central Venous Catheters
9,200
0.28
Falls … MPSMS (2013)
In-Hospital Patient Falls
240,000
7.2
Obstetric Adverse Events
PSI (2013 … Line-Associated Bloodstream Infections
18,000
9,200
8,800
49%
$149,600,000
1,628
Falls … Central Line-Associated Bloodstream Infections
40,000
50%
50%
25%
10,000
$17,000
Falls … *Additional costs per HAC for Falls and Pressure Ulcers were modified in 2012 from earlier higher projections
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb30.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B30: … Engineer Cane/Walker Inspection
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The Falls … Falls Engineer Instructions
Engineer Cane Inspection
Resident Name: _____________
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt8.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix C8: … Fall Interventions Plan Sample
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The Falls … Falls Engineer Instructions
Note: This form has been filled out with information for