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161. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
     January 01, 2025 - ” (p. 556).3 There are various adverse incidents that occur in the nursing home setting, including falls … distributed between for-profit (41.1%) and non-profit (42.1%) homes, with the remainder of homes falling … ), witnessed falls (3.5%), “found on floor” (5.2%), and skin tears (5.3%). … Physical restraint use and falls in nursing home residents. J Am Geriatr Soc 1996;44:627-33. 6. … Falls and fall prevention in the nursing home. Clin Geriatr Med 1996;12:881-902. 7.

162. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-results.html
     November 01, 2017 - In contrast, the literature contained far fewer usable studies for falls (3 for costs and 1 for mortality … Our search for recent literature on in-hospital falls in the United States returned very few results … Data on falls related to other health care settings, such as nursing homes, were not included in our … While this may be a more relevant source of outcomes for falls specifically, based on articles found … leading to an admission and falls occurring in the institution.

163. Final Progress Report: Making Acute Care More Patient Centered, Patient Safety Learning Laboratory (PSLL) (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/bates3-report.pdf
     January 01, 2024 - particularly those who were younger and more independent at home, did not believe their risks for falling … and injurious falls. … The effect of the intervention on patient falls (dichotomized as fall/no fall) and falls with injury … Falling Through the Crack (in the Bedrails). … Hurley, Patients' perspectives of falling while in an acute care hospital and suggestions for prevention

164. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ref.html
     December 01, 2014 - Reduction of falls-related injuries using a hospital inpatient falls prevention program. … Evidence-based practice: a falls prevention program that continues to work. … Medicare nonpayment, hospital falls, and unintended consequences. … Preventing falls and eliminating injury at Ascension Health. … VHA’s national falls collaborative and prevention programs.

165. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-refs.html
     October 01, 2015 - Injury From Falls Barrett JA, Bradshaw M, Hutchinson K, et al. … Reduction of falls-related injuries using a hospital inpatient falls prevention program. … Medicare nonpayment, hospital falls, and unintended consequences. … Preventing falls and eliminating injury at Ascension Health. … VHA’s national falls collaborative and prevention programs.

166. Making Acute Care More Patient-Centered | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/acute-care-long-desc.html
     June 01, 2020 - their family caregivers in the design of health information technology (IT) tools to prevent patient falls … Spanish versions of the Fall TIPS (Tailoring Interventions for Patient Safety) toolkit , which reduced falls … Interventions for Patient Safety) Program: a collaboration to end the persistent problem of patient falls … Preventing falls in hospitalized patients. … American Nurse 2018;13(9):8-13. https://www.myamericannurse.com/preventing-falls-hospitalized-patients

167. Final Progress Report: Developing biomechanical models from initiated fall actions and reactions in frail elderly patients (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdf
     January 01, 2024 - Despite extensive research into the biomechanical causation of falls, the group most prone to falls … movement of sit-to-walk (STW) [1]; however, the particular phase of STW with the greatest risk of falling … 125% LLL of the participant Morse Fall Scale MFS A rapid method of assessing a patient’s likelihood of falling … Suggesting that the low bed had a higher risk of falling. … with the most FREs occurring at the low bed height, suggesting that the low bed had higher risk of falling

168. Final Progress Report: Care Interventions and Quality of Care in Rural and Urban Nursing Units (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/baernholdt-report.pdf
     January 01, 2024 - Key Words: Pressure ulcers, falls, National Database of Nursing Quality Indicators, nurse outcomes, … SCOPE Pressure ulcers and falls are among the most common, preventable, and costly patient safety events … Patient deemed at risk for fall Percentage of patients with falls who received this intervention in … of nurses who plan to leave their unit within 1 year Hospital- acquired conditions Fall rate All falls … within a quarter falls per 1000 patient-days 5 Hospital-acquired pressure ulcer rate Prevalence

169. PowerPoint Presentation
     www.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

170. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/methods.html
     December 01, 2017 - diagnosed) CLABSI MPSMS Blood Stream Infections Associated With Central Venous Catheters Falls … MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma in Vaginal Delivery … 2.24 0.64 CAUTI Catheter-Associated Urinary Tract Infections 18.80 25.58 0.73 Falls … In-Hospital Patient Falls 12.25 14.56 0.84 Pressure Ulcers Hospital-Acquired Pressure … MPSMS In-Hospital Patient Falls 262,317 32,750,000 8.010 Obstetric Adverse Events

171. Event-Summary-Leveraging-Data-Enhance-Cr-Program (pdf file)
     www.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.

172. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/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?

173. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     www.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?

174. Appendix C. Sample Search Strategies | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appc.html
     March 01, 2017 - Control [ti]) OR handwashing OR (hand [ti] AND (hygiene [ti] OR disinfection [ti] OR wash [ti]))) OR (Accidental … Falls [mh] OR (fall* [ti] AND (preventing [ab] OR prevention [ab] OR reducing [ab] OR reduction [ab]

175. F | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/f.html
     June 12, 2025 - Topics Browse A - Z F Falls Patient and Family Engagement

176. Appendix B27: Living Space Inspection | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb8txt.html
     December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B27: … Living Space Inspection Previous Page Next Page Table of Contents The Falls Management … Falls Engineer Instructions Text Description of Form The Living Space Inspection has

177. Table 10: Outcome Indicators by Selected Home and Community-Based Services 1915(c) Waiver Services Offered, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab10.html
     February 01, 2023 - Pressure Ulcer Yes 5,006 4,208 4,833 No 2,960 3,348 3,127 Injurious Falls … 19,184 20,443 Pressure Ulcer 4,195 4,249 2,476 3,395 3,286 3,764 Injurious Falls

178. Outpatient Benzodiazepine Prescribing, Adverse Events, and Costs (pdf file)
     www.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.

179. No More CAUTI – preventing catheter associated urinary tact infections
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti.pptx
     June 02, 2025 - Inappropriate catheter indications Limited mobility or debility Catheters do not prevent falls … 14 Inappropriate catheter indications Dementia or confusion Catheters do not prevent falls

180. Table 12: Outcome Indicators by Use of Selected Home and Community-Based Services 1915(c) Waiver Services, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.html
     February 01, 2023 - Pressure Ulcer Yes 6,274 3,455 1,049 No 3,338 3,486 3,662 Injurious Falls … 16,992 19,479 Pressure Ulcer 1,013 6,793 2,359 3,765 2,949 3,511 Injurious Falls