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161. Appendixes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-appendix.html
     November 01, 2017 - ("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. … Serious falls in hospitalized patients: correlates and resource utilization. … Falls     Memtsoudis (2012) Bates (1995) Wong (2011) Study Study Year 1998-

162. Voluntary Adverse Event Reporting in Rural Hospitals (pdf file)
     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.

163. Infographic - Fractures Were Higher In Adult Women (Aged 18 and Older) Than In Men The Same Age (pdf file)
     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

164. Appendix B11: Fall Interventions Plan | Agency for Healthcare Research and Quality
     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 Previous Page Next Page Table of Contents The Falls Management … Falls Engineer Instructions Text Description Resident: _________________________

165. Declines in Hospital-Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac_rates_2019.pdf
     January 01, 2019 - National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries from falls … Events -28% CAUTI* -5% CLABSI+ -6% Clostridioides difficile Infections -37% Falls

166. Declines in Hospital-Acquired Conditions (pdf file)
     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

167. On-Time Prevention Program for Long Term Care: Clinical Decision Support | Agency for Healthcare Research and Quality
     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

168. AHRQ Slide Template 2004 (ppt file)
     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

169. Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact | Agency for Healthcare Research and Quality
     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

170. Transforming Hospitals | Agency for Healthcare Research and Quality
     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.

171. Table 14A: Outcome Indicators by County Supply of Health Care Providers | Agency for Healthcare Research and Quality
     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

172. Appendix B25: Ways Families Can Help Reduce Fall Risk | Agency for Healthcare Research and Quality
     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 Previous Page Next Page Table of Contents The Falls … Falls Engineer Instructions Reduce clutter in the room and bathroom Take home items

173. Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard (pdf file)
     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.

174. Appendix | Agency for Healthcare Research and Quality
     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

175. Appendix B30: Engineer Cane/Walker Inspection | Agency for Healthcare Research and Quality
     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 Previous Page Next Page Table of Contents The Falls … Falls Engineer Instructions Engineer Cane Inspection Resident Name: _____________

176. Appendix C8: Fall Interventions Plan Sample | Agency for Healthcare Research and Quality
     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 Previous Page Next Page Table of Contents The Falls … Falls Engineer Instructions Note: This form has been filled out with information for

177. Opioids in Older Adults Compendium | Agency for Healthcare Research and Quality
     www.ahrq.gov/opioids/implementing-what-works/compendium.html
     November 01, 2024 - Assessment Use appropriate tools and workflows to assess the risks of opioid treatments: delirium, falls … workflows Develop specific workflows to screen for opioid use related risks in older adults, such as falls … Train/Educate Clinicians & Staff - Train staff on workflow Train staff on workflow to screen for falls … Staff - Train about opioid related risks Train clinicians and staff about opioid related risks (e.g., falls … management and reviews into pain visits: - screening appropriate for older adults on opioids such as falls

178. 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.

179. 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.

180. 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