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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.
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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.
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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
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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
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www.ahrq.gov/npsd/data/dashboard/index.html
September 01, 2024 - event-specific dashboards that describe in greater depth specific safety events such as medication events and falls … Falls Dashboard Details the extent of harm due to falls, the presence of fall assistance, presence of
-
www.ahrq.gov/data/visualizations/ed-visits-injury.html
June 01, 2021 - to Injuries, by Cause of Injury, 2017
Injuries are common and can have many causes, such as falls
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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
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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
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www.ahrq.gov/topics/f.html
June 12, 2025 - Topics Browse A - Z
F
Falls Patient and Family Engagement
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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
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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.
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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
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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
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www.ahrq.gov/patient-safety/settings/long-term-care/index.html
September 01, 2021 - Falls Management Program: A Quality Improvement Initiative for Nursing Facilities is an interdisciplinary … facilities to help them detect and communicate changes in a resident's condition and prevent and manage falls
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www.ahrq.gov/patients-consumers/patient-involvement/healthcare411.html
August 01, 2016 - far-ranging topics as treating high cholesterol, preventing blood clots, and reducing nursing home falls
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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?
-
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?
-
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]
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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
-
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.