-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
June 02, 2025 - risk-binning" methodology applied across
institutions, a case-control study to determine risk factors for falls … Veterans Affairs to reduce emergency airway management
difficulties, a statewide effort to encourage falls
-
www.ahrq.gov/action-alliance/resources/index.html
March 01, 2025 - Workforce Safety Learning Systems Resources by Safety Topic Diagnostic Safety Emergency Preparedness Falls
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
November 01, 2021 - Program for Nursing Homes: On-Time Prevention
End of Life Care
Home and Community-based Services
Falls
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - anaphylaxis
Drug interactions: coumadin, glipizide
If on fluoroquinolones tendon rupture
Dehydration falls … Description of current problem
Vital signs
Usual cognitive function
Recent/current health status (including falls … )
Falls, minor injury: require on-site first aid treatment (dressing, ice pack, pain medication)
Falls … This is the point where the form itself is reviewed and discussed
Note that falls are included to facilitate
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-slides.html
December 01, 2017 - Inappropriate Catheter Indications
Limited mobility or debility
Catheters do not prevent falls … Slide 15
Inappropriate Catheter Indications
Dementia or confusion
Catheters do not prevent falls
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - 32,750,000
Discharges—
Based on 2010
Baseline)
2012 PFP
Measured
HACs per
1,000
Discharge
s
Falls … MPSMS In-Hospital Patient
Falls
260,000 7.80 230,000 7.16
Obstetric
Adverse
Events
PSI OB Trauma
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
August 01, 2025 - ■ Improve patient outcomes (e.g., reduced pressure injuries, infection rates, falls). … , falls with injuries, and pressure injuries compared
to normal weight. … There were significant differences in NHs with high and low
rates of falls, falls with injuries, pressure … Quality of Care, that focuses specifically on
reducing falls during a patient’s hospital stay. … Researchers found that certain CBs helped to prevent falls in a patient room setting.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-intro.pdf
May 18, 2023 - Medicare & Medicaid
Services (CMS), Baltimore, MD
• Kathleen Woodward, M.S.P.H., The Lewin Group, Falls
-
www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/patient-involvement/healthy-men/healthy-men.pdf
March 01, 2014 - Vitamin D to Avoid Falls. … If you are 65 or
older and have a history of falls, mobility
problems, or other risks for falling, … ask your
doctor about taking a vitamin D supplement to
help reduce your chances of falling.
-
www.ahrq.gov/sites/default/files/2024-01/joseph2-report.pdf
January 01, 2024 - Scope: The SRA tool covers six safety areas – infection control, medication safety, falls, patient handling … Keywords: Safety, Risk assessment, Healthcare design, Healthcare-associated infections, Patient falls … Familiarity with Project: Two participants involved in content development (falls)
Format and Timing: … Falls
3. Patient Handling
4. Medication Safety
5. … Falls
2. Medication Safety
3.
-
www.ahrq.gov/patients-consumers/patient-involvement/navigating-the-health-care-system.html
September 01, 2015 - Off-Label Drugs: What You Need to Know
New Tools Help Health Providers Reduce Patients' Risk of Falls
-
www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
December 01, 2023 - recommendations or
guidance specific to older
adults, such as screening
for opioid-related risks
(falls … provide
limited guidance specific
to older adults, such as
screening for opioid
related risks (falls … Screening for risk
factors associated with
opioid use in older
adults, such as falls or
cognitive … members about
the evidence regarding
specific types of risks
from opioid use in older
adults (e.g., falls
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - Falls were divided into two groups: Falls known to have been Assisted,
and Falls considered Unassisted … , which includes both Falls known to be Unassisted and Falls
where it is Unknown whether assistance … The frequency of Falls considered Unassisted (40,396 / 71,292; 56.7%) was higher than that of
Falls … Falls were divided into
two groups: Falls known to have been Assisted, and Falls considered Unassisted … station
Other intervention(s)
Visible identification of patient as being at risk for fall
(e.g., Falling
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8b.html
February 01, 2023 - Min
1,663
s
s
s
s
Max
7,916
20,000
16,970
11,285
s
Injurious Falls … 1,625
918
Max
11,025
10,192
7,947
11,816
13,629
9,756
9,500
Injurious Falls
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8c.html
February 01, 2023 - Min
s
s
s
s
s
Max
6,520
26,790
16,901
21,429
s
Injurious Falls … s
785
s
Max
13,444
6,692
10,428
7,489
9,506
12,207
6,952
Injurious Falls
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8e.html
February 01, 2023 - Min
s
s
s
s
s
Max
9,819
25,000
60,870
21,053
s
Injurious Falls … 485
s
Max
13,223
10,425
7,934
16,685
41,237
12,441
11,765
Injurious Falls
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8g.html
February 01, 2023 - Min
s
s
s
s
s
Max
8,542
18,831
29,268
21,622
s
Injurious Falls … 1,051
1,628
s
Max
12,315
10,606
s
11,115
13,261
11,132
11,243
Injurious Falls
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8.html
February 01, 2023 - Min
1,506
s
s
s
s
Max
6,772
17,194
10,853
27,397
s
Injurious Falls … 1,473
1,015
Max
10,449
9,085
8,475
11,115
13,261
9,525
8,445
Injurious Falls
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8d.html
February 01, 2023 - 894
Min
s
s
s
s
s
Max
3,665
6,218
6,218
13,974
s
Injurious Falls … s
482
s
Max
4,720
3,827
3,566
11,374
25,641
4,261
4,038
Injurious Falls
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8f.html
February 01, 2023 - Min
1,710
s
s
s
s
Max
19,029
26,952
26,016
40,816
s
Injurious Falls … s
s
2,151
s
Max
31,755
11,573
19,518
s
s
19,248
23,318
Injurious Falls