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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-intro.pdf
January 01, 2021 - Medicare & Medicaid
Services (CMS), Baltimore, MD
• Kathleen Woodward, M.S.P.H., The Lewin Group, Falls
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/oirtab.html
December 01, 2012 - Composite: ACSC Overall
17,971
7,139
Pressure Ulcer
3,067
1,136
Injurious Falls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
June 02, 2025 - Completion Date for Plan
Fall Rates (e.g., falls per 1,000 occupied bed days) are calculated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
June 02, 2025 - For example, if a hospital is engaged in an organization-wide improvement initiative to decrease falls … Having the Newborn Critical Care Center complete a falls risk assessment for each patient for each shift … For example, for a falls prevention program, quantitative measures to evaluate can include the falls
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
June 01, 2012 - Module 2 focuses on communicating changes in a resident’s condition,
and Module 3 covers falls prevention … These kinds of changes
put the resident at risk for falling and also may signal an underlying problem … Falls Risk
A fall is defined as “involuntarily coming to rest on a lower surface,” whether it
is an … Because falls often involve many factors, they should always be reported
to determine what changes can … Changes to watch for include the resident complaining
about not feeling rested, falling asleep in unusual
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www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/prevention/lifestyle/healthy-women.pdf
May 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.
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www.ahrq.gov/cahps/news-and-events/events/webinar-060624.html
June 01, 2024 - & HCBS CAHPS Survey (PDF, 247 KB) Amanda Huben Public Policy Analyst Consultant, The Lewin Group Falls
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www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
March 01, 2021 - Steven Brantley (Klamath Falls, OR)
Using Data To Tackle Undiagnosed Hypertension and Improve
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/mui-environmental-scan-brief.pdf
January 01, 2023 - , higher rates of
social isolation and depression,
more sedentary lifestyles,
increased risk for falls … Ensrud, and Deborah Grady, “Urinary Incontinence: Does It Increase Risk for Falls
and Fractures?”
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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-Conlon_50.pdf
May 06, 2008 - PEERs data have also been instrumental in the development of programs for falls risk assessment
and … These changes increase the reliability of the
organization and prevent patients from falling through … PEERs data reveal that many inpatient falls occur when patients get out of bed to use the
bathroom. … Data from falls are routinely collected and used in an ongoing effort to reduce the number of
patient … falls.
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www.ahrq.gov/cahps/news-and-events/events/webinar-042121.html
May 01, 2021 - Managing Consultant
The Lewin Group
Falls Church, VA
HCBS CAHPS Technical Assistance (PDF, 119 KB
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www.ahrq.gov/cahps/news-and-events/events/webinar-051823.html
December 01, 2023 - Managing Consultant
The Lewin Group
Falls Church, VA
HCBS CAHPS Technical Assistance (PDF, 115 KB
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www.ahrq.gov/research/shuttered/acfselection/appendixb.html
July 01, 2018 - Washington University
Department of Emergency Medicine, Inova Fairfax Hospital
3300 Gallows Road
Falls … University
Department of Emergency Medicine
Inova Fairfax Hospital
3300 Gallows Road
Falls
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
January 01, 2020 - 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 (31,297 / 50,450; 62.0%) was higher than that of
Falls … 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
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-ehr-oud.pdf
June 02, 2025 - for evaluating effectiveness and potential adverse effects of opioid use in older adults: misuse, falls … control level
■ adverse events experienced ■ activity level ■ aberrant behaviors ■ cognition ■ falls
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www.ahrq.gov/sites/default/files/2024-12/danforth-report.pdf
January 01, 2024 - disease (CKD)), treatment (potentially inappropriate medication use
among patients with a history of falls … outpatient safety, outpatient care quality, diagnostic error, chronic kidney
disease, medications, falls … kidney disease), treatment (potentially inappropriate
medication use among patients with a history of falls … Additionally, one measure (medication use after falls)
focused specifically on the elderly population
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www.ahrq.gov/ncepcr/communities/pbrn/registry/new-york-long-island-clinical-improvement-through-innovation-collaborative.html
March 25, 2014 - Current or Past Research Interests Comments :
Other health or disease related interests: Prevention of falls
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-asthma-section-5-table-3.pdf
February 19, 2016 - After training, inhaler technique falls
off with time, so checking and re-
training must be repeated
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www.ahrq.gov/patient-safety/reports/liability/pichert.html
August 01, 2017 - Sanford Health Medical Center Sites in the North (Fargo, Bismarck) and South (Sioux Falls, Bemidji) Regions … Hoffman, MD, FACP, at the time of the planning project: Patient Safety Officer, Sanford Health, Sioux Falls … Region, Sioux Falls, SD. … the planning project, Senior Vice President, Clinical Risk Management, Sanford Health System, Sioux Falls … Leadership Development & Physician Well Being, Sanford PARS Medical Director, Sanford Health, Sioux Falls
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www.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Falls.
Obstetric Adverse Events.
Pressure Ulcers.
Surgical Site Infections. … Catheter-Associated Urinary Tract Infections
Central Line-Associated Bloodstream Infections
Falls … )
Catheter-Associated Urinary Tract Infections
Central Line-Associated Bloodstream Infections
Falls … Beginning in 2008, CMS identified the HACs (e.g., CAUTI, falls and trauma, surgical site infection) for … Falls
Fall during an inpatient admission, with or without injury, whether or not fall was assisted.