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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/business-case-form.html
January 01, 2013 - Preventing Falls in Hospitals
Tool 1D: Business Case Form
Previous Page Next Page
Table … of Contents
Preventing Falls in Hospitals
Roadmap
Acknowledgments
Overview
Icons
1.
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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/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/news/newsletters/e-newsletter/852.html
February 01, 2023 - Preventing Patient Falls Using an Evidence-Based Intervention May Reduce Costs . … Preventing Patient Falls Using an Evidence-Based Intervention May Reduce Costs
Implementing the AHRQ-funded … After implementation of the Fall TIPS intervention, there was a nearly 20 percent reduction in falls … Policies to reduce all falls using evidence-based interventions could reduce the frequency of harms and
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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/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/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/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/hospital/fall-prevention/toolkit/process-analysis.html
January 01, 2013 - Preventing Falls in Hospitals
Tool 2C: Current Process Analysis
Previous Page Next Page … Table of Contents
Preventing Falls in Hospitals
Roadmap
Acknowledgments
Overview
Icons
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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/patient-safety/settings/hospital/fall-prevention/toolkit/sustainability-tool.html
January 01, 2013 - Preventing Falls in Hospitals
Tool 6A: Sustainability Tool
Previous Page
Table of Contents … Preventing Falls in Hospitals
Roadmap
Acknowledgments
Overview
Icons
1.
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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
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www.ahrq.gov/news/newsroom/case-studies/201702.html
March 01, 2017 - Injuries from falls and immobility.
Obstetrical adverse events.
Pressure ulcers. … Improvements in 2014 resulted in an estimated 45 percent reduction in pressure ulcers, 24 percent reduction in falls
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/acknowledgments.html
January 01, 2013 - Preventing Falls in Hospitals
Acknowledgments
Previous Page Next Page
Table of Contents … Preventing Falls in Hospitals
Roadmap
Acknowledgments
Overview
Icons
1.
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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/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/news/newsroom/case-studies/ktcquips86.html
October 01, 2014 - Glens Falls Hospital in Glens Falls, New York, entered the collaborative with a "One Source of Truth … Nancy Huntington, PharmD, Director of Pharmacy, reported, "It is Glens Falls' intent to actively use
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3o.docx
January 01, 2008 - key to maintaining the patient’s safety and for organizational learning about how to prevent future falls … Improving the capture of fall events in hospitals: combining a service for evaluating inpatient falls … The tool may be used for the purpose of root cause analysis to prevent future falls in this patient and … Yes
No
Falls precautions
Fall alert identifier (door sticker)
Bed alarm: if yes, check
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab9.html
February 01, 2023 - Ulcer
Yes
3,471
3,655
3,237
3,421
No
3,873
3,358
4,221
4,253
Injurious Falls … Pressure Ulcer
3,504
3,473
2,888
3,575
2,944
4,236
4,000
3,773
Injurious Falls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_fall-prevention.docx
September 20, 2017 - answering the following questions:
· What roles and responsibilities will staff have in preventing falls … AHRQ Fall Prevention Program Implementation Sharing Webinar
DMAIC: A Deep Dive into Reducing Patient Falls … those testing areas are now responsible for the patients’ care and need to know they are at risk for falls … Tracking the care processes to prevent falls is a measure of implementation success and should translate … This example comes from a hospital that implemented AHRQ’s Preventing Falls in Hospitals Toolkit.