-
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/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.
-
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
-
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/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
-
www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-d.html
September 01, 2017 - 8:15–8:20
5
Opening Remarks
Thank you from leadership to attendees for participating in falls … the hospital’s universal precautions, rounding practices, and fall risk assessment.
3A: Inpatient Falls
-
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/action-plan.html
January 01, 2013 - Preventing Falls in Hospitals
Tool 2F: Action Plan
Previous Page Next Page
Table of Contents … Preventing Falls in Hospitals
Roadmap
Acknowledgments
Overview
Icons
1.
-
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]
-
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
-
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
-
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.
-
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
-
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/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
-
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.
-
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