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www.ahrq.gov/research/findings/final-reports/index.html?page=11
January 01, 2024 - Culture Publication Date: September 2011
Call Light Responsiveness and Effect on Inpatient Falls
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www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
January 01, 2025 - Final Progress Report: The National Quality Forum Fall Policy Conference 2008
The National Quality Forum
Fall Policy Conference 2008
Principal Investigator: Dwight McNeil
Team Members: S. Callahan, L. Gorban,
D. McNeill, and B. Yelin
9/30/08-9/29/09
Federal Project Official: Karen Ho
Supported by: Agen…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
April 01, 2003 - set a short-
term patient safety performance goal of a 20-percent reduction in medication
errors, falls … Several consortium
hospitals reported falling into this trap at some point in time. … Employees at one consortium facility
examined data on adverse events and realized that patient falls … As they reviewed the data, employees noticed that most falls were occurring in
one particular unit. … As a result, falls decreased significantly.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
January 01, 2024 - Potential problems include medication errors, falls, infections, procedural complications, management
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap2a.html
October 01, 2014 - Falls Prevention
Appendix 1-A. Suggested Slides for Module 1
Appendix 1-B.
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www.ahrq.gov/research/findings/final-reports/index.html?page=7
January 01, 2024 - Exchange, Patient and Family Engagement Publication Date: July 2015
An Intervention to Reduce Falls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
June 02, 2025 - , or EMR, data to make staff aware of
residents at risk of adverse events such as pressure ulcers, falls … prevent four
adverse events: pressure ulcers, pressure ulcers that are not
healing appropriately, falls … • Pressure Ulcer Healing, Falls, and Avoidable Hospitalization
reports and worksheets have been … is designed to identify residents at risk for the adverse
event of interest (e.g., pressure ulcers, falls
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
September 01, 2017 - record, or EMR, data to make staff aware of residents at risk of adverse events such as pressure ulcers, falls … help prevent four adverse events: pressure ulcers, pressure ulcers that are not healing appropriately, falls … Pressure Ulcer Healing, Falls, and Avoidable Hospitalization reports and worksheets have been tested … is designed to identify residents at risk for the adverse event of interest (e.g., pressure ulcers, falls
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www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
February 01, 2018 - Topics addressed in new draft recommendations included screening for cervical cancer, prevention of falls … AHRQ released training materials for preventing falls in hospitals. … These five training modules align with chapters in the AHRQ "Preventing Falls in Hospitals" toolkit. … Preliminary data on the use of the training materials showed significant decreases in falls with injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time
Preventable Hospital and Emergency Department Visits
Transfer Note and Intake Note
Transfer Notes and Intake Notes are not required, but the elements included in them must be in
the nursing home’s electronic medical record (EMR) to generate all components of the re…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
January 01, 2022 - national efforts to reduce hospital-acquired conditions such
as adverse drug events and injuries from falls … two or more of the same AE for the same patient during a single hospitalization (e.g.,
two or more falls … For some AEs, such as falls,
every patient is considered at risk.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
January 01, 2022 - national efforts to reduce hospital-acquired conditions such
as adverse drug events and injuries from falls … two or more of the same AE for the same patient during a single hospitalization (e.g.,
two or more falls … For some AEs, such as falls,
every patient is considered at risk.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap1b.html
October 01, 2014 - Falls Prevention
Appendix 1-A. Suggested Slides for Module 1
Appendix 1-B.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits - Transfer Note and Intake Note
AHRQ’s Safety Program for Nursing Homes: On-Time
Preventable Hospital and Emergency Department Visits
Transfer Note and Intake Note
Transfer Notes and Intake Notes are not required, but the elemen…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
November 01, 2019 - of the four moments of antibiotic decision
making, management of asymptomatic bacteriuria
largely falls … symptoms reviewed earlier may also be associated with
delirium, there is no evidence that delirium, falls … symptoms or systemic
signs of infection, older patients with bacteriuria
experiencing delirium or falls
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Transfer Note and Intake Note
Transfer Notes and Intake Notes are not required, but the elements included in them must be in the nursing home’s electronic medical record (EMR) to generate all components of…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-fracture-booklet.pdf
November 01, 2023 - Taking care of your surgical wound
■ Showering
■ Urinating
■ Sleeping
■ Home setup
■ Preventing falls … toilet (called a:
commode)
20 AHRQ Safety Program for Improving Surgical Care and Recovery
Prevent Falls … Recovery at Home
Taking Care of Your Surgical Wound
Showering
Urinating
Sleeping
Home Setup
Prevent Falls
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www.ahrq.gov/faqs/index.html?page=13
What type of information falls under FOIA?
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
April 01, 2018 - 26
429
-- Delirium
2
427
-- Nosocomial Infections
3
450
-- Patient Falls
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
December 01, 2017 - The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes