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www.ahrq.gov/patients-consumers/patient-involvement/patients-risk-of-falls.html
September 01, 2015 - New Tools Help Health Providers Reduce Patients' Risk of Falls
For older adults, falls are serious … These falls can cause bone fractures, disability, and even death. … Among people 75 and older, falls are far more likely to cause admissions into a long term care facility … Reduce patient risk and learn about falls through these useful resources:
Falls Among Older Adults … Fall Risk Assessment Process to Tailor Interventions in Acute Care
The Falls Management Program: A
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/assess.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Falls Prevention Self-Assessment … designed to help staff review how they currently identify residents who have experienced a change in falls … It is expected that the Facilitator will work with the Change Team to identify gaps in current falls … Falls Prevention Plan
Section 3: Investigations/Root Cause Analysis of Resident Falls
Section 4: … Falls Prevention Self-Assessment Worksheet
Return to Falls Prevention
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www.ahrq.gov/sites/default/files/2024-04/bonardi-report.pdf
January 01, 2024 - receiving services is at
least as likely to fall as the population over age 65, with about 1 in 3 falling … falls,
and difficulty ambulating. … , as determined by falls risk screening and documented
rates of falls. … a 6-month period; 473 falls were recorded
among participants---a rate of 51 falls per 100
people-- … Mobility (ambulating inside and outside) Fall History including baseline for falls:
number of falls
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www.ahrq.gov/data/infographics/falls-factors.html
March 01, 2023 - Network of Patient Safety Databases (NPSD), events reported through December 31, 2021 in the NPSD Falls
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/intro.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Introduction
On-Time Falls … informed the development of On-Time Falls Prevention . … Table 1 lists reports and implementation materials for falls prevention. … On-Time Falls Prevention: Reports and Implementation Materials
Reports
Falls High-Risk … Return to Falls Prevention
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/packet.html
November 01, 2017 - On-Time Falls Prevention
Overview Materials Packet
Samples of four types of reports are provided … here:
On-Time Falls High-Risk Report . … Quarterly Summary of Falls Risk Factors by Unit or Facility . … On-Time Falls High-Risk Report
Sample Falls High-Risk Report
Unit: ______________________________ … Quarterly Summary of Falls Risk Factors by Unit or Facility
Sample Quarterly Summary of Falls Risk
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
September 01, 2023 - falls. … known to
increase risk
of falls
Number of
falls in the
group
Number of falls
resulted in … or without history of falls
Patient has history
of falls
Number
of falls in
the group
Number … Based on current fall prevention research, patients with differing risks of
falling would benefit from … Toileting regimen Toilet regimen
Visible identification of patient as being at risk
for fall (e.g., Falling
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/index.html
February 01, 2018 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
The Agency for Healthcare Research … identify residents at risk for falls. … The tools are designed to help a multidisciplinary nursing home team prevent falls that can be avoided … Implementation Materials:
Self-Assessment Worksheet for Falls Prevention . … Falls Prevention Electronic Reports:
Instructor Guide ( PDF File , 3 MB).
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
November 01, 2017 - : On-Time Falls Prevention Facilitator Training
Introduction to Falls Reports
Say:
In this session … of Falls Risk Factors report. … Falls With Major Injury . … Falls With Minor Injury . … Total Falls. The system computes the total number of falls for the report period.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
December 01, 2017 - Falls Engineer Instructions
On This Page
Falls Management Program Case Study
Discussion … Falls Assessment completed and discussed with falls team and family. … P is falling?
What was the response of the staff member who found her? … resident into the Falls Management Program. … Step Six—Complete Falls Assessment
A Falls Assessment should be completed by the nurse along with a
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
June 02, 2025 - for Nursing Homes: On-Time Falls Prevention Training 1
On-Time Falls
Prevention:
Reports … to Falls Prevention
Reports
SAY:
In this session we will introduce you to the On-Time Falls … Falls With Major Injury. … Falls With Minor Injury. … High-Risk Report
Slide 8: Falls High-Risk Report
Slide 9: Falls High-Risk Report
Slide 10: Falls
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www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
January 01, 2024 - With all other factors being equal, the odds of falling
unassisted were 2.55 times greater for a patient … Identifying a gait belt as an intervention decreases the
odds patients falling unassisted. … Odds Ratios for Patient and System Factors Associated with Increased Odds of Falling
Unassisted
Patient … Patient and Caregiver Perceptions of Being Safe from Falling
in the Hospital.
2. … Fear of falling and fall-related efficacy in relationship to
functioning among community-living elders
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximplstrat.pdf
June 02, 2025 - Falls Prevention Menu of Implementation Strategies
Existing New
Falls High Risk Report
1. … Root Cause Analysis for New Falls
5. Weekly Falls Risk Huddle
6. … Weekly Falls Risk or Safety Meetings
Quarterly Summary of Falls Risk Factors by Unit or Facility … Root Cause Analysis for New Falls
4. … Root Cause Analysis for New Falls
4. Weekly Falls Risk Huddle
5.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx.html
March 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Next … Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing … Falls Engineer Instructions
The Falls Management Program presented in this manual is … Falls Engineer Instructions
Developed and supported by the Agency for Healthcare Research and Quality … The Falls Management Program builds upon the previous work of Dr.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B. … Training Materials (Appendix Contents)
Previous Page Next Page
Table of Contents
The Falls … Patient Safety (TRIPS)
FAX Alert
Falls Assessment
Falls Assessment Cue Sheet
Mobility and Transfer … , Why Falls Happen, Spanish
Pre and Posttests for Inservice #2, How to Reduce Falls, Spanish
Appendix … #2, How to Reduce Falls in Nursing Facilities
Appendix B19: Handout for Inservice #1, Why Falls Happen
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb17.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B17: … Handout for Inservice #1, Why Falls Happen in Nursing Facilities
Previous Page Next Page … Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities … Falls Engineer Instructions
Facts
About half of all residents in nursing facilities … One of the most serious injuries from falls is hip fracture.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - Training
Introduction to Falls Reports
Falls Prevention
Electronic Reports
Electronic Reports
Falls … October 2017
On-Time Falls Prevention
6
6
Falls High-Risk Report
Provides a weekly snapshot summary … of facility residents at highest risk of falling
Enables staff to be more proactive, consistent, and … Prevention
7
Falls High-Risk Report
How many residents triggered for highest risk of falling? … and percentage of falls that have occurred for residents with each risk factor included in the Falls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-ig.pdf
June 02, 2025 - s Safety Program for Nursing Homes: On-Time Falls Prevention 1
On-Time Falls
Prevention:
Implementation … AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention 2
On-Time Falls
Prevention:
Implementation … AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention 4
On-Time Falls
Prevention:
Implementation … AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention 10
On-Time Falls
Prevention: … AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention 11
On-Time Falls
Prevention:
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3b.html
October 01, 2014 - Falls Prevention
Appendix 1-A. Suggested Slides for Module 1
Appendix 1-B. … How does falls management and response lower the likelihood of future falls? … The staff is educated on how to prevent falls.
All of the above. … Answer: d
How does falls management and response lower the likelihood of future falls? … The staff is educated on how to prevent falls.
All of the above.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4-tabtxt4.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Table 4. … Falls Intervention Plan" to Box 4, which contains the text, "4. Falls Intervention Monitor." … Update Falls Intervention Plan as needed." An arrow points down from "3. … Update Falls Intervention Plan as needed" to Box 6, which contains the text, "6. … to revise Falls Intervention Plan and monitor weekly."