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401. Video Reflections | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/primarycare/handouts/pcvideo.html
     January 01, 2013 - As you identify breakdowns, consider for each whether it falls under the TeamSTEPPS component of leadership

402. Fallpxtool1E (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1e.docx
     January 28, 2013 - Reference: Developed by Falls Toolkit Research Team.

403. Fallpxtool4D (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool4d.docx
     January 29, 2013 - Reference: Developed by Falls Toolkit Research Team.

404. Navigating the Health Care System | Agency for Healthcare Research and Quality
     www.ahrq.gov/patients-consumers/patient-involvement/navigating-the-health-care-system.html
     September 01, 2015 - Off-Label Drugs: What You Need to Know New Tools Help Health Providers Reduce Patients' Risk of Falls

405. Final Progress Report: Effects of Patient Turnover on Nursing Care and Patient Outcomes in Acute Care Hospital Settings (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
     January 01, 2024 - falls per 1,000 patient days. … by count of falls and infections during total patient days. … and injury falls and logistic regression modeling for pressure injuries were used. … , injury falls, and pressure injuries, as reported by NDNQI. … Unit-level patient outcomes of falls, injury falls, and pressure injuries were not statistically significant

406. All Practice Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/chain/practice-tools/index.html
     March 01, 2017 - Recent Research Findings Suggest Practice Recommendations for Preventing Falls in Hospitalized Patients

407. Men: Stay Healthy at 50 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/patient-involvement/healthy-men/men-over-50.pdf
     March 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.

408. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=349
     January 01, 2024 - Perera S Non-tricyclic and non-selective serotonin reuptake inhibitor antidepressants and recurrent falls … This study determined the risk of recurrent falls associated with antidepressants other than tricyclics … At least 15 percent of women experienced recurrent falls between 0-6 and 6-12 months. … Non-tricyclic and non-selective serotonin reuptake inhibitor antidepressants and recurrent falls in frail … Keywords: Medication, Elderly, Falls, Patient Safety Flory JH , Ukena JK , Floyd JS Novel

409. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
     June 01, 2014 - 32,750,000 Discharges— Based on 2010 Baseline) 2012 PFP Measured HACs per 1,000 Discharge s Falls … MPSMS In-Hospital Patient Falls 260,000 7.80 230,000 7.16 Obstetric Adverse Events PSI OB Trauma

410. No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections (May 5, 2015) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-slides.html
     December 01, 2017 - Inappropriate Catheter Indications Limited mobility or debility Catheters do not prevent falls … Slide 15 Inappropriate Catheter Indications Dementia or confusion Catheters do not prevent falls

411. AHRQ Celebrates Patient Safety Awareness Week | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/755.html
     March 01, 2021 - March 16, 2021 AHRQ Stats: Toolkit Significantly Reduces Hospital Falls A safety toolkit funded by … AHRQ helped hospitals reduce patient falls overall by 15 percent and falls resulting in injuries by

412. Table A: Indicator Rates for the HCBS and Full Medicaid Populations (Rates of Admission per 100,000 Persons) | Agency for Healthcare Research and Quality
     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

413. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
     July 01, 2020 - adverse drug events, and injuries due to procedures, as well as pressure ulcers/pressure injuries and falls … Line-Associated Bloodstream Infections 8,500 0.3 Clostridioides difficile Infections 86,000 2.9 Falls … -9,000 -433,000,000 -1,350 Clostridioides Infections difficile -54,000 -932,000,000 -2,380 Falls … MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma in Vaginal Delivery (PSI … MPSMS In-Hospital Patient Falls 239,286 8.04 225,199 7.57 223,106 7.50 226,642 7.62 Obstetric

414. Part Two: Removing the Obstacles to Practice Change | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/ena-slides/part2.html
     October 01, 2020 - We traditionally thought that a catheter was helpful in preventing falls because patients didn’t have … catheter doesn’t eliminate the urge to urinate, and tubing can actually contribute to tripping and falling … Slide 73 Catheter misperceptions: Facilitates I&O measurement Protects patient from falls … invasive measurement methods: Bedpan Urinal Diaper Slide 75 Protects patient from falls

415. Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - INTRO (pdf file)
     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

416. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=136
     January 01, 2024 - Dykes PC , Burns Z , Adelman J Evaluation of a patient-centered fall-prevention tool kit to reduce falls … and injurious falls. … trial, implementation of a fall-prevention tool kit was associated with a significant reduction in falls … A patient-care team partnership appeared to be beneficial for prevention of falls and fall-related injuries … Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized

417. Fallpxtool2G (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2g.docx
     January 28, 2013 - Reference: Developed by Falls Toolkit Research Team.

418. AHRQ Patient Safety Tools and Resources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
     January 01, 2024 - https://research.jefferson.edu/connected- care-center/uncertainty-communication- toolkit.html Falls … The toolkit has reduced falls by 25 percent in acute care hospitals and is used in more than 100 hospitals … Web: ahrq.gov/patient-safety/settings/hospital/ fall-tips Falls Management Program: A Quality Improvement … facilities to help them detect and communicate changes in a resident’s condition and prevent and manage falls … The toolkit addresses approaches to design that target six areas of safety: infections, falls, medication

419. PowerPoint Presentation (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
     May 01, 2014 - anaphylaxis Drug interactions: coumadin, glipizide If on fluoroquinolones  tendon rupture Dehydration  falls … Description of current problem Vital signs Usual cognitive function Recent/current health status (including falls … ) Falls, minor injury: require on-site first aid treatment (dressing, ice pack, pain medication) Falls … This is the point where the form itself is reviewed and discussed Note that falls are included to facilitate

420. Men: Stay Healthy at Any Age (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/patient-involvement/healthy-men/healthy-men.pdf
     March 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.