-
www.cpsi.ahrq.gov/research/findings/studies/index.html?page=484
January 01, 2024 - Emergency Preparedness
(26)
Evidence-Based Practice
(932)
Eye Disease and Health
(36)
Falls … comparison group information is necessary to establish evidence on how hospitals can successfully prevent falls … Keywords: Adverse Events, Falls, Hospitals, Patient Safety, Prevention
Braithwaite S , Friedman
-
www.cpsi.ahrq.gov/news/newsletters/e-newsletter/893.html
December 01, 2023 - Chesapeake Regional Healthcare used AHRQ’s Preventing Falls in Hospitals: A Toolkit for Improving Quality … creation of the “Fall-Free Friday” initiative, which resulted in a 31 percent decrease in acute care falls
-
www.cpsi.ahrq.gov/teamstepps/officebasedcare/handouts/video.html
November 01, 2015 - As you identify breakdowns, consider for each whether it falls under the TeamSTEPPS component of leadership
-
www.cpsi.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
-
www.cpsi.ahrq.gov/patient-safety/about/areas.html
February 01, 2018 - Our areas of research and tools cover:
Healthcare Infections
Team Training
Falls
Pressure Ulcers
-
www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
November 01, 2021 - Program for Nursing Homes: On-Time Prevention
End of Life Care
Home and Community-based Services
Falls
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/index.html
August 01, 2022 - Improving Patient Safety Systems for Patients with Limited English Proficiency
NICU Toolkit
Preventing Falls
-
www.cpsi.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-slides.html
February 01, 2017 - Slide 14: Adverse Events 4
9 patients had 14 adverse event (<1% of activities):
Falls to knees … Adverse events ranged from agitation to transient physiological events to dislodgements and to falls … (none of the falls were considered serious).
-
www.cpsi.ahrq.gov/research/findings/final-reports/ptflow/acknowledgements.html
July 01, 2018 - Henry Ford Hospital
Detroit, MI
Elmhurst Hospital Center
Elmhurst, NY
Inova Fairfax Hospital
Falls
-
www.cpsi.ahrq.gov/cpi/about/otherwebsites/qualityindicators.ahrq.gov/qualityindicators.html
July 01, 2018 - diagnostic centers) or populations (e.g., mental health or substance abuse, emergency preparedness, patient falls
-
www.cpsi.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
July 01, 2023 - Other examples of effective check-backs include:
One member of the team calls out, "BP is falling, … BP is falling and at 80/48, down from 90/60."
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_slides_intro.pdf
June 12, 2017 - Teamwork
Across Units
■ Incremental changes evident
through reduction of
nosocomial infections, falls
-
www.cpsi.ahrq.gov/research/findings/making-healthcare-safer/index.html
July 01, 2023 - Harms such as adverse drug events, healthcare-associated infections, falls, and obstetric adverse events
-
www.cpsi.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - frequently occurring events, e.g., not just fall rates over a given time, but also the percentage of falls
-
www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
November 01, 2017 - Falls Prevention
For each topic, the Web site provides a description of the reports and suggested meetings
-
www.cpsi.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
March 01, 2021 - Steven Brantley (Klamath Falls, OR)
Using Data To Tackle Undiagnosed Hypertension and Improve
-
www.cpsi.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
February 01, 2017 - These included: five falls to knees without injury, four with systolic blood pressure less than 90 mmHg … from agitation to transient physiological events to dislodgements of catheters and other devices to falls … , though none of the falls described were serious, and they were rare.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - safety problems that occur approximately once per 100
hospitalizations as “common;” examples include falls … The scope must also consider the severity of each event;
for instance, most falls do not result in injury … radiation exposure or to help prevent stress-related
gastrointestinal bleeding; and moderate, for PSPs falling … Moderate
Safety Practices for Hospitalized Elders
Multicomponent interventions to prevent
in-facility falls … Encouraged patient safety practices
• Multicomponent interventions to reduce falls
• Use of clinical
-
www.cpsi.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
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module5/ts2-0ltc_module5_slides_sitmon.pdf
June 27, 2017 - Johnson, who uses a walker, falls while trying to walk
independently to her bathroom.