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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
August 24, 2017 - Managers
Senior manager
Quality improvement/safety/risk manager
Reference: Developed by Falls … Challenges to good practice identified at organization and unit levels
Reference: Developed by Falls
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
September 01, 2017 - Prevention Program Implementation Guide
Fall Prevention in Hospitals—Webinars
Preventing Falls … Ask: Do you currently assess staff knowledge related to falls? What tools do you currently use? … current policies and practices, you have an understanding of what your hospital currently does to prevent falls … You may already have a sense of what needs to change to decrease falls.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1c.docx
January 28, 2013 - Reference: Developed by Falls Toolkit Research Team based on the Ontario Agency for Health Protection
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/index.html
March 01, 2024 - The toolkit has reduced falls by 25 percent in acute care hospitals and is used in more than 100 hospitals … Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care focuses on overcoming the challenges … Hospitals Training Program supports the training of hospital staff on how to implement AHRQ's Preventing Falls
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/slides.html
September 01, 2017 - Prevention Program Implementation Guide
Fall Prevention in Hospitals—Webinars
Preventing Falls … Slide 4: Implementation Planning Goals
Determine the role/responsibilities of staff in preventing falls … Tracking care processes to prevent falls is a measure of implementation success, and it should translate
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/index.html
September 01, 2021 - represent a patient safety problem, and they can be a signal that the resident is at increased risk for falling … employ to improve patient safety, create a more resident-centered environment, and reduce the number of falls
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - Hospitals Training Program to support the training of hospital staff on how to implement AHRQ’s Preventing Falls … Preventing Falls in Hospitals
Each year, somewhere between 700,000 and 1,000,000 people in the United … Research shows that close to one-third of falls can be prevented.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - Line-Associated Bloodstream
Infections
9,000 0.3
Clostridium difficile Infections 86,000 2.9
Falls … difficile Infections
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
(PSI … 2.88
CLABSI MPSMS Blood Stream
Catheters
Infections Associated With Central Venous 8,513 0.29
Falls … MPSMS In-Hospital Patient Falls 238,965 8.03
Obstetric
Adverse
Events
PSI OB Trauma in Vaginal
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www.qualitymeasures.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
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www.qualitymeasures.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
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_fall-prevention.docx
August 24, 2017 - ASK: Do you currently assess staff knowledge related to falls? What tools do you currently use? … current policies and practices, you have an understanding of what your hospital currently does to prevent falls … You may already have a sense of what needs to change to decrease falls.
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www.qualitymeasures.ahrq.gov/tools/index.html?page=2
September 01, 2023 - Date Published: June 2016
Setting of Care: Hospital
Preventing Falls in Hospitals … Date Published: January 2013
Setting of Care: Hospital
Preventing Falls in
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www.qualitymeasures.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.
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www.qualitymeasures.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
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www.qualitymeasures.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
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
October 01, 2020 - health care facilities can minimize such safety problems as health care-associated infections, patient falls … The toolkit:
Targets six areas of safety—infections, falls, medication errors, security, injuries of
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www.qualitymeasures.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
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool4d.docx
January 29, 2013 - Reference: Developed by Falls Toolkit Research Team.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1e.docx
January 28, 2013 - Reference: Developed by Falls Toolkit Research Team.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
December 01, 2012 - All but two of the indicators (Pressure Ulcer and Injurious Falls) build on existing AHRQ Prevention … Injurious Falls. … Short-Term Complications of Diabetes and Injurious Falls exhibit the lowest rates, with fewer than 300