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321. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38715/psn-pdf
     February 17, 2011 - Medicare nonpayment, hospital falls, and unintended consequences. … Medicare nonpayment, hospital falls, and unintended consequences. … https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences In October … new policy that withholds payments for eight preventable complications of care, including hospital falls … between preventing falls and a more important goal of encouraging patient mobility.

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836925/psn-pdf
     April 13, 2022 - issue/strength-improvement-recommendations-injurious-fall-investigations- retrospective-multi Patient falls … This study retrospectively reviewed inpatient falls resulting in injury and the strength of the improvement … strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi https://psnet.ahrq.gov/primer/falls … https://psnet.ahrq.gov/primer/never-events https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities … https://psnet.ahrq.gov/issue/impact-built-environment-patient-falls-hospital-rooms-integrative-review

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836995/psn-pdf
     April 27, 2022 - interventions to reduce duration and variability in delays to identification of serious injury after falls … interventions to reduce duration and variability in delays to identification of serious injury after falls … multifactorial-interventions-reduce-duration-and-variability-delays-identification- serious Hospitals employ a variety of strategies to prevent inpatient falls … mapping to identify opportunities to improve timely diagnosis of serious injury resulting from inpatient falls … inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review https://psnet.ahrq.gov/issue/preventing-falls-injury

324. Appendix B7: Wheelchair Seating Assessment | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb4.html
     February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B7: … Wheelchair Seating Assessment Previous Page Next Page Table of Contents The Falls Management … Falls Engineer Instructions [ D ] Select for Text Description for all images .

325. Appendix B2: Tracking Record for Improving Patient Safety (TRIPS) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb-2.html
     February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B2: … for Improving Patient Safety (TRIPS) Previous Page Next Page Table of Contents The Falls … Falls Engineer Instructions [ D ] Select for Text Description of all images

326. Appendix 1-A. Suggested Slides for Module 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1a.html
     October 01, 2014 - Falls Prevention Appendix 1-A. Suggested Slides for Module 1 Appendix 1-B. … Falling blood pressure, rising heart rate. Fever of 102 o  F. … Falls. Vital sign. Non-Physical Changes: Demeanor. Appetite. Sleeping. Speech. … Falls—e.g., the resident reaches for objects when in a wheelchair. … Sleeping—e.g., the resident falls asleep in unusual places.

327. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46483/psn-pdf
     October 04, 2017 - https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program Falls are a primary focus of … https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program https://psnet.ahrq.gov/primer/falls … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities https … ://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care https://psnet.ahrq.gov … /issue/preventing-falls-hospitals-toolkit-improving-quality-care https://psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center

328. Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta
     December 12, 2014 - Review Interventions for preventing falls in acute- and chronic-care hospitals: a … Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis … This review analyzed relevant literature and determined that the number of patient falls has not been … Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39460/psn-pdf
     March 23, 2011 - Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. … Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. … https://psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls- postpartum-women … This Taiwanese study used root cause analysis to identify causal factors for falls in postpartum women … https://psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women

330. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37792/psn-pdf
     February 15, 2011 - Exploring organizational context and structure as predictors of medication errors and patient falls. … Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls. … psnet.ahrq.gov/issue/exploring-organizational-context-and-structure-predictors-medication-errors- and-patient-falls … Strategies to prevent medication errors and patient falls are a continuing focus of ongoing safety … Investigators discovered that structural measures had limited impact on medication errors and falls,

331. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46100/psn-pdf
     July 11, 2017 - The tension between promoting mobility and preventing falls in the hospital. … The Tension Between Promoting Mobility and Preventing Falls in the Hospital. … https://psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital This commentary … https://psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital https:/ … identifying-unintended-consequences-quality-indicators-qualitative-study https://psnet.ahrq.gov/primer/falls

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46387/psn-pdf
     September 06, 2017 - A multicomponent fall prevention strategy reduces falls at an academic medical center. … A Multicomponent Fall Prevention Strategy Reduces Falls at an Academic Medical Center. … https://psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical- … quality improvement intervention in three hospital units demonstrated a decrease in the number of falls … https://psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center

333. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.html
     October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Implementation Steps and Timeline … Step 1: Agree To Use On-Time Falls Prevention Nursing home leadership agrees to incorporate process … representative contacts the facility’s electronic medical record (EMR) vendor to confirm that On-Time falls … Introduce On-Time Falls Prevention 1 st month 5. Review Reports 1 st month 6. … Sustain the Effort End of 9 th month to 12 th month Return to Falls Prevention

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38993/psn-pdf
     January 04, 2010 - Relationship between call light use and response time and inpatient falls in acute care settings. … Relationship between call light use and response time and inpatient falls in acute care settings. … https://psnet.ahrq.gov/issue/relationship-between-call-light-use-and-response-time-and-inpatient-falls … As hospitals search for effective interventions to reduce falls, the authors advocate for tracking call … https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta

335. Improving Patient Safety in Nursing Homes: A Resource List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
     April 01, 2025 - ................................................................................................12 Falls … The toolkit is designed to aid facilities in developing a comprehensive falls prevention program. … This website contains links to the falls notebook, media tools, and additional resources. 3. … Preventing Falls and Reducing Injury from Falls https://rnao.ca/bpg/guidelines/prevention-falls-and-fall-injuries … risk for falls who are receiving care from nurses or other health-care providers.

336. Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. | PSNet
     psnet.ahrq.gov/issue/modification-potentially-inappropriate-prescribing-following-fall-related-hospitalizations
     January 19, 2022 - patients in Ireland found that they were frequently prescribed medications that increased their risk of falling … December 21, 2022 Opioids and falls risk in older adults: a narrative review. … Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls … Topic Hospitals Health Care Providers Geriatrics Ordering/Prescribing Errors Patient Falls

337. Nurses' perceptions of safety culture in long-term care settings. | PSNet
     psnet.ahrq.gov/issue/nurses-perceptions-safety-culture-long-term-care-settings
     April 06, 2011 - facilities are particularly vulnerable to patient safety problems such as medication errors and falls … September 1, 2021 Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care. … November 27, 2012 Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care.

338. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836716/psn-pdf
     March 09, 2022 - issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed- methods-study While falls … are common in older adults, there was a 31% increase in death due to falls in the U.S. from 2007-2016 … Interviews with 22 physicians identified patient reluctance to report falls and inconsistent assessment … , and documentation of falls made it challenging to consider falls when prescribing medications.

339. Appendix B6: Mobility and Transfer Assessment | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/mobility.html
     February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B6: … Mobility and Transfer Assessment Previous Page Next Page Table of Contents The Falls … Falls Engineer Instructions Text Description Resident Name: _____________________ … For instructions to the Get Up and Go Test and Wheelchair Screen, see the Falls Assessment Cue Sheet.

340. Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
     January 01, 2024 - compared to people who are less than 60 years of age.46, 48 The elderly not only have a high incidence of falling … compared to people who are less than 60 years of age.40, 42 The elderly not only have a high incidence of falling … Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population … Covariates of fear of falling, and associated activity curtailment. … Restriction in activity associated wtih fear of falling among community-based seniors using home care