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421. Voluntary Adverse Event Reporting in Rural Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
     January 01, 2007 - Smaller numbers focused on infections, devices, laboratory errors, surgical errors, and falls. … in a statewide falls-prevention collaborative. … QI efforts focused on falls, patient flow through the emergency room, and medication errors. … Right after that, we saw a decrease in falls.” … Characteristics and circumstances of falls in a hospital setting: A prospective analysis.

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42061/psn-pdf
     October 05, 2015 - Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. … https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care This toolkit … https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care https://psnet.ahrq.gov

423. Evaluation and Integration of an Automatic Fall Prediction System - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system/annual-summary/2010
     January 01, 2010 - Status as of December 2010 Target Population: Elderly * Summary: Falls … Reducing the occurrence of falls can greatly improve patients’ quality of life. … to predict the risk of falls for elderly residents in assisted living facilities (ALF). … To the extent possible, information about the causes of falls will be obtained from ALF nursing staff … predicting fractal dimension and prospective falls.

424. Title: IMProving Outcomes Related to Patients Through Advanced Nursing Technology (IMPORTANT) (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r03hs027006-sun-final-report-2023.pdf
     January 01, 2023 - Patient falls are a major cost to healthcare. … A hospital system approach at decreasing falls with injuries and cost. … Preventing Falls in Hospitals. … The scope of hospital falls: A systematic mixed studies review. … Accuracy of patient recall and chart documentation of falls.

425. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
     October 01, 2010 - Falls and fall-related injuries in older dialysis patients. … * Falls at Dialysis Centers Falls are common–nearly 50% of patients had a fall in 190.5 person-years … Falls and fall-related injuries in older dialysis patients. Clin J Am Soc Nephrol. 2006;1:1197-1204. … * Preventing Falls There have been multiple recommendations to prevent falls at dialysis centers … Falls and fall-related injuries in older dialysis patients. Clin J Am Soc Nephrol. 2006;1:1197-1204.

426. Appendix B7: Wheelchair Seating Assessment (Text Description) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manwsa.html
     December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B7: … Seating Assessment (Text Description) Previous Page Next Page Table of Contents The Falls … Falls Engineer Instructions First complete the History box below. … Adjustment to back of wheelchair __  Other ________________________________ Reason: Anterior Pelvic Tilt, Falling

427. Health Information Technology Leadership Panel: Final Report. | PSNet
     psnet.ahrq.gov/issue/health-information-technology-leadership-panel-final-report
     March 30, 2022 - Lewin Group: Falls Church, VA; March 2005. … Facebook Twitter Linkedin Copy URL April 3, 2012 Lewin Group: Falls … Lewin Group: Falls Church, VA; March 2005. … February 12, 2020 National Center for Patient Safety Falls Toolkit 2004.

428. Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. | PSNet
     psnet.ahrq.gov/issue/eliminating-harm-checklists-reduce-all-cause-preventable-harm
     October 19, 2016 - Engagement Network to prevent harm associated with the use of central lines , adverse drug events , and falls … July 8, 2013 Preventing Patient Falls: A Systematic Approach From the Joint Commission … November 1, 2016 Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care

429. Appendix B11: Fall Interventions Plan | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6.html
     February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B11: … Fall Interventions Plan Previous Page Next Page Table of Contents The Falls Management … Falls Engineer Instructions Text Description Resident: _________________________

430. Declines in Hospital-Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
     January 01, 2019 - National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries from falls … Adverse Drug Events -28% CAUTI* -5% CLABSI+ -6% Clostridioides difficile Infections -37% Falls

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40181/psn-pdf
     September 25, 2011 - cost-serious-fall-related-injuries-three-midwestern-hospitals In this study, hospitalized patients experiencing serious injuries from falls … cost-serious-fall-related-injuries-three-midwestern-hospitals https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta … https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences https://

432. Making Healthcare Safer IV_Rapid Response: Patient and Family Engagement (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-patient-family-engagement.pdf
     October 01, 2023 - involves patients as active participants, employs education materials, and rewards patients for not falling … partnerships where patients coproduce or copersonalize their fall prevention plans or are rewarded for not falling … Patient and family engagement PSPs targeting patient falls demonstrated evidence of reduction in falls … Preventing Falls in Hospitals. … program • Falls rate decreased 71% from 8.06 to 3.18 • Average number of falls decreased from

433. AHRQ Slide Template 2004 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/spectorhudak.ppt
     December 01, 2013 - at AHIMA June 17, 2013 Baltimore, MD Using HIT for Prevention in Nursing Homes Pressure ulcers, falls … & managing high risk residents to: Prevent Pressure Ulcers Monitor Pressure Ulcer Healing Prevent Falls … Modules * planning to add/complete in 2013 Vendor Pressure Ulcer Prevention Pressure Ulcer Healing Falls … time-series design with comparison group Shows 60% reduction when integrate 3-4 reports California falls

434. On-Time Prevention Program for Long Term Care: Clinical Decision Support | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/spectorhudaktxt.html
     December 01, 2017 - 2013 Baltimore, MD Slide 2 Using HIT for Prevention in Nursing Homes   Pressure ulcers, falls … Prevent Falls. Reduce Potentially Avoidable Hospitalizations & ED Visits. … Vendors & On-Time Modules   Vendor Pressure Ulcer Prevention Pressure Ulcer Healing Falls … California falls evaluation: Clustered randomized control study in California NH chain with matching

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40598/psn-pdf
     August 10, 2011 - inpatient-fall-prevention-initiative-tertiary-care-hospital This study describes a fall prevention program that successfully reduced falls … fall-prevention-acute-care-hospitals-randomized-trial https://psnet.ahrq.gov/issue/patient-education-prevent-falls-among-older-hospital-inpatients-randomized-controlled-trial … https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44641/psn-pdf
     October 26, 2016 - Common safety issues in nursing homes are medication errors, falls, and inappropriate use of restraints … old-and-overmedicated-real-drug-problem-nursing-homes https://psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident

437. Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2014-ap1.html
     November 01, 2015 - MPSMS (2014) Blood Stream Infections Associated With Central Venous Catheters 5,000 0.2 Falls … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2013 … Line-Associated Bloodstream Infections 18,000 5,000 13,000 72% $221,000,000 2,405 Falls … Central Line-Associated Bloodstream Infections 40,000 50% 50% 25% 10,000 $17,000 Falls … * Additional costs per HAC for Falls and Pressure Ulcers were modified in 2012 from earlier higher

438. Transforming Hospitals | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
     December 01, 2017 - Patient Falls Patient falls, which are common in hospitals, can result in serious injuries, extend … the Centers for Medicare and Medicaid Services no longer reimburse hospitals for the cost of patient falls … Patient falls can be avoided. … Poor placement of handrails and small door openings are two primary causes of patient falls. … A Collaborative Occupational Therapy and Nursing Approach to Falls Prevention in Hospital Inpatients.

439. Clinical Summary: Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/dkrTtgpcUKSk7ZxCxL4mcz
     Grade: D Risk Assessment Low bone mass, older age, and history of falls are major risk factors … Relevant USPSTF Recommendations The USPSTF recommends against vitamin D supplementation to prevent falls … The USPSTF recommends exercise interventions to prevent falls in community-dw elling older adults at … increased risk for falls; multifactorial interventions may also be effective in some persons as w

440. Appendix B25: Ways Families Can Help Reduce Fall Risk | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb8.html
     December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B25: … Families Can Help Reduce Fall Risk Previous Page Next Page Table of Contents The Falls … Falls Engineer Instructions Reduce clutter in the room and bathroom Take home items