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digital.ahrq.gov/sites/default/files/docs/publication/action-fall-prevention-ed-tool.pdf
July 11, 2012 - Preventing Falls and Injury While in the Hospital
Preventing Falls and Injury While in the … and Injury While in the Hospital, Page 2
Keeping you safe
Here are some ways that you and your caregivers … R Use grab bars in the bathroom.
Walking to stay active
Staying active helps to prevent falls. … R Your family may want to stay with you while
you are in the hospital. … Document Title: Preventing Falls and Injury While in the Hospital
Keeping you safe
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014920-bellamy-final-report-2007.pdf
January 01, 2007 - The Falls Collaborative resulted in an overall decrease in the rate
of falls. … A pilot effort, involving either one hospital (ADE project) or two hospitals (Falls
collaborative), … Using RCA
to Reduce Falls in Rural Health Care Facilities. … “How to reduce Repeat Falls in Healthcare Facilities in West Virginia.” … “RCAs in Falls Prevention,” Falls Collaborative, Flatwoods, WV. October 10, 2006.
26.
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digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system/annual-summary/2012
January 01, 2012 - means to predict risk of falls for elderly residents in assisted living facilities (ALF). … Medications, ADLs, residents’ history of falls, and Fractal D were entered as predictors in a multinomial … D with known predictors of falling in older persons, such as having had a fall in the previous year, … more than 150 VA-operated hospitals. … Fractal D in combination with a history of one or more falls in the prior year is a strong fall predictor
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digital.ahrq.gov/sites/default/files/docs/publication/action-cp-cds-training.pdf
February 15, 2008 - Reviewing the Fall Prevention Process in the EHR
Screen all adults for Fall Risk:
Hx of Falls
Altered … Assessment
(Morse Fall Scale)
No
Implement
Environmental
Safety
Management
(to prevent
accidental … , the status of the
interventions, and their history of falls during the current
hospital stay. … Risk for falls in adults in acute care: A synthesis. … National Patient
Safety Goals - Hospital [Electronic Version], p. 10-11.
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digital.ahrq.gov/ahrq-funded-projects/hit-strategic-plan-sw-minnesota-health-providers
January 01, 2023 - $196,274
Principal Investigator(s)
Ness, Charles
Organization
Granite Falls … Municipal Hospital & Manor
Location
Granite Falls
Minnesota
Project Dates … of a health information technology (health IT) strategic plan for the region's hospitals and clinics … The Cooperative is located in the southwestern corner of Minnesota, and members include the following … : hospitals (almost all critical access hospitals), primary and satellite clinics, specialty clinics,
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digital.ahrq.gov/sites/default/files/docs/activity/r21hs018205-kearns-annual-summary-2012.pdf
January 01, 2012 - means to
predict risk of falls for elderly residents in assisted living facilities (ALF). … Medications, ADLs, residents’ history of falls, and Fractal D
were entered as predictors in a multinomial … D with known predictors of falling in older persons, such
as having had a fall in the previous year … more than 150 VA-operated hospitals. … Fractal D in combination with a history of one or more falls in the prior year is a strong fall predictor
-
digital.ahrq.gov/program-overview/research-stories/clinical-decision-support-tool-preventing-falls
January 01, 2023 - Falls can have devastating health consequences for older adults but are not often discussed in primary … care
More than one in four older adults report falls each year, a common occurrence and the leading … Fall prevention is possible, but older adults who are at the highest risk of falling need to receive … Dykes and her team at Brigham and Women’s Hospital and collaborators at University of Florida and UCLA … Patricia
Organization Brigham and Women's Hospital Research Profile
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digital.ahrq.gov/ahrq-funded-projects/partnering-improve-patient-safety-rural-wv
January 01, 2023 - rural West Virginia hospitals to support improvements in patient safety. … The Falls Collaborative resulted in an overall decrease in the rate of falls. … Improving self-reporting of adverse drug events in a West Virginia hospital. … In some cases, the data are used to increase hospitals' attention to problems that might be rooted in … One hospital, Bluefield Regional Medical Center, agreed to participate in a pilot project that would
-
digital.ahrq.gov/sites/default/files/docs/publication/action-qi-cds-training.pdf
May 23, 2013 - • Falls can result in serious injury to patients. … for Medicare and Medicaid Services (CMS) List of
hospital-acquired conditions (“Never” Events) … Data from multiple sources are needed to identify
causes for falling their units and help nurse leaders … Falls Prevention Summary Report (Tab 1)
Patient Falls Detailed Report (Tab 2)
Patient Falls Tab … Risk for falls in adults in acute care: A synthesis.
-
digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall
January 01, 2023 - Fall prevention is possible, but older adults who are at the highest risk of falling need to receive … to prevent falls is challenging. … (Prepared by Brigham and Women's Hospital under Grant No. U18 HS027557). … Falls can have devastating health consequences for older adults but are not often discussed in primary … care
More than one in four older adults report falls each year, a common occurrence and the leading
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digital.ahrq.gov/organization/granite-falls-municipal-hospital-manor
January 01, 2023 - Granite Falls Municipal Hospital & Manor
HIT Strategic Plan of SW Minnesota
-
digital.ahrq.gov/sites/default/files/docs/citation/r03hs027006-sun-final-report-2023.pdf
January 01, 2023 - in hospitals each year which, on average, cost hospitals an additional $17,483 per fall.3, 4
Increased … 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. … Preventing Falls in Hospitals: 5. How do
you measure fall rates and fall prevention practices?
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2012
January 01, 2012 - 2009 – January 2012
AHRQ Funding Amount
$499,987
Summary: Pressure ulcers and injurious falls … Although substantial research has documented that preventing pressure ulcers and falls is possible, these … resources to help nursing home staff develop timely interventions to reduce at-risk residents’ incidence of falls … In addition, several facilities participated in a series of teleconference calls to develop health information … conducted to identify nursing home residents who should be targeted for prevention protocols to reduce hospital
-
digital.ahrq.gov/program-overview/research-stories/patient-facing-app-improve-care-transitions-hospital-home
January 01, 2023 - A Patient-Facing App to Improve Care Transitions from Hospital to Home
Theme:
Engaging and … , the transition from the hospital back to their home is a vulnerable time. … Complications, such as falls or medication errors, could lead to readmissions. … The app will facilitate pre-discharge conversations with providers, provide personalized falls-reduction … The team will study the app’s effectiveness, noting whether its use decreases falls, adverse medication
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digital.ahrq.gov/sites/default/files/docs/page/2006Reiling_052411comp.pdf
January 01, 2005 - Joseph’s Hospital
Latent Conditions
Errors in the design, organization, training or maintenance … Inpatient Suicides
– Transfusion Related Events
– Correct Tube-Correct Connector-Correct Hole
– Patient Falls … , tx or
med
Reduce Active
Failures:
•Complications:
–op & post-op
–op & post-op
infections
•Falls … Joseph's Hospital: Designing a safe hospital
Designing a safe hospital
Managing the risks of organizational … Joseph's Hospital
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digital.ahrq.gov/sites/default/files/docs/citation/p50hs019917-gustafson-final-report-2017.pdf
January 01, 2017 - Challenges to aging in place include isolation,
loneliness, falling, managing medications, and transportation … Challenges on aging in place include isolation and
loneliness, falling, managing medications, driving … • Falls: 143 distinct people reported falling a total of 293 times in the past 6 months. … the hospital or a long-term care facility. … We found that, as participants’ overnight stays in hospitals and
long-term care increased, ET had a
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2010
January 01, 2010 - Target Population: Elderly *
Summary: Pressure ulcers and injurious falls … Substantial research has documented that prevention of pressure ulcers and falls is possible, yet these … to reduce the incidence of injurious falls. … nursing homes who should be targeted for prevention protocols to reduce hospital and emergency department … Reports and Tracking Tools
Falls Prevention: High Risk Report
Falls Quality Improvement Monitor
-
digital.ahrq.gov/sites/default/files/docs/activity/evaluation_of_ahrq_s_on_time_pressure_ulcer_program_2010_pdf__2.pdf
January 01, 2010 - Status as of: December 2010
Target Population: Elderly*
Summary: Pressure ulcers and injurious falls … Substantial research has documented that prevention of pressure ulcers and
falls is possible, yet these … to reduce the incidence of injurious falls. … nursing homes who should be targeted for prevention protocols
to reduce hospital and emergency department … Clinical Reports and Tracking Tools
• Falls Prevention: High Risk Report
• Falls Quality Improvement
-
digital.ahrq.gov/sites/default/files/docs/activity/2900600118-hurd-annual-summary-2012.pdf
January 01, 2012 - Period: June 2009 – January 2012
AHRQ Funding Amount: $499,987
Summary: Pressure ulcers and injurious falls … Although substantial research has documented that preventing pressure ulcers and
falls is possible, … to help nursing home staff develop timely
interventions to reduce at-risk residents’ incidence of falls … In addition, several facilities participated in a series of teleconference calls to develop
health information … conducted to identify nursing home residents who should
be targeted for prevention protocols to reduce hospital
-
digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2011
January 01, 2011 - 2009 - January 2012
AHRQ Funding Amount
$1,699,797
Summary: Pressure ulcers and injurious falls … Although substantial research has documented that preventing pressure ulcers and falls is possible, these … to reduce the incidence of injurious falls. … In addition, several facilities participated in a series of teleconference calls to develop health information … for prevention protocols to reduce hospital and emergency department (ED) visits; and 2) development