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121. Improving Patient Safety in Long-Term Care Facilities, Module 3 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
     June 01, 2012 - Risk Factors for Falls A risk factor for falling is one that, in clinical studies, has been found to … Any resident who has a pattern of falls is at risk of falling again. … new residents or those in transition back from hospital stays – are going to need a special “fall watch … hospital or at another care level. … to reduce that resident’s risk of falling again in the future.

122. Tool 2A: Interdisciplinary Team | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/interdisciplinary-team.html
     January 01, 2013 - Preventing Falls in Hospitals Tool 2A: Interdisciplinary Team Previous Page Next Page … Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments Overview Icons … Reference: Developed by Falls Toolkit Research Team. … Senior manager (e.g., Chief Executive Officer or Chief Medical/Nursing/Operating Officer) 1A—Hospital … Educators                           X               Hospital

123. New Data Resource Provides Insights on Factors Related to Falls | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/886.html
     October 01, 2023 - New Data Resource Provides Insights on Factors Related to Falls Issue Number 886 AHRQ News … Today's Headlines: New Data Resource Provides Insights on Factors Related to Falls . … Falls are one of the most frequently reported patient safety events in the NPSD, second only to medication … Remote patient monitoring improves patient falls and reduces harm . … Social and medical care integration practices among children's hospitals.

124. Tool 6A: Sustainability Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/sustainability-tool.html
     January 01, 2013 - Preventing Falls in Hospitals Tool 6A: Sustainability Tool Previous Page   Table of Contents … Preventing Falls in Hospitals Roadmap Acknowledgments Overview Icons 1. … Are there opportunities for varied geographic participation (e.g., among units within a hospital; among … hospitals within a consortium; participation in regional vs. national initiative)?   … Are varied roles for participation in the project provided?

125. Appendix E. Sample Participant Agenda | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-e.html
     September 01, 2017 - Sample Production Agenda for the In-Person Training Appendix E. … Hospital Practice Insights: Challenges and Solutions Preventing Falls in Hospitals … Sign In   8:15 to 8:20 a.m. Opening Remarks Senior Leader 8:20 to 9:00 a.m. … Module 3: Best Practices in Fall Prevention QIS/Instructor Implementation Team Leader 12: … Module 4: How To Implement the Fall Prevention Program in Your Organization QIS/Instructor IT Specialist

126. Tool 1B: Stakeholder Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/stakeholder-analysis.html
     January 01, 2013 - Preventing Falls in Hospitals Tool 1B: Stakeholder Analysis Previous Page Next Page Table … of Contents Preventing Falls in Hospitals Roadmap Acknowledgments Overview Icons 1. … How do you implement the fall prevention program in your organization? 5. … An example is shown in the form below. A blank form follows.  … in process.

127. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
     November 15, 2017 - may contribute to the resident falling. … Facilitator: Mary, do you think that talking about residents at risk for falling, in addition to those … We need to look at patterns of who is falling and the circumstances leading to the falls. … When residents go to the hospital, they often return with changes in medications and may have as many … I think we may miss some systematic reasons that result in residents falling that we miss when we look

128. 2. How will you manage change? | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/manage-change.html
     January 01, 2013 - Preventing Falls in Hospitals 2. How will you manage change? … Previous Page Next Page Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments … A clearly defined aim (e.g., develop a program to reduce fall incidence by 15% in our hospital in the … In what ways do rehabilitation staff and nurses coordinate their efforts to prevent falls? … Impact of a fall prevention programme in acute hospital settings in Singapore.

129. Tool 3E: Clinical Pathway for Safe Patient Handling | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/safe-clinical-pathway.html
     January 01, 2013 - Preventing Falls in Hospitals Tool 3E: Clinical Pathway for Safe Patient Handling Previous … Page Next Page Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments … How do you implement the fall prevention program in your organization? 5. … more detail in section 3 ). … If yes, seated transfer aid; may use gait/transfer belt until the patient is proficient in completing

130. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
     November 01, 2017 - ("Accidental Falls" [mh] OR Falls [tiab] OR Falling [tiab] OR Fall [tiab] OR "Accidental Falls" [tiab … ] OR "Accidental Fall" [tiab] OR Slip [tiab] OR Faller [tiab]) AND (hospital*[tiab] OR inpatient* … related"[tiab] OR “inpatient”[tiab] OR "in hospital"[tiab] OR "in hospitals"[tiab] OR “within hospitals … "in hospital"[tiab] OR "in hospitals"[tiab] OR “within hospitals”[tiab]) Surgical Site Infections … ”[tiab] OR "in hospital"[tiab] OR "in hospitals"[tiab] OR “within hospitals”[tiab]) AND (“surgical

131. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
     November 01, 2017 - ("Accidental Falls" [mh] OR Falls [tiab] OR Falling [tiab] OR Fall [tiab] OR "Accidental Falls" [tiab … ] OR "Accidental Fall" [tiab] OR Slip [tiab] OR Faller [tiab]) AND (hospital*[tiab] OR inpatient* … related"[tiab] OR “inpatient”[tiab] OR "in hospital"[tiab] OR "in hospitals"[tiab] OR “within hospitals … "in hospital"[tiab] OR "in hospitals"[tiab] OR “within hospitals”[tiab]) Surgical Site Infections … ”[tiab] OR "in hospital"[tiab] OR "in hospitals"[tiab] OR “within hospitals”[tiab]) AND (“surgical

132. Tool 3J: Delirium Evaluation Bundle | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/delirium-evaluation.html
     January 01, 2013 - Preventing Falls in Hospitals Tool 3J: Delirium Evaluation Bundle Previous Page Next Page … Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments Overview Icons … - 37.36 KB] Background: Patients found to have impaired mental activity as a risk factor for falls … If your hospital uses an electronic health record, consult your hospital's information systems staff … © 2003, Hospital Elder Life Program.

133. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=183
     January 01, 2024 - in hospitals: an observational study. … Unassisted falls are more likely to result in injury than assisted falls. … in research on hospital falls. … This study identified risk factors for unassisted and injurious falls in rural hospitals. … Patient and system factors associated with unassisted and injurious falls in hospitals: an observational

134. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/pfp/haccost2017-results.html
     November 01, 2017 - Only studies of single hospitals or local hospital networks reported consequences of CLABSI for a general … Our search for recent literature on in-hospital falls in the United States returned very few results … addition, many more recent studies that address additional cost due to in-hospital falls base their … finding reliable sources of data on injuries linked exclusively to in-hospital falls. … leading to an admission and falls occurring in the institution.

135. Acknowledgments | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptflow/acknowledgements.html
     July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Acknowledgments … Sharing Results References Appendix A: Guide to Online Resources Successfully Used by Hospitals to … that participated in the Urgent Matters Learning Network (UMLN) I and II: Grady Health System Atlanta … Elmhurst, NY Inova Fairfax Hospital Falls Church, VA BryanLGH Medical Center Lincoln, NE The … Francis Hospital Indianapolis, IN Westmoreland Hospital Greensburg, PA The authors also thank the

136. Get Ready | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/get-ready.html
     September 01, 2017 - the questions in Table 2 below. … Has your hospital identified hospital-specific reasons to change how it manages the prevention of falls … Has your hospital assessed staff attitudes about falls?   … If no, and a sense of urgency is lacking, has your hospital begun efforts to show stakeholders that falls … Is this leader currently involved in the planning steps to participate in this program?  

137. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
     January 01, 2016 - hospitals. … MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma in Vaginal Delivery (PSI … MPSMS In-Hospital Patient Falls 238,965 8.03 Obstetric Adverse Events PSI OB Trauma in Vaginal … MPSMS In-Hospital Patient Falls 5238,96 8.03 224,693 7.55 218,399 7.34 Obstetric Adverse Events … 2015, hospitals began using ICD-10 coded data in place of ICD-9 coded data.

138. Declines in Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
     June 04, 2018 - Declines in Hospital Acquired Conditions Declines in Hospital- Acquired Conditions National efforts … to reduce hospital-acquired conditions such as adverse drug events and injuries from falls helped prevent … CLABSI+ Clostridium difficile Infections +CLABSI - Central Line-Associated Bloodstream Infection Falls

139. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
     December 01, 2016 - hospitals in 2014 as a result of the decline in HACs compared with the number of deaths that would … estimated 17 percent reduction in HACs from 2010 to 2014 indicates that hospitals have made substantial … less frequent at hospitals that have implemented a full EHR. … expanded its efforts in order to extend the success that hospitals have achieved to all health care … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2014) OB Trauma

140. Tool 2B: Quality Improvement Process | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/quality-improvement.html
     January 01, 2016 - Preventing Falls in Hospitals Tool 2B: Quality Improvement Process Previous Page Next Page … Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments Overview Icons … How do you implement the fall prevention program in your organization? 5. … 37.17 KB] Background: This tool was originally part of the Turning Point Initiative and was updated in … The steps in the QI process are effectively communicated         2.