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281. Appendix B23: Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb23.html
     December 01, 2017 - Falls in Nursing Homes. … Interventions for preventing falls in elderly people. … Prevention of falls in hospitalized and institutionalized older people. … Identifying nursing home patients at risk for falling. J Am Geriat Soc 1998;46(5):551-555. … Preventing falls in elderly persons. N Engl J Med 2003;348(1):42-4.

282. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/index.html?page=8
     October 01, 2015 - › ›› last » Last » AHRQ Research Reviews, Medical Guidelines Featured in … America Implementer: Fairfield Medical Center Date: October 2015 AHRQ Tools Help Wisconsin Hospitals … Product(s): Comprehensive Unit-based Safety Program (CUSP), Guide to Patient and Family Engagement in … Hospital Quality and Safety, Hospital Survey on Patient Safety Culture, Preventing Falls in Hospitals … Dignity Health Hospitals Impact Case Study Identifier: 2015-22 AHRQ Product(s): Re-Engineered Discharge

283. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=323
     January 01, 2024 - Readmissions, Hospitals, Hospitalization Smith SN , Reichert HA , Ameling JM Dissecting … In this paper, the investigators evaluated bystander cardiopulmonary resuscitation (CPR), hospital-based … costs, and long-term survival following out-of-hospital cardiac arrest (OHCA) in order to assess the … Falls and frailty in prostate cancer survivors: current, past, and never users of androgen deprivation … Hospital variation in rates of new institutionalizations within 6 months of discharge.

284. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
     January 01, 2025 - hospitals.11 Several states have laws for reporting adverse incidents8; however, many are focused on … hospital incidents or only require hospitals and nursing homes to report sentinel events (e.g., unexplained … distributed between for-profit (41.1%) and non-profit (42.1%) homes, with the remainder of homes falling … Falls and fall prevention in the nursing home. Clin Geriatr Med 1996;12:881-902. 7. … Computerized surveillance of adverse drug events in hospital patients. JAMA 1991;266:2847-51. 30.

285. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
     June 01, 2017 - in reporting: Transfer date and time Transfer to location (hospital or ED) Reason for transfer … a standardized way about the hospital or ED visit upon return to the nursing home, to use it in reporting … admission) Hospital length of stay or hospital admission date Treatment received in the ED, if returning … procedures received in the hospital, if applicable Resident Name: Admit Date: Admit … Admit (Enter one of the following)        |___| Hospital Admission Date OR        |___| Hospital

286. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=330
     January 01, 2024 - Keywords: Medication Carey K Ambulatory surgery centers and prices in hospital outpatient … Ambulatory surgery centers and prices in hospital outpatient departments. … The directionality of observed relationship between falls and depressive symptoms (DS) is in need of … , which was positively associated with falls, was included in the model. … Evaluation of a novel mentor program to improve surgical care for US hospitals.

287. 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/ontimefallpxreports-ig.pdf
     November 09, 2017 - to Falls Prevention Reports SAY: In this session we will introduce you to the On-Time Falls … The Falls High-Risk Report provides a weekly snapshot of residents in a nursing home at highest risk … In addition, it can be run for just injurious falls if desired rather than including all falls. … The system computes the number of residents who had at least two falls in the report period. … Treated Facility, ER, hospital admit Facility Facility ER ER Facility Facility PCP Notified?

288. New Chartbook Compares Quality of Healthcare for Veterans With Other Populations | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/738.html
     November 01, 2020 - Healthcare Costs for Seniors Who Experience Falls Exceed $26,000 . … The average $26,143 in costs after falls included $1,957 spent on acute care and $20,560 spent on post-acute … In an AHRQ-funded study published in Infection Control & Hospital Epidemiology , researchers tested … in home and office settings rather than in the hospital, and care provided in homes may not follow infection … safety-net and non-safety-net hospitals.

289. 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 - Nursing Homes Pressure ulcers, falls, and preventable hospitalizations happen too often in nursing … & managing high risk residents to: Prevent Pressure Ulcers Monitor Pressure Ulcer Healing Prevent Falls … HIT Vendor, Leadership commitment and multidisciplinary teams, data-driven QI On-Time Avoidable Hospital-ED … evaluation Clustered randomized control study in California NH chain with matching (Results in 2014 … /index.html William.Spector@ahrq.hhs.gov SLHudak@SLHclinicalconsulting.com On-Time Avoidable Hospital-ED

290. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
     October 01, 2017 - of facility residents at highest risk of falling Enables staff to be more proactive, consistent, and … Report How many residents triggered for highest risk of falling? … information about activities of daily living Included in the Falls High-Risk Report but not used in … and percentage of falls that have occurred for residents with each risk factor included in the Falls … None None None   Other               Free text             Where Resident Was Treated Facility, ER, hospital

291. Multiple Settings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/multiple-settings.html
     July 01, 2022 - ed-cahps Home healthcare Web: ahrq.gov/cahps/surveys-guidance/home Hospices (hospice facility, hospital … /hospital Hospital outpatient and ambulatory surgery centers Web: ahrq.gov/cahps/surveys-guidance … the hospital and other healthcare environments. … The toolkit addresses approaches to desgin tat target six areas of safety: infections, falls, medication … hospitals and adapted to other settings.

292. | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/tools/index.html?page=2
     September 01, 2023 - Education & Training Tools by Keyword or Topic Topics - Any - Featured Clinicians & Providers Hospitals … Indicators This stand-alone pediatric version of the Quality Indicators Toolkit helps meet the needs of hospitals … Date Published: June 2016 Setting of Care: Hospital Preventing Falls in Nursing … staff to prevent hospital-acquired venous thromboembolism. … in Hospitals These materials assist hospital staff in implementing effective pressure ulcer prevention

293. 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/implmatls.html
     November 01, 2017 - Are care plans developed for all residents determined to be at risk of falling? … Are interventions for primary prevention* included in a falls prevention care plan? … Are interventions for secondary prevention* included in a falls prevention care plan? … Does your facility have a policy to assess residents after falling?  … Prevention of Falls in the Elderly, http://www.patient.co.uk/doctor/prevention-of-falls-in-the-elderly-pro

294. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/index.html
     July 01, 2023 - government agencies about practices that can improve patient safety across the healthcare system—from hospitals … a significant problem in the United States. … Harms such as adverse drug events, healthcare-associated infections, falls, and obstetric adverse events … safety practices in selected harm areas. … facilitating adoption and implementation in a timelier way.

295. Appendix. Additional Tools and Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3ap.html
     October 01, 2014 - Module 3: Falls Prevention and Management Appendix. … Development and validation of the Comprehensive Falls Risk Screening Instrument. … Falls: Nursing Standard of Practice Protocol: Fall Prevention. … Advancing Excellence in America's Nursing Homes Campaign.accessed November 18, 2010. Taylor JA. … The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities .

296. Chapter 5a. Presentation Content | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/slides.html
     December 01, 2017 - Facts About Falls (continued) Slide 3. Facts About Falls (continued) Slide 4. … Facts About Falls Opening slide of this Falls Management Program presentation. … age One in three elderly persons living in the community fall each year Of deaths caused by a fall … , 60% involve people who are ≥75 years of age Falls account for 87% of all fractures in people ≥65 … complications Loss of independence and decreased ability to function Loss of self-confidence and fear of falling

297. 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/reports.html
     November 01, 2017 - Weekly Falls Risk or Safety Meetings Abbreviations used in tables describing meetings: ADON = … that have occurred for residents with each risk factor included in the Falls High-Risk Report . … the falls. … For example, in the High-Risk Existing Conditions category, 8 falls were associated with Gait and Balance …       Free text             Where Resident Was Treated Facility, ER, hospital

298. Information to Help Hospitals Get Started
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
     July 23, 2010 - Information to Help Hospitals Get Started The Guide to Patient and Family Engagement in Hospital Quality … In addition to the improvements in hospital performance already discussed, working with patients and … patient falls during change of shift, dropping from one to two patient falls per month to one patient … After implementing bedside shift report, hospitals reported an increase in patient satisfaction scores … and out-patient providers [Add hospital data / goals related to discharge] 15 Information to Help Hospitals

299. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=195
     January 01, 2024 - in rural hospitals. … to manage the complex patient, environmental, and system factors that result in falls. … Evaluating the use of multiteam systems to manage the complexity of inpatient falls in rural hospitals … Keywords: Falls, Hospitals, Inpatient Care, Quality of Care, Quality Improvement, Patient Safety, Prevention … The investigators concluded that reductions in the probability of an unplanned readmission after a hospital

300. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
     April 21, 2008 - hospitals. … hospitals has been less well-studied.5, 6, 7 In 2003, in order to further our understanding of this … of the four hospitals included in this report. … Reduced patient falls • To promote a culture of safety by encouraging reporting of near-miss falls … use of bed alarms, patient fall risk identifiers, and their staff’s perception of patients’ risk for falling