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61. Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
    April 23, 2008 - Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement … Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement … was informed by health services research and shaped by hospital- specific data related to falls and … was tied to a reduction in patient falls. … • Engage the hospital organization in a systematic improvement effort related to falls.

62. Tool 1F: Organizational Readiness Checklist | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/organization-readiness.html
    January 01, 2013 - Preventing Falls in Hospitals Tool 1F: Organizational Readiness Checklist Previous Page Next … Page Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments Overview … Reference: Developed by Falls Toolkit Research Team. … Hospital culture focuses on a systems approach to error reduction.     … Hospital-specific reasons for change have been identified.    

63. Fall Prevention Toolkit (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_tools.docx
    August 03, 2017 - your set of best practices for preventing falls. … example of how responsibilities may be assigned among different staff members on the Unit Team and hospital … Facilities engineer Participates in regularly scheduled environmental rounds to identify equipment in … How to use this tool: Complete the form by checking the response that best describes your hospital. … Does your hospital have initial and ongoing education on fall prevention and management for both nursing

64. Transforming Hospitals: Designing for Safety and Quality (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/transform.pdf
    January 01, 2020 - The DVD presents the experiences of three model hospitals—Griffin Hospital in Derby, CT; Holy Cross Hospital … Patient falls. … Patient falls, which are common in hospitals, can result in serious injuries, extend a patient’s stay … for the cost of patient falls that occur in their facilities, and insurers are likely to follow its … A Collaborative Occupational Therapy and Nursing Approach to Falls Prevention in Hospital Inpatients.

65. Appendix F. Hospital Practice Insights: Challenges and Solutions | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-f.html
    September 01, 2017 - This change has helped hospital staff track and trend falls. … During shift huddles, patients at risk of falling are discussed. … some training and experience, left for nearby academic hospitals. … Forty percent of the falls occurred with staff in attendance, which may have prevented falls with injury … The data show a drop in falls with major injury from six falls in fiscal year 2014 to four in fiscal

66. Network of Patient Safety Databases Falls Chartbook, 2023 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
    January 01, 2023 - • The NPSD is a summary of the elements in Hospital Common Formats Event Reports for specific types … used as intended to capture patient safety events in hospital settings, providers may also have used … safety event types that represent the majority of reported preventable injuries that happen in hospitals … hospitals. … ; Visible identification of patient as being at risk for fall (e.g., Falling Star) was used in 3,088

67. Tool 1E: Resource Needs Assessment | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/resource-needs.html
    January 01, 2013 - Preventing Falls in Hospitals Tool 1E: Resource Needs Assessment 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. … Reference: Developed by Falls Toolkit Research Team. … This assessment is best suited for hospital supervisors, managers, and administrators.

68. Tool 3P: Best Practices Checklist | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/best-practices.html
    January 01, 2013 - Preventing Falls in Hospitals Tool 3P: Best Practices Checklist 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. … fall prevention for your hospital or hospital units. … Reference: Developed by Falls Toolkit Research Team.

69. Tool 4D: Implementing Best Practices Checklist | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/implementing-best-practices.html
    January 01, 2013 - Preventing Falls in Hospitals Tool 4D: Implementing Best Practices Checklist Previous Page … Next Page Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments Overview … How do you implement the fall prevention program in your organization? 5. … Reference: Developed by Falls Toolkit Research Team. … Use this tool to ensure you have not skipped any essential steps in your fall prevention efforts.

70. Tool 3I: Medication Fall Risk Score and Evaluation Tools | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/medication-risk-score.html
    January 01, 2013 - Preventing Falls in Hospitals Tool 3I: Medication Fall Risk Score and Evaluation Tools Previous … Page Next Page Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments … in hospitalized patients. … the American Hospital Formulary Service drug class identified in the table. … † Although not included in the original scoring system, the falls toolkit team recommends that you

71. Fall Prevention Program Implementation Guide (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/implementation-guide_falls.docx
    September 01, 2017 - AHRQ’s Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care To provide training and … In addition, they recruited 10 varied and geographically diverse hospitals to participate in a 2-year … other hospitals in your system? … Sample Participant Agenda Preventing Falls in Hospitals Improving Quality of Care Workshop Location: … The data show a drop in falls with major injury from six falls in fiscal year 2014 to four in fiscal

72. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
    March 03, 2008 - Injuries sustained as result of patient falls in a cancer hospital are often severe, due to the nature … Introduction Patient falls are the most frequently reported adverse event in hospitals and the leading … falls in a cancer hospital are often severe because of the nature of the underlying medical condition … A high risk for falling was determined by having more than one risk variable present, as in the new … Since program implementation, this unit no longer has the most patient falls in the hospital; at the

73. NPSD Data Spotlight: Patterns of Fall Interventions (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
    September 01, 2023 - less severe harm or no harm to patients.8 Also, while analyses in NPSD focus on hospital events, NPSD … (CFER-H) that describe incidents occurring in settings other than hospitals. … Based on current fall prevention research, patients with differing risks of falling would benefit from … 10 hospital setting details that can impact fall risks. … , please see AHRQ’s: • Preventing Falls in Hospitals Toolkit • Fall TIPS: A Patient-Centered Fall

74. Tool 2G: Managing Change Checklist | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/manage-change-checklist.html
    January 01, 2013 - Preventing Falls in Hospitals Tool 2G: Managing Change Checklist 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. … Reference: Developed by Falls Toolkit Research Team. … Use this tool to ensure you have not skipped any essential steps in your fall prevention efforts.

75. Tool 4A: Assigning Responsibilities for Using Best Practices | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/responsibilities.html
    January 01, 2013 - Preventing Falls in Hospitals Tool 4A: Assigning Responsibilities for Using Best Practices … 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. … your set of best practices for preventing falls. … Reference: Developed by Falls Toolkit Research Team.

76. Sustaining Fall Prevention Practices at Your Hospital (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar6_falls_sustainingpractices.pdf
    January 01, 2013 - assessment protocol Develop knowledge of falls Conduct staff and patient education Develop … – For instance, reward staff for no preventable falls in 3 months. … • Recognize one staff member each quarter for success in preventing falls. … • Meet each month to address the root causes of falls. … Preventing falls in hospitals: a toolkit for improving quality of care.

77. 3. Which fall prevention practices do you want to use? | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
    January 01, 2013 - Preventing Falls in Hospitals 3. Which fall prevention practices do you want to use? … Previous Page Next Page Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments … Most in-hospital falls belong to this category. … For example, virtually any patient could slip and fall if there is a spill on the floor. 3.2.3. … Guidebook for preventing falls and harm from falls in older people: Australian hospitals.

78. Patient Safety Organization Drives Inpatient Rehabilitation Quality Improvement | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201705.html
    April 01, 2017 - Rehabilitation Patient Safety Organization (PSO) , which serves 34 freestanding inpatient rehabilitation hospitals … Improvements have been particularly notable in the prevention of falls and hospital-acquired pressure … the rates of unassisted falls and hospital-acquired pressure ulcer rates. … In 2010, the reported rate was 5.39 unassisted falls per 1,000 patient days, and in 2015 the rate dropped … The PSO shared tools from AHRQ's Preventing Falls in Hospitals guide with its facilities.

79. Tool 3C: Tool Covering Environmental Safety at the Bedside | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/environmental-safety.html
    January 01, 2013 - Preventing Falls in Hospitals Tool 3C: Tool Covering Environmental Safety at the Bedside … Previous Page Next Page Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments … in the hospital. … Reference: Adapted from AHRQ publication on the Falls Management Program for nursing homes. … hospital rooms.

80. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/about/challenge-competition.html
    February 01, 2024 - Hospitals: A Toolkit for Improving Quality of Care to decrease Patient Safety Indicator 03 (PSI-03) … Implementation focused on MU Health Care’s 390-bed University Hospital, the only level I trauma center … in Hospitals: A Toolkit for Improving Quality of Care was instrumental in guiding the creation of an … The "Fall Free Friday" activities resulted in a 31% decrease in acute care falls from 4th quarter 2022 … Falls in Hospitals."