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digital.ahrq.gov/program-overview/research-stories/clinical-decision-support-tool-preventing-falls
January 01, 2023 - A Clinical Decision Support Tool for Preventing Falls
Theme:
Optimizing Care Delivery for … Falls can have devastating health consequences for older adults but are not often discussed in primary … Fall prevention is possible, but older adults who are at the highest risk of falling need to receive … because falls can be caused by different factors, like the effects of certain medications. … Findings into Diverse Primary Care Practices (ASPIRE)—supports PCPs in identifying older adults at risk of falling
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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 … –
Help you to determine what to communicate to your CNA
partners about patients risk for falling … - Who is at risk for falling or fall-related injury?
- Is the correct care plan initiated? … Patient falls (NPC-3) and patient falls with injury (NCS-4).
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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 … Knowing that you are more likely to fall, we want to work with you to prevent you from falling and
being … An X marks your risk factors for falling:
R Dizziness or fainting
R Seizure disorder
R Irregular … heartbeats
R Low blood pressure
R Recovering from surgery or other procedure
R History of falling … Walking to stay active
Staying active helps to prevent falls.
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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. … Findings into Diverse Primary Care Practices (ASPIRE)—supports PCPs in identifying older adults at risk of falling … Fall prevention is possible, but older adults who are at the highest risk of falling need to receive … Findings into Diverse Primary Care Practices (ASPIRE)—supports PCPs in identifying older adults at risk of falling
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digital.ahrq.gov/sites/default/files/docs/publication/action-qi-cds-training.pdf
May 23, 2013 - • Patient Falls and Patient Falls with Injury are two of the four “nurse
sensitive” indicators of … 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 … Patient falls (NSC-4) and patient falls with injury (NSC-5). … Tab
Refreshing the QI CDS Report (new Unit or Time)
Data Element Definitions
Falls Prevention Summary
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digital.ahrq.gov/sites/default/files/docs/citation/u18hs027557-dykes-final-report-2022.pdf
January 01, 2022 - adults reporting falling in the previous year (2). … Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics
Society … Falls Prevention for Older Adults [Internet]. 2023 [cited 2023Mar25]. … Available from: https://ncoa.org/older-adults/health/prevention/falls-prevention
24. … /falls-prevention
https://knowledge.amia.org/75287-amia-1.4633888/t005-1.4635399/t005-1.4635400/2082-
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digital.ahrq.gov/sites/default/files/docs/citation/p50hs019917-gustafson-final-report-2017.pdf
January 01, 2017 - Prevention Project
a) Develop and test the feasibility of an Elder Tree falls prevention module for … Falls Prevention
The Falls Prevention team started by completing focus groups of participants of the … a Falls Prevention Coach regularly adds tips
and strategies on falls prevention, a video library of … Prevention Discussion
Group, and received falls prevention tips on a semi-regular basis when they logged … • Falls: 143 distinct people reported falling a total of 293 times in the past 6 months.
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digital.ahrq.gov/ahrq-funded-projects/bringing-communities-and-technology-together-healthy-aging/annual-summary/2012
January 01, 2012 - ; 3) relapse from proven falls-prevention strategies; 4) loss of driving privileges; and 5) unreliable … Elder Tree and its driving, falls-prevention, and service-dependability systems will be promoted and … , relapse from proven falls-prevention strategies, loss of driving privileges, and unreliable home services … (Upcoming)
Promote wide dissemination of Elder Tree and its related driving, falls prevention, and … Elder Tree and its social media, falls prevention, and medication manager tools were developed and iteratively
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digital.ahrq.gov/sites/default/files/docs/activity/1p50hs019917-gustafson-annual-summary-2012.pdf
January 01, 2012 - ; 3) relapse
from proven falls-prevention strategies; 4) loss of driving privileges; and 5) unreliable … Elder Tree
and its driving, falls-prevention, and service-dependability systems will be promoted and … , relapse from proven falls-prevention strategies, loss of driving
privileges, and unreliable home services … (Upcoming)
• Promote wide dissemination of Elder Tree and its related driving, falls prevention, and … Elder Tree and its
social media, falls prevention, and medication manager tools were developed and iteratively
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digital.ahrq.gov/ahrq-funded-projects/bringing-communities-and-technology-together-healthy-aging/annual-summary/2011
January 01, 2011 - ; 3) relapse from proven falls-prevention strategies; 4) loss of driving privileges; and 5) unreliable … system to sustain the benefits of an evidence-based falls-prevention program for older adults. … Lastly, E-CHESS and its related driving, falls prevention, and service dependability systems will be … ; relapse from proven falls prevention strategies; loss of driving privileges, and unreliable home services … (Upcoming)
Promote wide dissemination of E-CHESS and its related driving, falls prevention, and service
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digital.ahrq.gov/sites/default/files/docs/publication/action-qi-cds-tool-specifications.pdf
May 23, 2013 - (Month)
The percentage of
patients who are
at risk for falls
that have a fall
prevention plan … prevention plan
initiated. … that have fall
prevention
education
documented. … that have fall
prevention
education
documented. … PP: Was a Fall Prevention Plan initiated prior to the fall?
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digital.ahrq.gov/sites/default/files/docs/activity/2011_019917_gustafson_pdf_3.pdf
January 01, 2011 - ; 3) relapse from proven
falls-prevention strategies; 4) loss of driving privileges; and 5) unreliable … system to sustain the benefits of an evidence-based falls-prevention program for older adults. … Lastly, E-CHESS and its related driving,
falls prevention, and service dependability systems will be … ; relapse from proven falls prevention strategies; loss of driving privileges, and unreliable home
services … (Upcoming)
• Promote wide dissemination of E-CHESS and its related driving, falls prevention, and service
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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 … home staff to intervene in a timely manner with at-risk residents to reduce the incidence of injurious falls … Standardized set of documentation data elements and definitions
Clinical Reports and Tracking Tools
Falls … Prevention: High Risk Report
Falls Quality Improvement Monitor Reports
The avoidable hospitalization
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digital.ahrq.gov/sites/default/files/docs/publication/action-cp-cds-tool-specifications.pdf
May 23, 2013 - was designed to provide front line nurses with real-time feedback regarding the status of
the fall prevention … years of age and older at the time of admission (the age restriction was
imposed because the Fall Prevention … or at risk for injury
from fall and the prevention plan was not initiated [“Not Done”] … fall and has a fall or fall-related injury prevention plan of care initiated … At risk for falls
At risk for injury due to falls
Post-falls (phase)
Fields that map to the “Falls
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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 … staff to intervene
in a timely manner with at-risk residents to reduce the incidence of injurious falls … Standardized set of documentation data elements and definitions
• Clinical Reports and Tracking Tools
• Falls … Prevention: High Risk Report
• Falls Quality Improvement Monitor Reports
The avoidable hospitalization
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program
January 01, 2023 - Health Care Theme
Clinical Decision Making
Pressure ulcers and injurious falls … Although substantial research has documented that preventing pressure ulcers and falls is possible, these … similar to the On-Time Pressure Ulcer Prevention program, including standardized documentation data … Lessons from the On-Time Pressure Ulcer program informed the development of an On-Time Fall Prevention … nursing home staff to develop timely interventions for at-risk residents to reduce the incidence of falls
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018205-kearns-final-report-2012.pdf
January 01, 2012 - Scope: Falls and fear of falling are about two times more frequent in elderly persons living in
nursing … Falls in older people: epidemiology,
risk factors and strategies for prevention. … Kellog International Work Group on the Prevention of
Falls by the Elderly. … The prevention of falls in later
life. … A report of the Kellogg International Work Group
on the Prevention of Falls by the Elderly.
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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 … Lessons from the On-Time Pressure Ulcer program informed the development of an On-Time Fall Prevention … resources to help nursing home staff develop timely interventions to reduce at-risk residents’ incidence of falls … (Achieved)
Design the tools and establish the foundation for a fall prevention implementation effort
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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 … Lessons from the PrU program will also inform the development of an On-Time Fall Prevention Module, which … home staff to intervene in a timely manner with at-risk residents to reduce the incidence of injurious falls … (Achieved)
Design the tools and establish the foundation for a fall prevention implementation effort
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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, … Lessons from the On-Time Pressure Ulcer program informed the development of an On-Time Fall
Prevention … to help nursing home staff develop timely
interventions to reduce at-risk residents’ incidence of falls … using
an approach similar to the On-Time Pressure Ulcer Prevention program, including standardized