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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar4_falls_usingriskassttools.pdf
January 01, 2013 - of Falls and How To Prevent Them
Accidental falls
• Occur in those who have no risks for falling … physiological falls
• Occur in those who have no risks for falling … falls
• Occur in those who have a risk for falling:
– Morse Fall Scale includes 6 items that can … History of falling No
Yes
0
25
2. … • Communicate the tailored fall prevention
plan to all staff who interact with the
patient.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspximplsteps.pdf
November 02, 2017 - Implementation Steps and Timeline - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention … AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Implementation Steps and Timeline … Step 1: Agree To Use On-Time Falls Prevention
Nursing home leadership agrees to incorporate process … Introduce On-Time Falls Prevention 1st month
5. Review Reports 1st month
6. … Prevention
Implementation Steps and Timeline
Step 1: Agree To Use On-Time Falls Prevention
Step 2
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www.ahrq.gov/news/newsroom/case-studies/cdom0801.html
October 01, 2014 - Before 2006, Ethica used routine safety procedures to prevent residents from falling. … The FMP is designed to reduce the risk of residents' falling and to address environmental and equipment … Care planning involves families, along with the falls team, in the comprehensive falls prevention program … Those at risk of falling are placed in the falls management program. … 08-01
AHRQ Product(s):
Research
Topic(s):
Long-Term Care,
Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4e_combo_psi08-postophipfx-bestpractices.pdf
May 20, 2016 - Clinical and environmental factors that place a patient at risk for
falling postoperatively should … postoperatively.3,11-14
Standard Fall Prevention
Protocol
Use a standardized fall prevention protocol … The falls prevention protocol should detail
what interventions to put into place and for whom.2,7 … o Polypharmacy of greater than four or five medications per day can double a patient’s risk
for falling … Health Care Protocol: Prevention of falls (acute care).
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
September 01, 2017 - Module 1: Preventing Falls in Hospitals—Slide Presentation
Slide 1: Preventing Falls in Hospitals … The rate of falls ranges from 1.3 to 8.9 falls per 1,000 patient days or bed days. … Falls harm patients.
30% to 51% of falls result in injury. … Many falls are preventable. … falls.
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/bibliography.html
January 01, 2013 - Preventing Falls in Hospitals
Appendix: Bibliography of Studies Implementing Fall Prevention Practices … Previous Page Next Page
Table of Contents
Preventing Falls in Hospitals
Roadmap … Review of the evidence on falls prevention in hospitals . RAND Working Paper WR-907-AHRQ. … What roles and responsibilities will staff have in preventing falls? … analysis of falls to help identify ways to improve care. 2 , 9 , 11 , 12 , 24
5.2.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/quarterlysum.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Electronic Reports
Table … Sample Quarterly Summary of Falls Risk Factors by Unit
On-Time Quarterly Summary of Falls Risk Factors … May-11
# falls
5
5
6
4
5
5
4
% (of monthly total falls)
45
45
55
36 … 45
45
36
Jun-11
# falls
5
7
7
2
0
6
6
% (of monthly total falls … Jun-11
# falls
1
0
0
3
0
5
2
2
0
1
0
1
% (of monthly total falls)
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/faclevel.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Electronic Reports
Table … Unit B
# falls
9
9
6
3
12
12
5
% (of Q total falls)
24
24
16
8 … 32
32
14
Unit C
# falls
5
7
7
2
0
6
6
% (of Q total falls)
19 … 26
26
7
0
22
22
# falls
31
37
34
15
23
36
25
% (of Q total falls … falls
9
96
83
14
105
% (of Q total falls)
9
91
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2e.docx
October 19, 2016 - Falls have multifactorial etiology, so fall prevention programs should comprise multifaceted interventions … The risk of falling will be lessened when a patient’s toileting needs are met. … A patient who is taking four or more oral medications is at risk for falling. … A patient who is taking psychotropic medication is at higher risk for falling. … Education programs for staff should include the importance of fall prevention, risk factors for falls
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/references.html
January 01, 2013 - Which fall prevention practices do you want to use?
4. … Quality improvement in action: a falls prevention and management program. … Evidence-based practice: a falls prevention program that continues to work. … Effect of an implemented fall prevention program on the frequency of patient falls. … Reducing patient falls: a research-based comprehensive fall prevention program.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess3.html
October 01, 2014 - Module 3: Falls Prevention and Management
Session 1
Previous Page Next Page
Table of … Contents
Module 3: Falls Prevention and Management
Learning and Performance Objectives
Session … According to the National Center for Injury Prevention and Control, "fall prevention takes a combination … for falling. … Injury Prevention and Control: Home and Recreational Safety; Falls in Nursing Homes.
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www.ahrq.gov/news/newsroom/case-studies/201616.html
November 01, 2016 - Problem of Falls, Challenges of Fall Prevention," "Readiness and Management of Change," "Assessment … After a successful fall-prevention pilot in three units, the 746-adult-bed hospital implemented the program … the program hospital-wide, the quality improvement team also used the AHRQ toolkit to create a fall prevention … "We regularly refer back to this toolkit as part of our daily work and continuous prevention efforts. … in Hospitals Toolkit
Topic(s):
Patient Safety,
Prevention
Geographic
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/impguide.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
Implementation … of the Falls Prevention Reports
Note: This part of the training consists of interactive exercises … prevention program and choose the On-Time Falls Prevention reports to use in daily practice. … On-Time Falls Prevention that you will assist a facility team with is completing the On-Time Falls Prevention … The focus is on assessing the facility’s current falls prevention program.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Facilitator Training
This … to the On-Time Falls Prevention Facilitator Training. … In the packet are the following Falls Prevention documents:
Falls High-Risk Report
Quarterly Summary … Do:
Review the On-Time Falls Prevention Reports. … Do:
Review an example of the Falls Prevention Menu of Implementation Strategies.
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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? … Understanding the causes of falls is important to developing your prevention program. … For example, virtually any patient could slip and fall if there is a spill on the floor.
3.2.3. … Prevention of falls and fall injuries in the older adult. … Health care protocol: prevention of falls (acute care). 3d ed.
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/sustainability.html
January 01, 2013 - Preventing Falls in Hospitals
6. … Previous Page Next Page
Table of Contents
Preventing Falls in Hospitals
Roadmap
Acknowledgments … While the frontline work to prevent falls depends on unit staff, the Sustainability Team will need support … may limit the number of sitters/safety attendants available to monitor very high risk patients for falls … Nursing staff remembered previous experiences with patients falling and worried that fall rates would
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training
Facilitator Training … : On-Time Falls Prevention Facilitator Training
Introduction to Falls Reports
Say:
In this session … we will introduce you to the On-Time Falls prevention electronic reports. … Falls Prevention, which includes four electronic reports. … We will work through four steps for each of the Falls Prevention Reports.
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-f.html
September 01, 2017 - Unit: Acute Rehab
Challenge: Adequately monitoring patients at high risk of falling. … Our goal is to provide you with an excellent patient experience and prevent you from falling, so you … Our goal is to provide you with an excellent patient experience and prevent you from falling, so you … During shift huddles, patients at risk of falling are discussed. … Consider collecting data on all types of falls (e.g., assisted falls, falls without injury, falls with
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/monthly.html
October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Electronic Reports
Monthly … Unit A
# falls
0
0
2
0
0
1
1
1
2
1
0
0
0
1
1
1
0
0
1
0 … % (of total falls)
0
0
50
0
0
25
25
25
50
25
0
0
0
25
25
25
0 … 0
25
0
Unit B
# falls
1
2
1
1
2
1
0
2
3
3
2
0
0
0
1 … falls)
0
0
50
0
0
25
25
25
50
25
75
Unit B
# falls
1
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/family-education.html
January 01, 2013 - Preventing Falls in Hospitals
Tool 3L: Patient and Family Education
Previous Page Next Page … Table of Contents
Preventing Falls in Hospitals
Roadmap
Acknowledgments
Overview
Icons … Which fall prevention practices do you want to use?
4. … How do you sustain an effective fall prevention program?
7. … To avoid falling and hurting yourself, please follow these guidelines.