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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
June 02, 2025 - Pressure Ulcer Prevention Toolkit
Pressure Ulcer Prevention Toolkit
Module 5 Tools
Action Plan Tool … to Measure Pressure Ulcer Rates and Pressure Ulcer Prevention Practices
Tool 5C: Assessing Comprehensive … 5D: Assessing Standardized Risk Assessment
Tool 5E: Assessing Care Planning
AHRQ Pressure Ulcer Prevention … Program
Module 5 Tools 1
Action Plan Tool to Measure Fall Rates and Fall Prevention Practices
Measure … Completion Date for Plan
Fall Rates (e.g., falls per 1,000 occupied bed days) are calculated
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psnet.ahrq.gov/node/50905/psn-pdf
February 19, 2020 - Patient activation related to fall prevention: a multisite
study
February 19, 2020
Christiansen TL … Patient activation related to fall prevention: a multisite study . … https://psnet.ahrq.gov/issue/patient-activation-related-fall-prevention-multisite-study
The Fall TIPS … Tailoring Interventions for Patient Safety) program has been shown to be effective in
preventing inpatient falls … access to the Fall TIPS program are more engaged and feel more
confident in their ability to prevent falls
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www.ahrq.gov/es/topics/index.html?page=0
October 01, 2008 - Topics explored include ED boarding and crowding, infection prevention, and diagnostic safety. … Falls Each year, somewhere between 700,000 and 1,000,000 people in the United States fall in the hospital … Falls can lead to serious injuries, decreased ability to function, reduced quality of life, increased … fear of falling, and increased health care use. … AHRQ’s tools, training, and research on preventing falls in hospitals and nursing homes.
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www.ahrq.gov/es/topics/index.html
October 01, 2008 - Topics explored include ED boarding and crowding, infection prevention, and diagnostic safety. … Falls Each year, somewhere between 700,000 and 1,000,000 people in the United States fall in the hospital … Falls can lead to serious injuries, decreased ability to function, reduced quality of life, increased … fear of falling, and increased health care use. … AHRQ’s tools, training, and research on preventing falls in hospitals and nursing homes.
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psnet.ahrq.gov/node/40181/psn-pdf
September 25, 2011 - cost-serious-fall-related-injuries-three-midwestern-hospitals
In this study, hospitalized patients experiencing serious injuries from falls … with higher
operational costs and longer lengths of stay, further building an economic case for fall prevention … cost-serious-fall-related-injuries-three-midwestern-hospitals
https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta … https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences
https:// … psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/node/46100/psn-pdf
July 11, 2017 - The tension between promoting mobility and preventing
falls in the hospital. … The Tension Between Promoting Mobility and Preventing Falls in the
Hospital. … https://psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
This commentary … The authors suggest that immobilizing
patients is not the answer to fall prevention and advocate for … https://psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
https:/
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psnet.ahrq.gov/node/41411/psn-pdf
October 19, 2012 - Minnesota Hospital Association Statewide Project: SAFE
from FALLS. … Minnesota Hospital Association Statewide Project: SAFE from FALLS. … https://psnet.ahrq.gov/issue/minnesota-hospital-association-statewide-project-safe-falls
This commentary … discusses a state-wide effort to reduce falls, including its implementation strategies,
challenges, … /issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/node/46559/psn-pdf
December 22, 2018 - Effect of promoting high-quality staff interactions on fall
prevention in nursing homes: a cluster-randomized … Effect of Promoting High-Quality Staff Interactions on
Fall Prevention in Nursing Homes: A Cluster-Randomized … -
cluster
Falls represent a significant cause of patient injury in the hospital setting, and evidence … https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review … https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program
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psnet.ahrq.gov/node/39255/psn-pdf
February 02, 2011 - The patient who falls: "It's always a trade-off."
February 2, 2011
Tinetti ME, Kumar C. … The patient who falls: "It's always a trade-off". JAMA. 2010;303(3):258-66. … evidence on risk factors for and interventions to reduce falls in
community-dwelling older adults. … The authors also describe how to integrate such prevention strategies
into clinical practice. … https://psnet.ahrq.gov/issue/patient-who-falls-its-always-trade
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psnet.ahrq.gov/node/37401/psn-pdf
March 28, 2012 - Interventions for preventing falls in acute- and chronic-
care hospitals: a systematic review and meta-analysis … Interventions for preventing falls in acute- and
chronic-care hospitals: a systematic review and meta-analysis … https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic … review-and-meta
This review analyzed relevant literature and determined that the number of patient falls … has not been
reduced by hospital fall prevention programs, although similar efforts appear to be more
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psnet.ahrq.gov/node/42493/psn-pdf
August 14, 2013 - Partnering to prevent falls: using a multimodal
multidisciplinary team. … Partnering to prevent falls: using a multimodal multidisciplinary team. … https://psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
This commentary … https://psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
https:/ … /psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
October 01, 2017 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Falls Prevention
Facilitator … Training
Overview of On-Time
On-Time Falls Prevention
Facilitator Training
2-day training provides … Pressure Ulcer Healing
Falls Prevention
Preventable Hospital and ED Visits
On-Time Overview
6
October … particular risk factor
October 2017
On-Time Overview
13
Examples of On-Time Reports
Examples from Falls … Prevention Reports:
Falls High-Risk Report
Quarterly Summary of Falls Risk Factors (by Unit or Facility
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psnet.ahrq.gov/issue/becoming-hand-hygiene-heroes-implementation-infection-prevention-and-control-campaign-patient
June 15, 2016 - Study
Becoming Hand Hygiene Heroes: implementation of an infection prevention and … Becoming hand hygiene heroes: implementation of an infection prevention and control campaign for patient … March 20, 2019
View More
Related Resources
Reducing falls in hospitalized … of falls in children with physical and cognitive impairments. … March 31, 2021
Applying root cause analysis to improve patient safety: decreasing 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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psnet.ahrq.gov/node/41911/psn-pdf
December 12, 2012 - Effects of an intervention to increase bed alarm use to
prevent falls in hospitalized patients: a cluster … Effects of an intervention to increase bed alarm use to prevent falls in
hospitalized patients: a cluster … https://psnet.ahrq.gov/issue/effects-intervention-increase-bed-alarm-use-prevent-falls-hospitalized-patients … cluster
In this randomized controlled trial, use of a standardized bed alarm system did not reduce falls … https://psnet.ahrq.gov/issue/fall-prevention-hospitals-integrative-review
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psnet.ahrq.gov/issue/evidence-guiding-practice-reported-versus-observed-adherence-contact-precautions-pilot-study
June 28, 2017 - January 3, 2017
Fall prevention implementation strategies in use at 60 United States … November 30, 2022
In-hospital sequelae of injurious falls in 24 medical/surgical units … March 13, 2019
Effects of an intervention to increase bed alarm use to prevent falls … October 19, 2022
Cost of inpatient falls and cost-benefit analysis of implementation … of an evidence-based fall prevention program.
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www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
January 01, 2024 - Hospital and nursing executives should consider
strategizing fall and injurious fall prevention efforts … , history of falling, mobility, gait and balance, and dependence
in activities of daily living [2]. … practical relevance, hospital and nursing executives should
consider strategizing fall and injurious fall prevention … Falls and consequent injuries in hospitalized patients:
effects of an interdisciplinary falls prevention … Chapter 8-Safety Practice 33, Falls prevention.
[10] American Nurses Association (ANA).
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psnet.ahrq.gov/node/41241/psn-pdf
June 15, 2012 - Using root cause analysis to reduce falls with injury in the
psychiatric unit. … Using root cause analysis to reduce falls with injury in the psychiatric unit. … https://psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-psychiatric-unit
This study … cause analyses from the Veterans Health Administration system to highlight
common activities during falls … /primer/root-cause-analysis
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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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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psnet.ahrq.gov/node/836995/psn-pdf
April 27, 2022 - interventions to reduce duration and
variability in delays to identification of serious injury after
falls … interventions to reduce duration and variability in delays
to identification of serious injury after falls … mapping to identify opportunities to improve timely diagnosis of serious injury resulting
from inpatient falls … multifactorial-interventions-reduce-duration-and-variability-delays-identification-serious
https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review … https://psnet.ahrq.gov/issue/preventing-falls-injury