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281. Making Healthcare Safer IV_Rapid Response: Patient and Family Engagement (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-patient-family-engagement.pdf
     October 01, 2023 - The original studies targeting patient falls developed and evaluated their own PSPs: The fall prevention … plans or are rewarded for not falling throughout their hospital stay. … Evaluation of a Patient-Centered Fall- Prevention Tool Kit to Reduce Falls and Injuries: A Nonrandomized … Evaluation of a patient centered fall‐prevention tool kit to reduce falls and injuries: a nonrandomized … • A 67% reduction in injury falls Rochon, 201922 Prospective cohort Evaluating falls prevention

282. 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 - as the Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention … light/personal items within reach, Visible identification of patient as being at risk for fall (e.g., Falling … within reach, Nonslip footwear, Visible identification of patient as being at risk for fall (e.g., Falling … education, Non-slip footwear, Visible identification of patient as being at risk for fall (e.g., Falling … injury and residual harm group; Visible identification of patient as being at risk for fall (e.g., Falling

283. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
     January 01, 2025 - well as care-related factors, such as high patient-to-nurse staffing ratios, increase the risk of falling … Prevention Conference in Florida in April 2003. … "Patient- and care-related factors associated with falling in the hospital” is currently under peer … Hospitalized Patients’ Attitudes about Participation in Error Prevention. … Differences in Fall Prevention Policies Across Hospital Settings.

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37685/psn-pdf
     March 18, 2010 - Medication assessment: one determinant of falls risk. March 18, 2010 PA-PSRS Patient Saf Advis. … https://psnet.ahrq.gov/issue/medication-assessment-one-determinant-falls-risk Drawing on data from the … system, this article describes which medication classes were most frequently associated with patient falls … and discusses risk assessment and fall prevention strategies. … https://psnet.ahrq.gov/issue/medication-assessment-one-determinant-falls-risk https://psnet.ahrq.gov/

285. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
     November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Prevention AHRQ’s Safety Program for Nursing … Homes: On-Time Prevention is designed to improve long-term care by turning daily documentation into … AHRQ's Safety Program for Nursing Homes: On-Time Prevention provides a strategy for preventing adverse … Adverse Events Pressure Ulcer Prevention . Pressure Ulcer Healing . … Falls Prevention For each topic, the Web site provides a description of the reports and suggested

286. Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure Ulcers in Nursing Home Environments (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
     March 01, 2004 - Ginter and Minn suggest that fall prevention programs must focus on resident-specific risk factors … • Guide development of care plans and interventions aimed at prevention. … Nursing home quality and pressure ulcer prevention and management practices. … Building the science of falls-prevention research. J Am Geriatr Soc 2004;52(3):461. 21. … Beyond the MDS: team approach to falls assessment, prevention, & management.

287. Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
     January 01, 2024 - A meta- analysis of falls prevention programs found that the most effective of these programs were those … Evidence Report and Evidence-Based Recommendations: Falls Prevention Interventions in the Medicare Population … Falls among older adults-risk factors and prevention strategies. … Guideline for the Prevention of Falls in Older Persons. JAGS. 2001;49(5):644-672. 49. … Falls among older adults-- risk factors and prevention strategies.

288. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overview.html
     November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Prevention Overview of On-Time The Agency … pressure ulcers, pressure ulcers that are not healing appropriately, avoidable hospitalizations, and falls—and … Pressure ulcer prevention in long-term-care facilities: a pilot study implementing standardized nurse … On-Time Topics Pressure Ulcer Prevention . Pressure Ulcer Healing . … Falls Prevention Return to On-Time Home Page

289. Making Acute Care More Patient-Centered | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/acute-care-long-desc.html
     June 01, 2020 - their family caregivers in the design of health information technology (IT) tools to prevent patient falls … Spanish versions of the Fall TIPS (Tailoring Interventions for Patient Safety) toolkit , which reduced falls … Interventions for Patient Safety) Program: a collaboration to end the persistent problem of patient falls … Preventing falls in hospitalized patients. … American Nurse 2018;13(9):8-13. https://www.myamericannurse.com/preventing-falls-hospitalized-patients

290. Improving Patient Safety in Long-Term Care Facilities: Training Modules (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
     June 01, 2012 - Falls Prevention and Management. … . › Understand the risk factors for falls. › Understand which residents are at high risk of falling … falling. › How falls can be prevented. › How nursing assistants and licensed nurses can work together … Pearls › Awareness is a watchword in falls prevention. › Teamwork is necessary to prevent falls. … Falls Prevention

291. Technology for Improving Medication Monitoring in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
     March 09, 2005 - The authors focus on the prevention of delirium and falls, as these are two of the most common preventable … .25–27 Indeed, some researchers believe that the most effective intervention in reducing the risk of falling … Treatment of delirium is based on the treatment of the precipitating factor, and prevention plays the … Falls and fall prevention in the nursing home. Clin Geriatr Med 1996 Nov;12(4):881–902. 25. … Medications and falls. Causation, correlation, and prevention.

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72670/psn-pdf
     January 27, 2021 - The authors recommend systems-level changes to improve fall prevention practices, such as use of electronic … issue/system-issues-leading-found-floor-incidents-multi-incident-analysis https://psnet.ahrq.gov/primer/falls … https://psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings https: … //psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals-descriptive-study … https://psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals-descriptive-study

293. Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? | PSNet
     psnet.ahrq.gov/issue/health-economic-evaluation-infection-prevention-and-control-program-are-quality-and-patient
     June 02, 2021 - Study Health economic evaluation of an infection prevention and control program: … Health economic evaluation of an infection prevention and control program: are quality and patient safety … This analysis of a Canadian regional health authority's HAI prevention program found that over a 4-year … January 2, 2013 Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care.

294. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. | PSNet
     psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
     May 05, 2021 - While falls are common in older adults, there was a 31% increase in death due to falls in the U.S. … Interviews with 22 physicians identified patient reluctance to report falls and inconsistent assessment … , and documentation of falls made it challenging to consider falls when prescribing medications. … perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023

295. NPSD Chartbooks | Agency for Healthcare Research and Quality
     www.ahrq.gov/npsd/data/chartbook/index.html
     February 01, 2025 - and 1.2 ), including generic safety concerns and adverse events involving blood or blood products, falls … One Chartbook is topic-specific and focuses on in-hospital falls. … Patient Safety Concerns, which introduces an examination of trends over time and new data: near miss prevention … The 2023 NPSD Falls Chartbook reflects data from the 243,449 falls submitted through December 31, 2022 … It also introduces a new Falls Supplement.

296. Evaluation of AHRQ's On-time Pressure Ulcer Program - 2011 | Digital Healthcare Research
     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

297. Revitalizing an established rapid response team. | PSNet
     psnet.ahrq.gov/issue/revitalizing-established-rapid-response-team
     September 23, 2020 - July 5, 2017 Cost of inpatient falls and cost-benefit analysis of implementation of an … evidence-based fall prevention program. … November 16, 2022 Evaluation of a patient-centered fall-prevention tool kit to reduce … falls and injuries: a nonrandomized controlled trial. … November 6, 2015 Patient activation related to fall prevention: a multisite study

298. Appendix 1-A. Suggested Slides for Module 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1a.html
     October 01, 2014 - Falls Prevention Appendix 1-A. Suggested Slides for Module 1 Appendix 1-B. … Falling blood pressure, rising heart rate. Fever of 102 o  F. … Falls. Vital sign. Non-Physical Changes: Demeanor. Appetite. Sleeping. Speech. … Falls—e.g., the resident reaches for objects when in a wheelchair. … Sleeping—e.g., the resident falls asleep in unusual places.

299. Influence of unit-level staffing on medication errors and falls in military hospitals. | PSNet
     psnet.ahrq.gov/issue/influence-unit-level-staffing-medication-errors-and-falls-military-hospitals
     February 02, 2011 - Study Influence of unit-level staffing on medication errors and falls in military … Influence of unit-level staffing on medication errors and falls in military hospitals. … This study found that staff category and patient acuity were associated with medication errors and falls … Influence of unit-level staffing on medication errors and falls in military hospitals. … June 16, 2010 Evaluation of clinical practice guidelines on fall prevention and management

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42061/psn-pdf
     October 05, 2015 - Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. … https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care This toolkit … information and resources to guide hospitals through process change to implement and sustain fall prevention … https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care https://psnet.ahrq.gov