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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
March 01, 2013 - Authoritative bodies have definitions (e.g., the NQF defines a fall as “an unplanned descent to the floor … defines a fall as “an event which results in a person coming to rest inadvertently on the ground or floor … removal of bedrails, use of physical restraints, movement alarm devices, low-low beds (beds closer to the floor … Environmental causes include poor lighting; ‘trip” hazards (such as uneven flooring or small objects on floor
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monahrq.ahrq.gov/news/newsroom/case-studies/201530.html
November 01, 2015 - survey that the graduate nurse residents completed showed that most registered nurses who work the floor
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monahrq.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
October 01, 2014 - eliminate the confusion that occurred previously when the responsibility was split between the ICU and floor
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monahrq.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-care/slides.html
March 01, 2017 - Stabilize the catheter tubing and drainage bag
Keep drainage bag below level of bladder and off the floor … Rappaport is in a wheelchair with urinary catheter tubing on the floor and a full urine collection bag
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monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/guide.html
October 01, 2017 - This last point is crucial, because once patients are off the unit floor, other hospital Team members … A 9-week preceptorship with floor nurses to build skills.
9 months of support, which includes a monthly … Floor mats.
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monahrq.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/virginia.html
March 01, 2021 - "She had only been on the clinic floor eight months, and she was already burned out," said Mike, who
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_fall-prevention.docx
January 01, 2013 - Examples of hazards include items left in the hallway and wet floors that are not mopped properly. … Several falls happened when fewer staff were on the floor. … to help patients ambulate on an inpatient rehab unit
A dedicated physical therapist on a neurology floor
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monahrq.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
June 01, 2023 - As another example, consider a scenario in which a medical floor nurse is assigned to a patient after
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monahrq.ahrq.gov/news/newsroom/case-studies/201522.html
August 01, 2015 - Bakersfield Memorial implemented most of RED's elements on its adult floors. Mr.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_slides_best-practices.pptx
November 20, 2014 - Assistive devices
Low beds
Floor mats
Engage staff to gain
support and
buy-in to tailor
new practices
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_slides_fallprev.pptx
December 03, 2012 - .
‹#›
2012 NDNQI Definition of a Fall
A patient fall is an unplanned descent to the floor with or without … included whether they result from physiological reasons (fainting) or environmental reasons (slippery floor
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monahrq.ahrq.gov/sites/default/files/publications/files/ptoutcsurvey.pdf
February 14, 2013 - This
means being admitted to a hospital floor (not just the emergency room).
1
Yes 2 No
If YES … This
means being admitted to a hospital floor (not just the emergency room).
1
Yes 2 No
If YES
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ed.pdf
March 19, 2014 - When the floor supervisor comes to check on the orders, Downs tells her that he will have them
ready … When the floor supervisor comes to check on the orders, Downs tells her that he will have them
ready
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monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - Slide 5: 2012 NDNQI Definition of a Fall
A patient fall is an unplanned descent to the floor with … included whether they result from physiological reasons (fainting) or environmental reasons (slippery floor
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-august2015.pptx
January 01, 2015 - Slide ‹#›
TeamSTEPPS and MetroHealth 2015
On Deck:
Cardiology
Pulmonology
MICU / Internal Medicine Floors
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
August 03, 2017 - Floor wet/dry/talcum powder
Reflect on cleaning regimen and need for nonslip surfaces.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - (f)
Replace missing rubber tips on handrails that rest on floor. … Floor
Repair or replace floor covering. … __I saw the patient fall
__Alarm went off
__Patient/witness called
__Heard noise/found patient on floor
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monahrq.ahrq.gov/teamstepps/instructor/scenarios/ed.html
March 01, 2014 - When the floor supervisor comes to check on the orders, Downs tells her that he will have them ready … When the floor supervisor comes to check on the orders, Downs tells her that he will have them ready
-
monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
September 01, 2017 - Examples of hazards include items left in the hallway and wet floors that are not mopped properly. … Several falls happened when fewer staff were on the floor. … to help patients ambulate on an inpatient rehab unit
A dedicated physical therapist on a neurology floor
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monahrq.ahrq.gov/pqmp/measures/index.html
Low Birthweight Neonates
(2)
Transitions between Sites of Care: Hospital Intensive Care Unit to Floor