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Through this effort, the ABCS Fall Injury Risk screening tool was developed to help bedside nurses screen for the following causes of fall-related injury:Research suggests that patient and family engagement in the three-step fall prevention process is critical. Chen LH, Warner M, Fingerhut L, Makuc D. Injury episodes and circumstances: National Health Interview Survey, 1997–2007. Incorporating some of these steps in a universal fall precautions program can help reduce the number of patient falls in your hospital.Universal fall precautions are safety measures that are taken to reduce the chance of falls for all patients, regardless of individual fall risks. These factors, in addition to existing difficulties with mobility and balance, can leave your patients at risk for falls.Clear policies and responsibilities help ensure all fall prevention measures are taken to protect your patients. The act identified conditions that were high cost and/or high volume which result in the patient case being assigned to a DRG (diagnosis-related group) that has a higher payment when present as a secondary diagnosis, and could reasonably have been prevented through the application of evidence-based guidelines.Hospital falls with trauma were included as one of the HACs (hospital-acquired conditions) included on the list.As of October 1st 2008, hospitals no longer receive additional payment from Medicare for selected HACs (hospital-acquired conditions), including falls with injury (including fractures, dislocations, intracranial injuries, crushing injuries, burns, and other injuries).Even if a patient falls without injury, resulting in a "no harm" fall, it can still have negative effects. Retrieved from Centers for Medicare and Medicaid Services. Thus, the patient’s fall prevention plan of care should include a combination of universal fall precautions, but is individualized by interventions specific to fall risk factors. Password Strength: (See After completing the fall risk screening, collaborate with the patient and family to develop a personalized plan to address each identified risk factor. Many hospitalized patients fall because they don’t believe that they’re at risk and they don’t follow their fall prevention plan. Direct-care team members, such as nurses and patient care assistants, reinforce the plan with the patient and notify you of any change in the patient’s risk status. •Universal fall precautions should be implemented for all patients. During the patient’s hospitalization, the nursing assessment is used to continuously refine the plan. Learn more about fall prevention assessments.

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