If on anticoagulation, provided patient education on What 0 1 2 3 to do if you fall and are on anticoagulation (pt education brochure) If osteoporotic, need for osteoporosis therapy reviewed 0 1 2 3 prior to discharge If osteoporotic, patient (and family) educated about 0 1 2 3 osteoporosis (Video, Pt Education Brochure) If known faller, provided patient education on What to do if 0 1 2 3 you fall and can not get up (pt education brochure) Environmental / Home Assessment 0 1 2 3 TOTAL SCORE ( 63 items: 0-189) Thank you for completing this self assessment. The results will be aggregated for the sites participating in the Falls Virtual Breakthrough Series. If you have questions about this questionnaire please contact: Julia Neily, RN, MS, MPH Associate Director National Center for Patient Safety, Field Office (802) 295-9363 ext. 6417 or Pat Quigley, PhD, MPH, ARNP, CRRN, FAAN, FAANP Associate Director, VISN 8 Patient Safety Center of Inquiry, James A. Haley VAMC (118M) ACNSR, HSR&D/RRD Center of Excellence: Maximizing Rehabilitation Outcomes 8900 Grand Oak Circle Tampa, FL 33637-1022 Phone: 813-558-3912
If on anticoagulation, provided patient education on What to do if you fall and are on anticoagulation (pt education brochure) 0 1 2 3 If osteoporotic, need for osteoporosis therapy reviewed prior to discharge 0 1 2 3 If osteoporotic, patient (and family) educated about osteoporosis (Video, Pt Education Brochure) 0 1 2 3 If known faller, provided patient education on What to do if you fall and can not get up (pt education brochure) 0 1 2 3 Environmental / Home Assessment 0 1 2 3 TOTAL SCORE ( 63 items: 0-189) Thank you for completing this self assessment. The results will be aggregated for the sites participating in the Falls Virtual Breakthrough Series. If you have questions about this questionnaire please contact: Julia Neily, RN, MS, MPH Associate Director National Center for Patient Safety, Field Office (802) 295-9363 ext. 6417 or Pat Quigley, PhD, MPH, ARNP, CRRN, FAAN, FAANP Associate Director, VISN 8 Patient Safety Center of Inquiry, James A. Haley VAMC (118M) ACNSR, HSR&D/RRD Center of Excellence: Maximizing Rehabilitation Outcomes 8900 Grand Oak Circle Tampa, FL 33637-1022 Phone: 813-558-3912