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161. Timing the Distribution of a Healthcare Quality Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/distribute/timing/index.html
     March 01, 2016 - Medicare beneficiaries also participate in an open enrollment process each fall. … Health Care Financ Rev 1998 Fall;20(1):5-27. … Health Care Financ Rev 1998 Fall;20(1):5-27.

162. Appendix B19: Handout for Inservice #1, Why Falls Happen, Spanish | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/fallspxmanapb19.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4.

163. Appendix B18: Handout for Inservice #2, How to Reduce Falls in Nursing Facilities | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb18.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4.

164. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/impguide.html
     November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Implementation of the Falls Prevention Reports Note: This part of the training consists of interactive exercises and does not have any slides. If you are not part of a formal training, please read all these materials, prin…

165. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
     November 30, 2013 - Injury Major injury Minor injury Non-Fall-Related Injury Major injury Minor injury Musculoskeletal Joint … problems COPD CVA Dehydration Dementia Depression Diabetes Dysrhythmias Electrolyte imbalance Fever Fall … Psych/Neurological Gastrointestinal/Genitourinary Endocrine/Metabolic/Nutrition Wound & Skin Injury: Fall … Related Injury : Non-Fall Related Musculoskeletal Abnormal Labs or Anemia Fever/Possible Infection Malaise … Injury Non-Fall-Related Injury Abnormal Lab Results Fever / Possible Infection Malaise/Fatigue Potential

166. Enhancing Surgical Team Communication: SOPS® and TeamSTEPPS®in Action Webcast - Closing (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/06-sops-teamstepps-webcast-closing.pdf
     January 01, 2022 - The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: A quasi-experimental

167. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/intro.html
     October 01, 2014 - improve patient safety, create a more resident-centered environment, and reduce the number of falls and fall-related

168. Using Root Cause Analysis to Improve Quality and Performance | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/tools/root-cause-analysis.html
     February 01, 2025 - It reviews the “Five Whys,” Fishbone diagramming, and Fall Out analysis.

169. AHRQ Patient Safety Tools and Resources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
     January 01, 2024 - /research.jefferson.edu/connected- care-center/uncertainty-communication- toolkit.html Falls Fall … TIPS: A Patient-Centered Fall Prevention Toolkit consists of a formal risk assessment and tailored … Web: ahrq.gov/patient-safety/settings/hospital/ fall-tips Falls Management Program: A Quality Improvement … to assist nursing facilities in providing individualized person-centered care and improving their fall … connected-care-center/uncertainty-communication-toolkit.html http://ahrq.gov/patient-safety/settings/hospital/fall-tips

170. Generic Dashboard Data 2025 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2025.xlsx
     January 01, 2025 - Introduction Introduction - Generic Patient Safety Concern   The tables in this workbook present generic data on Patient Safety Concerns submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2024. The tables include distributions of events…

171. Blood Thinner Pills: Your Guide to Using Them Safely (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
     September 01, 2015 - ■ A serious fall or bump on the head. … Taking Your Blood Thinner Call your doctor and go to the hospital immediately if you have had a fall … For example, if you fall and hit your head, bleeding can occur inside your skull. … Or, if you hurt your arm during a fall and then notice a large purple bruise, this means you are bleeding

172. Appendix B20: Handout for Inservice #2, How to Reduce Falls, Spanish | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb20.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4.

173. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf
     January 01, 2023 - words, the QSRS may show that several different AEs occurred during a single hospital stay (e.g., a fall … 10.0 18.4 23.9 24.1 0.0 5.0 10.0 15.0 20.0 25.0 30.0 Other AEs Venous Thromboembolism (VTE) Fall … Fall Assisted Fall Unassisted Fall 5. … Stays 95% CI RSE (%) Birth–Maternal * * * * ≥ 30 Blood or Blood Product * * * * ≥ 30 Fall … Patient elopement * * * * ≥ 30 Patient harmed from accident associated with bedrails (other than fall

174. Appendix B28: Nursing Inspection List | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb9.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4.

175. Appendix C7: Fax Back Orders Sample | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt7.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4.

176. Chapter 6. Environment and Equipment Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man6.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4.

177. Development of the CAHPS Adult Hospital Survey | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/hospital/about/dev_adult_hp_survey.html
     January 01, 2025 - Over a 6-month period beginning in the fall of 2003, the CAHPS Team tested the instrument in five volunteer … In the fall of 2004, having concluded the instrument testing process, AHRQ and the CAHPS Team gave CMS

178. Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
     January 01, 2021 - Fall prevention process variables • Percent patients who fell assessed at risk for falling. … • Percent patients with fall prevention protocol in place at time of fall. … The report includes the graph shown, followed by a table listing the actual numeric fall rates for each … and injury fall incidence and rates. … In addition to the “report card” measures discussed above, CalNOC also provides detailed data on fall

179. Outcome Indicators for the HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
     December 01, 2012 - Rates for most of the other indicators fall between 2,000 and 8,000 admissions per 100,000 HCBS participants

180. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
     September 01, 2017 - contributing to transfer risk: use of oxygen, catheter or ostomy, any pressure ulcer other than stage I, fall … Fall risk or previous fall in last 90 days. Late-loss ADL score ≥12. … neurological, gastrointestinal/genitourinary, endocrine/metabolic/nutrition, wound and skin, injury (fall … related or not fall related), musculoskeletal, abnormal labs or anemia, fever/possible infection, malaise … injury Non-fall-related injury Abnormal labs Fever/possible infection Malaise/fatigue Potential