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Declines in Hospital Acquired Conditions (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdfJune 02, 2025 - Declines in Hospital Acquired Conditions Declines in Hospital- Acquired Conditions National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries from falls helped prevent 8,000 deaths and saved $2.9 billion between 2014 and 2016. Adverse Drug Events CAUTI* *CAUTI - Catheter-… -
Job Aid: 5 Whys and Fishbone Diagrams (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdfJune 02, 2025 - can be used on their own or as a follow-up to techniques like the “last 10 patients” chart audit or fall-out -
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form_Word_doc_for_html_only.docJune 02, 2025 - Fall Yes No ? If Yes: Witnessed Yes No ? Hit head Yes No ?
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www.ahrq.gov/sops/bibliography/index.html?page=3January 01, 2025 - The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: A quasi-experimental
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdfAugust 01, 2017 - Risk On-Time Fall Risk indicator or facility- defined source Use vendor inputs. … IF fall date within 7 days of report date, then Fall Risk is true and display X. 7 Column Header … then display X in Wound • Infected wound or decubitus ulcer • Jaundice • Rash 10 Injury: Fall … Related Transfer Note • • Major injury Minor injury IF either selected, then display Fall … either selected, then display Non-Fall Related column.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/French.pdfApril 27, 2004 - Introduction Certain medications have been identified as risk factors for fall-related injuries, … BZDs) are generally acknowledged as a class of medications that are an independent risk factor for fall-related … Fall-contributing adverse effects of the most frequently prescribed drugs. … Health care utilization and costs in a Medicare population by fall status.
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www.ahrq.gov/cahps/news-and-events/events/20131008_cg/webcast_10_08_13_cg.htmlJuly 01, 2018 - Clinician & Group Survey The CAHPS Improvement Guide Read Service Expectations poster (PDF, 161 KB) – Fall
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdfApril 21, 2008 - and 3; pain medication management, 42 and 4; medication management in the pharmacy, 240 and 3; and fall … In Hospital B, the focus of the human factors visit was failure of staff to adhere to fall prevention … policies and procedures, including use of bed alarms, patient fall risk identifiers, and their staff … we had not explored with staff, by requesting their feedback, why they were not complying with the fall … These redundancies in reporting interfered with staff compliance with our fall policy and procedures
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Declines in Hospital-Acquired Conditions (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdfJanuary 01, 2019 - Declines in Hospital-Acquired Conditions Declines in Hospital- Acquired Conditions National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries from falls helped prevent 20,700 deaths and saved $7.7 billion between 2014 and 2017. Adverse Drug Events -28% CAUTI* -5% CLAB… -
AHRQ Slide Template 2004 (ppt file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/spectorhudak.pptDecember 01, 2013 - AHRQ Slide Template 2004 On-Time Prevention Program for Long Term Care: Clinical Decision Support William Spector, Ph.D. AHRQ Sandra Hudak, MS RN SLH Clinical Consulting Presentation at AHIMA June 17, 2013 Baltimore, MD Using HIT for Prevention in Nursing Homes Pressure ulcers, falls, and preventable hospitali… -
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/spectorhudaktxt.htmlDecember 01, 2017 - On-Time Prevention Program for Long Term Care: Clinical Decision Support Slide Presentation On June 17, 2013, William Spector and Sandra Hudak made a presentation at the American Health Information Management Association (AHIMA) Long-Term and Post-Acute Care (LTPAC) Health IT (HIT) Summit. This is the text ve…
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www.ahrq.gov/es/sops/bibliography/index.html?page=3January 01, 2025 - The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: A quasi-experimental
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Slide 1 (ppt file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/business_case-slides/The-Business-Case-for-CUSP-Jan-17-2012-508.pptJanuary 01, 2012 - How Hospital Costs Behave Fixed costs Hold constant regardless of volume Variable costs Rise and fall … How Hospital Costs Behave Fixed costs Hold constant regardless of volume Variable costs Rise and fall -
CAHPS Home Health Care Survey (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/home/about/about-cahps-home-health-care-survey-rev.pdfSeptember 01, 2017 - Consortium initiated the process by conducting a literature review and issuing a call for measures in the fall … The revised survey was submitted to the Centers for Medicare & Medicaid Services in the fall of 2008 -
www.ahrq.gov/hai/pfp/interimhac2013-ref.htmlDecember 01, 2014 - Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Fall prevention in acute care hospitals: a randomized trial. JAMA 2010;304(17):1912-8.
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www.ahrq.gov/hai/pfp/hacrate2013-refs.htmlOctober 01, 2015 - Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Fall prevention in acute care hospitals: a randomized trial. JAMA 2010;304(17):1912-8.
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www.ahrq.gov/patient-safety/news-events/summit-research-2020/appendix.htmlMarch 01, 2021 - relevant to safety (e.g., health care resilience) are included among the topics, and many of these fall
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.htmlSeptember 01, 2017 - POLST Order in Place Oxygen Therapy Catheter or Ostomy Present Stage II or > Pressure Ulcer Fall … 14 10 0 Table (continued) Reason for Transfer Resident Injury: Fall … Related Injury: Not Fall Related Musculoskeletal Symptoms Abnormal Labs or Anemia Fever/Possible … Transfers That Result in Observation Stays or ED Visits or Hospital Visits Total Counts Fall-Related … Injury Non-Fall-Related Injury Abnormal Lab Results Fever/Possible Infection Malaise/Fatigue
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www.ahrq.gov/sites/default/files/2025-02/castle-report.pdfJanuary 01, 2025 - ; adverse drug events or medication errors; resident altercations or other types of abuse; and non-fall … Falls and fall prevention in the nursing home. Clin Geriatr Med 1996;12:881-902. 7. … The effect of a menu-driven incident reporting system on the post-fall evaluation process in nursing … Studying fall risk factors among nursing home residents who fell.
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www.ahrq.gov/talkingquality/translate/organize/disease.htmlMay 01, 2019 - Health Care Financ Rev. 1996 Fall;18(1):95-109.
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