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cahps.ahrq.gov/patient-safety/settings/multiple/project-echo/index.html
December 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … mentorship to nursing homes across the country to increase the implementation of evidence-based infection prevention … As of Fall 2020, nearly one-quarter of the known COVID-19 deaths in the United States have been nursing
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cahps.ahrq.gov/funding/grantee-profiles/index.html
April 01, 2024 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Medical Director of Epidemiology and Infection Prevention
Professor, Infectious Diseases, School of … With AHRQ funding, I’ve been able to provide hospitals and primary care practices with falls prevention
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cahps.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - No other patient
safety event was identified in the record (e.g., fall, pressure injury, medication … o Assisted or unassisted fall
o Type of injury as a result of fall
o Risk assessment prior to fall … o At risk of fall
• Healthcare-associated infection
o None
• Medication and other substance
o … stage of pressure ulcer
o Stage on admission
o Admission skin inspection documented
o Pressure ulcer prevention … Some of these explanatory statements were
related to fall and pressure ulcer events, while others were
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cahps.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html
March 01, 2016 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Rates at which patients fall and incur injury during a hospital stay. … receiving recommended hospital care for specific conditions such as heart attack, pneumonia care, and prevention
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cahps.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/mcc.html
July 01, 2023 - Data & Measures
Digital Healthcare Research
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Hospitals & Health Systems
Prevention … Tools
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Clinicians & Providers
Hospitals & Health Systems
Prevention … Research Special Supplement: The Science of Care for People With Multiple Chronic Conditions
The Fall … AHRQ's Research Agenda for Transforming Care for People With Multiple Chronic Conditions in the Fall
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cahps.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Data & Measures
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Hospitals & Health Systems
Prevention … Tools
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Hospitals & Health Systems
Prevention … Comparison to 2010 AHRQ estimates
Summary
Despite advancements in infection control and injury prevention … Quality (AHRQ),Centers for Medicare & Medicaid Services (CMS), and the Centers for Disease Control and Prevention … Falls
Fall during an inpatient admission, with or without injury, whether or not fall was assisted.
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cahps.ahrq.gov/hai/cusp/modules/spread/notes.html
December 01, 2012 - Data & Measures
Digital Healthcare Research
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Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … For example, for a falls prevention program, quantitative measures to evaluate can include the falls … rate and the number of patients with fall risk assessments. … Seven Spreadly Sins 5
Say:
Even with the best intentions, organizations can fall victim to what
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cahps.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/menus.html
February 01, 2022 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Fall-out analysis and Pareto charts:
Analyzing why patients "fall-out" of a measure. … Steps for conducting a fall-out analysis.
Pareto charts.
Steps for creating a Pareto chart.
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cahps.ahrq.gov/research/publications/index.html
October 01, 2018 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … The AHRQ Publications Clearinghouse closed in Fall 2018 and we no longer offer printed copies of AHRQ
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cahps.ahrq.gov/news/newsletters/e-newsletter/893.html
December 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care to help guide the creation of the “Fall-Free
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cahps.ahrq.gov/topics/hospital-readmissions.html
January 01, 2012 - Data & Measures
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Hospitals & Health Systems
Prevention … Tools
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Hospitals & Health Systems
Prevention … Recent Research Studies
Medicare's hospital readmission reduction program reduced fall-related
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cahps.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Provides additional detail for the most frequently occurring events, e.g., not just fall rates over a
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cahps.ahrq.gov/patient-safety/settings/hospital/resource/guide/index.html
June 01, 2017 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall … Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered
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cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
August 01, 2022 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall … Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered
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cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
August 01, 2022 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall … Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered
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cahps.ahrq.gov/news/newsroom/case-studies/cquips0611.html
October 01, 2014 - Data & Measures
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Education & Training
Hospitals & Health Systems
Prevention … Tools
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Clinicians & Providers
Hospitals & Health Systems
Prevention … Staff completed the survey in August 2005, and the analysis was completed that fall.
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cahps.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
July 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention
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cahps.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
December 01, 2017 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall … Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered … The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes
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cahps.ahrq.gov/talkingquality/distribute/index.html
September 01, 2017 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … For example:
If the goal is to release a performance report in early fall so that health plan enrollees
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - with medication error
∗ Death associated with medical device
∗ Healthcare-associated infection
∗ Fall … with adverse drug event
∗ Death related to medical device
∗ Healthcare-associated infection
∗ Fall … STK-8 Stroke Education
• STK-10 Assessed for Rehabilitation
IQI 19 Hip Fracture Mortality Rate
• Fall … prevention practices (PSI 08 Post-operative Hip Fracture Best Practice Detail Form)
IQI 20 Pneumonia