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ce.effectivehealthcare.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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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - On-Time provides EMR reports for
improving clinical decisionmaking for pressure ulcer prevention, pressure … ulcer healing,
prevention of inappropriate hospitalizations, and falls prevention. … 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 … either selected, then display
Non-Fall Related column.
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-6.html
July 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … For example, a clinician may recommend a wearable technology to assess a patient’s fall risk. 29 The … risk and near falls and notify family members or the clinician if a fall occurs. … In fall 2022, the FDA provided updated guidance on designation of software as a medical device (SaMD)
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide8.html
May 01, 2016 - Data & Measures
Digital Healthcare Research
Education & Training
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 … Implement the VTE Prevention Protocol
Chapter 6. Track Performance with Metrics
Chapter 7. … Indeed, the improvement in the venous thromboembolism (VTE) prevention process a team engineers can serve
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
January 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…
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ce.effectivehealthcare.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 … Injury Non-Fall-Related Injury Abnormal Lab Results Fever /
Possible Infection Malaise/Fatigue Potential … rate)
Enables clinicians to track patterns, follow up on areas of decline, and monitor progress of new prevention
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-slides.html
December 01, 2017 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Universal and Targeted
Tools
Ambulatory Surgery Centers Toolkit
CLABSI and CAUTI Prevention … Improving Your Laboratory Testing Process
Mechanically Ventilated Patients Toolkit
MRSA Prevention
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs.html
March 01, 2024 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … The papers fall under two types—either a "call to action" or a "state of the science."
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/evidence-base/additional.html
June 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Effectiveness of team training on fall prevention. Journal of Nursing Care Quality .
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/references.html
July 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 … Adverse Drug Events Prevention Study Group. JAMA 1997; 277(4):307-11.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts.ppt
October 01, 2015 - .
*
*
ED Improvement Intervention
Goals: Best practice techniques for CAUTI Prevention
Technical … ED nurse is assigned to an 87 year old female patient being seen for possible wrist fracture after a fall … If so, how can CAUTI prevention be integrated into the program?
*
Thank you!
Questions?
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ce.effectivehealthcare.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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ce.effectivehealthcare.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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ce.effectivehealthcare.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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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide3.html
February 01, 2016 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall … Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered … Implement the VTE Prevention Protocol
Chapter 6. Track Performance with Metrics
Chapter 7. … Know What the Literature Says About the Risk of Venous Thromboembolisms and Measures for Prevention … Patients undergoing most other surgical procedures requiring hospitalization fall into the moderate-risk
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions4.html
June 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Lane-Fall, et al., have done extensive work examining both the effectiveness of a standardized OR-to-ICU … Subsequent work by Lane-Fall, et al., expands on these findings in an ongoing larger hybrid effectiveness-implementation
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-asthma-section-5-table-3.pdf
February 19, 2016 - National
Asthma Education and Prevention
Program. … Global Strategy for Asthma
Management and Prevention. 2014.
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ce.effectivehealthcare.ahrq.gov/topics/hospital-readmissions.html
January 01, 2012 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Recent Research Studies
Medicare's hospital readmission reduction program reduced fall-related
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.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
-
ce.effectivehealthcare.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