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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas3.html
March 01, 2013 - Because each community is unique, the utility and relevance of the measure domains that fall into the … Socioecological model
Division of Cancer Prevention and Control, National Center for Chronic Disease … Prevention and Health Promotion. (2011). … Measures of these structural factors would fall within the service capacity domain.
3.4.2 Relationships … 3, are also essential domains of measurement for understanding clinical-community relationships for prevention
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www.ahrq.gov/cpi/about/nac/naa-snac.html
January 01, 2025 - on behalf of HHS, a Federal planning committee (including AHRQ, the Centers for Disease Control and Prevention … Overview The 16-member subcommittee met four times in fall 2023 to discuss the following topics: The
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overview.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Prevention
Overview of On-Time
The Agency … Pressure ulcer prevention in long-term-care facilities: a pilot study implementing standardized nurse … Evaluation of AHRQ's On-Time pressure ulcer prevention program: a facilitator-assisted clinical decision … On-Time Topics
Pressure Ulcer Prevention .
Pressure Ulcer Healing . … Falls Prevention
Return to On-Time Home Page
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2025.xlsx
January 01, 2025 - Gen_4
Contributing Factors by Event Type Gen_5
Contributing Factors by Report Type Gen_6
Near Miss Prevention … qualifications 217 0.6%
Unsafe condition Supervisor/Support * *
GEN_7
Near Miss Prevention … Actions within Event Types
Event type Near Miss Prevention Action Event Frequency Event Percent
Blood … 16.9%
Multiple Other: Please specify 23 10.8%
NOTE: Percentages shown are the percentage of near miss prevention
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www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroupmeeting-notes-july2022.pdf.pdf
November 03, 2022 - following agencies:
AHRQ Agency for Healthcare Research and Quality
CDC Centers for Disease Control and Prevention … Reviewing revised
resource and hope to post in the Fall. … Additional supporting material are anticipated in Fall 2022.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
April 01, 2025 - Improving Fall Detection and Prevention
AHRQ also funded projects exploring strategies for the detection … and prevention of patient falls in a variety
of healthcare environments … sensor-based technology designed to
unobtrusively monitor patient activity (i.e., related to falls and fall … By detecting falls or increased fall risk early with sensors in the home, this new
technology can act … AHRQ Investments
Examples of Project Findings
Reducing Hospital-Associated Infections
Improving Fall
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www.ahrq.gov/hai/cusp/toolkit/content-calls/org-embrace-slides/slides.html
June 01, 2013 - Fall 2010
Slide 10. CUSP
Slide 11. Selecting CUSP Teams
Slide 12. April 2011
Slide 13. … influenza immunization
OR universal protocol
Patient Safety Committee
Root cause analysis, FMEA
Fall … prevention
Etc., etc., etc. … Fall 2010
Duke Patient Safety Course
December 2010 AHRQ Survey
Maryland Hospital Association
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www.ahrq.gov/topics/long-term-care.html
Effort to Reduce Pressure Ulcers in Virginia
AHRQ’s Safety Program for Nursing Homes: On-Time Prevention
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www.ahrq.gov/sites/default/files/2024-05/felix-report.pdf
January 01, 2024 - Overall,
21.1% of residents experienced a fall. … Overall, 6.9% of residents
experienced a fall with an injury. … 19.9% less likely to fall (SE=0.01, p<0.000). … Being underweight increased the odds of
experiencing a fall, fall with injury, or pressure ulcer but … Guidelines for nursing homes ergonomics for prevention of
musculoskeletal disorders.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/sheridan_screening_overuse.pdf
January 01, 2014 - Harms fall into different categories
such as physical, emotional/psychological, and costs:
Physical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
October 01, 2017 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Falls Prevention
Facilitator … Training
Overview of On-Time
On-Time Falls Prevention
Facilitator Training
2-day training provides … Pressure Ulcer Healing
Falls Prevention
Preventable Hospital and ED Visits
On-Time Overview
6
October … feasibility and ease of use
Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention … Programs: Reviews information on existing prevention programs
Communication: Reviews existing team
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www.ahrq.gov/prevention/resources/vision/resources/vision1.html
October 01, 2002 - legally blind/legally sighted dichotomy may inappropriately limit access to public benefits. 22 Some who fall … While preventive interventions fall outside the focus of this review, it is important to note that some
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide … It could be a patient fall, a venous thromboembolism, a medication error, ventilator-associated pneumonia
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www.ahrq.gov/action-alliance/resources/foundational-area.html
March 01, 2025 - Centers for Disease Control and Prevention (CDC) Training: Safety Culture in Healthcare Settings CDC’ … CDC Slip, Trip, and Fall Prevention for Healthcare Workers This workbook helps healthcare workers recognize … The workbook also offers support for implementing a slip, trip, and falls prevention program in a healthcare … They include measures for prevention, inpatient hospital care, patient safety, pediatric hospital care
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4. … About 1 in 3 of those who fall will fall two or more times in a year. … Extrinsic fall risk factors
Environmental hazards.
Unsafe equipment. … The first is through an immediate response to residents who fall. … of fall risk and related injuries.
4.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
September 01, 2017 - Fall risk (based on On-Time Fall Risk indicator or facility-defined source). … Fall-Related Injury. … Non-Fall-Related Injury. … clinicians can use the report to track patterns, follow up on areas of decline, and monitor progress of new prevention … clinicians can use the report to track patterns, follow up on areas of decline, and monitor progress of new prevention
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Perioperative Infection Prevention Strategies … This presentation will focus on various strategies that fall under “evidence-based infection prevention … Slide 3
MRSA and SSI Prevention Phases: Perioperative Infection Prevention Strategies
SAY:
This graphic … demonstrates the different phases of SSI prevention. … No. 25-0029
April 2025
Perioperative
Infection Prevention
| 1
AHRQ Safety Program for MRSA Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Perioperative Infection Prevention Strategies … This presentation will focus on various strategies that fall under “evidence-based infection prevention … Slide 3
MRSA and SSI Prevention Phases: Perioperative Infection Prevention Strategies
SAY:
This graphic … demonstrates the different phases of SSI prevention. … No. 25-0029
April 2025
Perioperative
Infection Prevention
| 1
AHRQ Safety Program for MRSA Prevention
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www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
January 01, 2024 - that 3.3% of the over three million HHC
patients studied had reports of emergent care related to a fall … each year) but also have a high incidence of serious injuries when they do fall, and even minor falls … Falls among older adults-risk factors and prevention strategies. … Falls among older adults-- risk factors and prevention strategies. … Childhood injury prevention at home and play.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts.ppt
June 02, 2025 - .
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*
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?