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161. Transforming Hospitals | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
     December 01, 2017 - By 2020 the estimated annual cost of fall injuries for older people will exceed $30 billion. 7-8 Now … Interventions for the Prevention of Falls in Older Adults: Systematic Review of Meta-Analysis of Randomized … A Collaborative Occupational Therapy and Nursing Approach to Falls Prevention in Hospital Inpatients. … Validation of the Hendrich II Fall Risk Model: A Large Concurrent Case/Control Study of Hospitalized

162. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
     January 01, 2019 - Fall Prevention in Hospitals Training Program https://www.ahrq.gov/professionals/systems/hospital/fallpxtraining … Hospitals participating in this pilot implementation of the training program and toolkit reduced their fall … and fall with injury rates and sustained these reductions for a year (the period during which hospitals … consists of a five-module curriculum and a series of companion webinars on specific topics related to fall … prevention.

163. On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
     December 01, 2017 - This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention … home staff generally do a good job of investigating and following up after an adverse event, such as a fall … we be sure to instruct the nursing assistant to stay close by when she was ambulating, to prevent a fall … This section asks what types of prevention care planning is discussed at staff meetings. … The goal is to focus on prevention improvement.

164. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
     December 01, 2016 - Prevention of approximately 87,000 deaths in the 2011 to 2014 period as a result of the decline in HACs … The earlier estimates had been wrongly based on the full cost of a hospital stay that included a fall

165. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
     December 01, 2016 - Prevention of approximately 87,000 deaths in the 2011 to 2014 period as a result of the decline in HACs … The earlier estimates had been wrongly based on the full cost of a hospital stay that included a fall

166. Preventablehospitalandedvisits-Implmatl (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
     June 03, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention AHRQ … Yes No >1 hospitalization or ED visit in the past 3 months   >1 fall in the past 3 months   Active … stasis ulcer)   Polypharmacy (15 or more medications)   Presence of catheter or ostomy   Fall … Section 2: Preventable Hospital Transfer and ED Visits - Prevention Plan For residents at risk: … This section of the assessment will help identify how your facility communicates the hospital prevention

167. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
     October 01, 2017 - How do you measure pressure injury prevention practices? … Measuring Pressure Ulcer Rates and Prevention Practices —AHRQ Pressure Injury Prevention Program Training … Measuring pressure injury prevention practices. … Pressure injuries fall under safety and quality, in the far left column. … Slide 38 Say: Risk assessment is the cornerstone of prevention.

168. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
     January 01, 2025 - ; adverse drug events or medication errors; resident altercations or other types of abuse; and non-fall … Most of the computer-based incident reporting research has targeted prevention of incidents, such as … 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.

169. Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
     December 01, 2014 - The earlier estimates had been wrongly based on the full cost of a hospital stay that included a fall

170. Engaging the Nurse, Physician, Patient/Family, CUSP- Learn From Defects | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-slides.html
     August 01, 2018 - Including patient/family in rounds Supporting family presence Including patient/family in CAUTI prevention … , especially CAUTI prevention? … Retrieved from http://www.ipfcc.org Centers for Disease Control and Prevention. … Slide 60 Image: Sample Post Fall Huddle report. … Slide 61 Image: Sample Post Fall Huddle report continued.

171. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=11
     January 01, 2024 - Grant Number: R03 HS 018258 Topic(s): Fall Prevention, Safe Practices Publication Date: September

172. 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 … teams can use the report to track patterns, follow up on areas of decline, and monitor progress of new prevention

173. Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2014-ap1.html
     November 01, 2015 - The earlier estimates had been wrongly based on the full cost of a hospital stay that included a fall

174. Appendix | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-appendix.html
     October 01, 2015 - The earlier estimates had been wrongly based on the full cost of a hospital stay that included a fall

175. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
     November 30, 2013 - contributing to transfer risk: use of oxygen, catheter or ostomy, any pressure ulcer other than stage I, fall … Oxygen therapy. • Presence of catheter or ostomy. • Presence of stage II or greater pressure ulcer. • Fall … risk or previous fall in last 90 days. • Late-loss ADL score ≥12. • Cognitive impairment • Certain medical … neurological, gastrointestinal/genitourinary, endocrine/metabolic/nutrition, wound and skin, injury (fall … teams can use the report to track patterns, follow up on areas of decline, and monitor progress of new prevention

176. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-ref.html
     May 01, 2023 - Office of Disease Prevention and Health Promotion. … Office of Disease Prevention and Health Promotion. National Action Plan for ADE prevention. … Centers for Disease Control and Prevention. Pregnancy Mortality Surveillance System. … The direct medical costs of healthcare-associated infections in U.S. hospitals and the benefits of prevention … Guideline for prevention of catheter-associated urinary tract infections 2009.

177. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
     November 19, 2015 - Prevention of approximately 87,000 deaths in the 2011 to 2014 period as a result of the decline in HACs … The earlier estimates had been wrongly based on the full cost of a hospital stay that included a fall

178. Integrating Teamwork Tools into CUSP Efforts | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-slides.html
     December 01, 2017 - Slide 3 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?

179. Making It Work Tip Sheet: Empowering Nurses To Implement Nurse-Driven Protocols for Reducing CAUTI in the ICU Setting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses.pdf
     April 01, 2022 - The staff shared that the male device shaped like a condom did not fit many anatomy types and would fall … CAUTI prevention and urinary catheter maintenance. American Nurse. … Catheter-associated urinary tract infection: a successful prevention effort employing a multipronged … Implementation of a nurse-driven CAUTI prevention algorithm. Nurs Clin North Am. 2019;54(1):81-96. … Prevention of nosocomial catheter-associated urinary tract infections through computerized feedback

180. 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.ppt
     January 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 … “An ounce of prevention is worth a pound of cure.”