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261. Module 2: How To Manage Change—Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/slides.html
     September 01, 2017 - Prevention Program Implementation Guide Fall Prevention in Hospitals—Webinars Preventing Falls … Reference: Developed by Falls Toolkit Research Team. … Reference: Developed by Falls Toolkit Research Team.  

262. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
     July 01, 2020 - adverse drug events, and injuries due to procedures, as well as pressure ulcers/pressure injuries and falls … Line-Associated Bloodstream Infections 8,500 0.3 Clostridioides difficile Infections 86,000 2.9 Falls … -9,000 -433,000,000 -1,350 Clostridioides Infections difficile -54,000 -932,000,000 -2,380 Falls … MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma in Vaginal Delivery (PSI … MPSMS In-Hospital Patient Falls 239,286 8.04 225,199 7.57 223,106 7.50 226,642 7.62 Obstetric

263. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/index.html
     September 01, 2021 - Falls Management Program: A Quality Improvement Initiative for Nursing Facilities is an interdisciplinary … facilities to help them detect and communicate changes in a resident's condition and prevent and manage falls

264. Health Care Facility Design Safety Risk Assessment Toolkit | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
     October 01, 2020 - health care facilities can minimize such safety problems as health care-associated infections, patient falls … The toolkit: Targets six areas of safety—infections, falls, medication errors, security, injuries of

265. HCBS CAHPS Survey Database: What You Need to Know - INTRO (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-intro.pdf
     May 18, 2023 - Medicare & Medicaid Services (CMS), Baltimore, MD • Kathleen Woodward, M.S.P.H., The Lewin Group, Falls

266. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
     June 01, 2014 - 32,750,000 Discharges— Based on 2010 Baseline) 2012 PFP Measured HACs per 1,000 Discharge s Falls … MPSMS In-Hospital Patient Falls 260,000 7.80 230,000 7.16 Obstetric Adverse Events PSI OB Trauma

267. Fallpxtool1E (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1e.docx
     January 28, 2013 - Reference: Developed by Falls Toolkit Research Team.

268. Fallpxtool4D (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool4d.docx
     January 29, 2013 - Reference: Developed by Falls Toolkit Research Team.

269. Appendix B27: Living Space Inspection | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb8txt.html
     December 01, 2017 - Patient Safety News and Events Education & Training Resources The Falls … Appendix B27: Living Space Inspection Previous Page Next Page Table of Contents The Falls … Falls Engineer Instructions Text Description of Form The Living Space Inspection has

270. Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - INTRO (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-intro.pdf
     January 01, 2021 - Medicare & Medicaid Services (CMS), Baltimore, MD • Kathleen Woodward, M.S.P.H., The Lewin Group, Falls

271. Part Two: Removing the Obstacles to Practice Change | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/ena-slides/part2.html
     October 01, 2020 - We traditionally thought that a catheter was helpful in preventing falls because patients didn’t have … catheter doesn’t eliminate the urge to urinate, and tubing can actually contribute to tripping and falling … Slide 73 Catheter misperceptions: Facilitates I&O measurement Protects patient from falls Protects … invasive measurement methods: Bedpan Urinal Diaper Slide 75 Protects patient from falls

272. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/pfp/2015-interim.html
     December 01, 2016 - resources to help hospitals and other providers prevent HACs, such as infections, pressure ulcers, and falls … MPSMS (2015) Blood Stream Infections Associated With Central Venous Catheters 1,700 0.05 Falls … MPSMS (2015) In-Hospital Patient Falls 220,000 6.7 Obstetric Adverse Events PSI (2014) … Bloodstream Infections 40,000 50% 50% 25% 10,000 $17,000 .185 $170,000,000 1,850 Falls … [7] The AHRQ-developed pressure ulcer toolkit and falls toolkit are online.

273. Practice Self-Assessment Tool for Opioid Use in Older Adults (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
     December 01, 2023 - recommendations or guidance specific to older adults, such as screening for opioid-related risks (falls … provide limited guidance specific to older adults, such as screening for opioid related risks (falls … Screening for risk factors associated with opioid use in older adults, such as falls or cognitive … members about the evidence regarding specific types of risks from opioid use in older adults (e.g., falls

274. Tennessee Hospital Association Uses AHRQ Tools To Boost Patient Safety, Saving $17 Million | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201702.html
     March 01, 2017 - Injuries from falls and immobility. Obstetrical adverse events. Pressure ulcers. … Improvements in 2014 resulted in an estimated 45 percent reduction in pressure ulcers, 24 percent reduction in falls

275. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/index.html
     April 01, 2024 - More >> Reducing Patient Falls with Evidence-based Tools Patricia Dykes, Ph.D., R.N. … Harvard Medical School, Boston, MA “Patient falls can result in traumatic and costly outcomes. … With AHRQ funding, I’ve been able to provide hospitals and primary care practices with falls prevention

276. Fallpxtool2G (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2g.docx
     January 28, 2013 - Reference: Developed by Falls Toolkit Research Team.

277. Prologue: Laying the Foundation (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
     July 10, 2008 - risk-binning" methodology applied across institutions, a case-control study to determine risk factors for falls … Veterans Affairs to reduce emergency airway management difficulties, a statewide effort to encourage falls

278. Patient Safety Tools | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
     June 01, 2022 - Research shows that close to one-third of falls can be prevented. … Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care focuses on overcoming the challenges … The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities presents an interdisciplinary … represent a patient safety problem, and they can be a signal that the resident is at increased risk for falling … condition, Module Two addresses communicating changes in a resident's condition, and Module Three Addresses Falls

279. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
     January 01, 2019 - adverse drug events, and injuries due to procedures, as well as pressure ulcers/pressure injuries and falls … Line-Associated Bloodstream Infections 8500 0.3 Clostridioides difficile Infections 86,000 2.9 Falls … 9,000 -$420,000,000 -1,300 Clostridioides difficile Infections -54,000 -$920,000,000 -2,400 Falls … MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma in Vaginal Delivery (PSI … MPSMS In-Hospital Patient Falls 239,286 8.04 225,199 7.57 223,106 7.50 226,642 7.62 Obstetric

280. Appendix B. Prioritize Opportunities for Improvement | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-b.html
     September 01, 2017 - Prevention Program Implementation Guide Fall Prevention in Hospitals—Webinars Preventing Falls