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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
September 01, 2015 - infection, immobility (Foley is considered a "one-point
restraint"), hospital-acquired pressure ulcers, falls
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/slintro-cx062819.pptx
January 01, 2011 - and Teamwork
Across Units
Incremental changes evident
through reduction of
nosocomial infections, falls
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/slintro.pptx
January 01, 2011 - and Teamwork
Across Units
Incremental changes evident
through reduction of
nosocomial infections, falls
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T2-Antibiotic_Pocket_Cards.pdf
May 01, 2014 - Nonspecific symptoms or signs not referable to the urinary
tract, such as falls or mental status change
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
April 02, 2008 - is limited to five items—nosocomial
infections, pressure ulcers, delirium, venous thrombosis, and falls—rather … 10 taxonomy areas
“SBAR” (Situation/Background/Assessment/Recommendation) Nurse staffing ratios
“Falls … Communication” Look-alike, sound-alike drugs
“Medication errors” Human factors engineering
“Patient falls … ” Patient falls
“CPOE” (computerized provider order entry) Nosocomial infections
“Patient safety”
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
July 01, 2023 - Other examples of effective check-backs include:
One member of the team calls out, "BP is falling, … BP is falling and at 80/48, down from 90/60."
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/multidiscplinary-rounding.pdf
April 01, 2022 - healthcare-associated infection prevention efforts
• Performance improvement specialist – safety, pressure injury, and falls
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptflow/acknowledgements.html
July 01, 2018 - Henry Ford Hospital
Detroit, MI
Elmhurst Hospital Center
Elmhurst, NY
Inova Fairfax Hospital
Falls
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ce.effectivehealthcare.ahrq.gov/cpi/about/otherwebsites/qualityindicators.ahrq.gov/qualityindicators.html
July 01, 2018 - diagnostic centers) or populations (e.g., mental health or substance abuse, emergency preparedness, patient falls
-
ce.effectivehealthcare.ahrq.gov/topics/outcomes.html
Patients
AHRQ Toolkit Helped Madonna Rehabilitation Hospital Reduce Patient Falls by 21 Percent
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule11.pptx
November 02, 2018 - As an example, in our falls prevention program, we identified that the units we needed to focus was med … And that's because we had identified an increase of falls in this area. … include our pharmacist, to give her expertise in the relationship of medications and high risk for falls … We've been able to decrease the falls in patients, and we've been at zero level of falls with significant … During our falls prevention program it was very important to have our change team meet very frequent
-
ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=475
January 01, 2024 - Emergency Preparedness
(26)
Evidence-Based Practice
(932)
Eye Disease and Health
(36)
Falls … Keywords: Health Information Technology (HIT), Web-Based, Falls, Hospitals
Newman-Toker DE … Keywords: Patient Safety, Health Information Technology (HIT), Elderly, Falls
Liu KY , Haukoos
-
ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - frequently occurring events, e.g., not just fall rates over a given time, but also the percentage of falls
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_slides_intro.pdf
June 12, 2017 - Teamwork
Across Units
■ Incremental changes evident
through reduction of
nosocomial infections, falls
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-slides.pptx
January 01, 2017 - Mechanically Ventilated Patients
Adverse Events4
9 patients had 14 adverse events (<1% of activities)
Falls … Safety
Adverse events ranged from agitation to transient physiological events to dislodgements and to falls … (none of the falls were considered serious)
Adverse events ranged from 2.3 to 8.7 per 100 patients3-
-
ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/index.html
July 01, 2023 - Harms such as adverse drug events, healthcare-associated infections, falls, and obstetric adverse events
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1b.docx
January 28, 2013 - 1B: Stakeholder Analysis
Background: The purpose of stakeholder analysis is to help program initiators identify which departments and individuals will have an interest in the program, where barriers might exist, and what actions need to be taken to obtain the buy-in and participation of those departments and individual…
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
November 01, 2017 - Falls Prevention
For each topic, the Web site provides a description of the reports and suggested meetings
-
ce.effectivehealthcare.ahrq.gov/ncepcr/tools/assessments/health-4.html
September 01, 2013 - codes for the chronic disease diagnoses you evaluated and treated at the visit (e.g., hearing loss, falls
-
ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/comments-pso-draft-report.html
February 01, 2021 - Although we still see too many events such as adverse drug reactions, infections, or falls, momentum