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361. Section 4. How Do You Use the Health Assessment Information You Collect? | Agency for Healthcare Research and Quality
     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

362. Puh-Factraining-Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
     December 15, 2016 - EMR, data to make staff aware of residents at risk of adverse events such as pressure ulcers and falls … prevent four adverse events: pressure ulcers, pressure ulcers that are not healing appropriately, falls … On-Time reports for preventing falls and avoidable hospitalizations are currently in development. …  Pressure Ulcer Healing, Falls, and Avoidable Hospitalization reports and worksheets have been … is designed to identify residents at risk for the adverse event of interest (e.g., pressure ulcers, falls

363. EvidenceNOW in Action | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
     March 01, 2021 - Steven Brantley (Klamath Falls, OR)   Using Data To Tackle Undiagnosed Hypertension and Improve

364. Early Mobility in the Intensive Care Unit: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
     February 01, 2017 - These included: five falls to knees without injury, four with systolic blood pressure less than  90 mmHg … from agitation to transient physiological events to dislodgements of catheters and other devices to falls … , though none of the falls described were serious, and they were rare.

365. Module 3 Slides
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module3/ts2-0ltc_module3_slides_comm.pptx
     December 01, 2005 - response to treatment Safety: Critical lab values/reports, socioeconomic factors, allergies, and alerts (falls

366. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module5/ts2-0ltc_module5_slides_sitmon.pptx
     February 03, 2006 - Johnson, who uses a walker, falls while trying to walk independently to her bathroom.

367. How To Manage Change
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
     November 20, 2014 - Process Change process strategies can be applied to other quality improvement (QI) efforts: Hospital falls

368. newbref
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module3/slcommunication.pptx
     December 01, 2005 - response to treatment Safety: Critical lab values/reports, socioeconomic factors, allergies, and alerts (falls

369. Making Health Care Safer II, Executive Summary (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
     March 01, 2013 - safety problems that occur approximately once per 100 hospitalizations as “common;” examples include falls … The scope must also consider the severity of each event; for instance, most falls do not result in injury … radiation exposure or to help prevent stress-related gastrointestinal bleeding; and moderate, for PSPs falling … Moderate Safety Practices for Hospitalized Elders Multicomponent interventions to prevent in-facility falls … Encouraged patient safety practices • Multicomponent interventions to reduce falls • Use of clinical

370. CHIPRA 119 Section 2, Detailed Measure Specifications (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-2.pdf
     May 18, 2018 - qualifying temperature (usually the first temperature after arrival to the Level 2 or higher nursery) falls … Each is determined by the number of children whose reported temperature falls within the criteria for

371. Safe Practices for Better Health Care (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
     April 01, 2004 - Use of identification bracelets to alert providers of patients who are susceptible to falls. 2. … Use of specialized hospital flooring to reduce injury from patient falls. 3. … Use of medical device alarms to prevent falls. 12. … shield hip protectors padded or constructed with foam-type materials to prevent harm from patient falls

372. Fallpxtool1A (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1a.docx
     January 01, 2004 - For example, it may be difficult for your hospital to overcome chronic underreporting of falls if you

373. Leading Indicators Group: (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2b.docx
     January 15, 2016 - Leading Indicators Group: 2B: Quality Improvement Process Background: This tool was originally part of the Turning Point Initiative and was updated in 2012 as part of the Public Health Performance Management System Framework. It can be used to assess if an organization has the needed systems in place to improve qual…

374. Learning from Errors in Ambulatory Pediatrics (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
     February 01, 2004 - reported in several domains: prevention, diagnosis, treatment, patient identification, communication, falls … diagnostic, medication related, surgically related, aftercare related, other medical treatment related Falls … Patient falls within the clinic setting Equipment Equipment maintenance, functioning, availability … (13) Medical treatment 56 (38) Patient identification 4 (3) Communication to patient 12 (8) Falls … (Problem type: Communication) Falls “Pt. got tetanus shot. Claimed to be OK after.

375. 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
     ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhac2013-ap2.html
     December 01, 2014 - Central Line-Associated Bloodstream Infections 18,000 9,200 8,800 49% $149,600,000 1,628 Falls

376. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
     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

377. Emergency Department Workflow Diagrams (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/ed-workflowdiagrams.pdf
     January 01, 2018 - Emergency Department Workflow Diagrams Emergency Department Workflow Diagrams Ambulatory patient arrives. Provider assigns patient to self and evaluates patient. Diagnostic testing including labwork and chest x-ray. Diagnosis CAP? Pursue other diagnoses. Inpatient treatment warranted? Based on clin…

378. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
     November 30, 2013 - Disease Asthma Circulatory Problems Hypertension or Renal Failure Gastroenteritis Angina Pectoris Falls

379. Lessons in Safety Climate and Safety Practices from a California Hospital Consortium (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
     April 01, 2003 - set a short- term patient safety performance goal of a 20-percent reduction in medication errors, falls … Several consortium hospitals reported falling into this trap at some point in time. … Employees at one consortium facility examined data on adverse events and realized that patient falls … As they reviewed the data, employees noticed that most falls were occurring in one particular unit. … As a result, falls decreased significantly.

380. Module 5 Instructor Slides (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module5/ts2-0ltc_module5_slides_sitmon.pdf
     June 27, 2017 - Johnson, who uses a walker, falls while trying to walk independently to her bathroom.