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61. HCBS CAHPS Survey Database: What You Need to Know - INTRO (pdf file)
    monahrq.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

62. Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/tools/index.html?page=2
    September 01, 2023 - Date Published: June 2016 Setting of Care: Hospital Preventing Falls in Hospitals … Date Published: January 2013 Setting of Care: Hospital Preventing Falls in

63. Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/es/tools/index.html?page=2
    September 01, 2023 - Date Published: June 2016 Setting of Care: Hospital Preventing Falls in Hospitals … Date Published: January 2013 Setting of Care: Hospital Preventing Falls in

64. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
    monahrq.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
    October 01, 2015 - Reduction of falls-related injuries using a hospital inpatient falls prevention program. … Evidence-based practice: a falls prevention program that continues to work. … Medicare nonpayment, hospital falls, and unintended consequences. … Preventing falls and eliminating injury at Ascension Health. … VHA’s national falls collaborative and prevention programs.

65. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
    monahrq.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

66. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
    monahrq.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

67. Health Care Facility Design Safety Risk Assessment Toolkit | Agency for Healthcare Research and Quality
    monahrq.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

68. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
    monahrq.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

69. 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
    monahrq.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.

70. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
    monahrq.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

71. Patient Safety Tools | Agency for Healthcare Research and Quality
    monahrq.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

72. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    monahrq.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

73. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/sops/about/patient-safety-culture.html
    March 01, 2022 - Hospital units with more positive SOPS scores had: Fewer hospital-acquired pressure ulcers and patient falls … Medicare & Medicaid Services (CMS) Nursing Home Five-Star Quality ratings. 5 Lower risks of resident falls

74. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - CLABSIs MPSMS (2014) Blood Stream Infections Associated With Central Venous Catheters 5,000 0.2 Falls … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2014) … Bloodstream Infections 18,000 5,000 13,000 72% $221,000,000 2,405 Falls … 50% 50% 25% 10,000 $17,000 .185 $170,000,000 1,850 Falls … 1,040,500 NA NA $9,141,150,000 35,647 * Additional costs per HAC for Falls

75. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - Blood Stream Infections Associated With Central Venous Catheters 17,000 0.52 17,000 0.51 Falls … MPSMS In-Hospital Patient Falls 260,000 7.80 230,000 7.16 Obstetric Adverse Events PSI

76. F | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/topics/f.html
    March 30, 2024 - Information in Spanish Topics Browse A - Z F Fact Sheets Falls

77. Spreadnotes (doc file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
    August 28, 2012 - For example, if a hospital is engaged in an organization-wide improvement initiative to decrease falls … Having the Newborn Critical Care Center complete a falls risk assessment for each patient for each shift … For example, for a falls prevention program, quantitative measures to evaluate can include the falls

78. Assessing the Impact of Value-Based Purchasing Programs | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-waters.html
    February 01, 2022 - catheter-associated urinary tract infections (CAUTI), central-line bloodstream infections, (CLABSI) falls … change dropped by 11 percent for CAUTI and 10 percent for CLABSI but remained essentially the same for falls

79. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/hai/pfp/haccost2017.html
    November 01, 2017 - Falls. Obstetric Adverse Events. Pressure Ulcers. Surgical Site Infections. … Catheter-Associated Urinary Tract Infections          Central Line-Associated Bloodstream Infections          Falls … ) Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Beginning in 2008, CMS identified the HACs (e.g., CAUTI, falls and trauma, surgical site infection) for … Falls Fall during an inpatient admission, with or without injury, whether or not fall was assisted.

80. CUSP Toolkit Spread Facilitator Notes | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/hai/cusp/modules/spread/notes.html
    December 01, 2012 - For example, if a hospital is engaged in an organization-wide improvement initiative to decrease falls … Having the Newborn Critical Care Center complete a falls risk assessment for each patient for each shift … For example, for a falls prevention program, quantitative measures to evaluate can include the falls