-
pcmh.ahrq.gov/patient-safety/settings/hospital/resource/index.html
August 01, 2022 - Improving Patient Safety Systems for Patients with Limited English Proficiency
NICU Toolkit
Preventing Falls
-
pcmh.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
-
pcmh.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
November 01, 2021 - Program for Nursing Homes: On-Time Prevention
End of Life Care
Home and Community-based Services
Falls
-
pcmh.ahrq.gov/cahps/news-and-events/events/webinar-051823.html
December 01, 2023 - Managing Consultant
The Lewin Group
Falls Church, VA HCBS CAHPS Technical Assistance (PDF, 115 KB)
-
pcmh.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
-
pcmh.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
-
pcmh.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
-
pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-11-root-cause-analysis.pdf
September 01, 2015 - analysis will require input from a clinician, as many of the factors that contribute to a patient’s
falling … these patients’ medical records and other related documents to
identify potential causes for their falling
-
pcmh.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
-
pcmh.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
-
pcmh.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
-
pcmh.ahrq.gov/news/newsletters/e-newsletter/893.html
December 01, 2023 - Chesapeake Regional Healthcare used AHRQ’s Preventing Falls in Hospitals: A Toolkit for Improving Quality … creation of the “Fall-Free Friday” initiative, which resulted in a 31 percent decrease in acute care falls
-
pcmh.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
-
pcmh.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
-
pcmh.ahrq.gov/talkingquality/measures/setting/physician/examples.html
September 01, 2019 - patients. 1
Patient Safety Measures:
Screening, risk-assessment, and plan of care to prevent future falls
-
pcmh.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."
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
January 01, 2016 - team with focus on high functioning teams
Requiring more prescriptive measures of success
Sepsis, Falls
-
pcmh.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - A Model of Care Delivery to Reduce Falls in a Major Cancer Center ( PDF , 426 KB ) Nancy E. … Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities ( PDF , 338 KB ) Patricia … VHA's National Falls Collaborative and Prevention Programs ( PDF , 578 KB ) Erik Stalhandske, et al
-
pcmh.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
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3n.docx
January 01, 2008 - 3N: Postfall Assessment, Clinical Review
Background: This protocol explains how to assess and follow injury risk in a patient who has fallen.
Reference: Adapted from the South Australia Health Fall Prevention Toolkit. Available at: www.sahealth.sa.gov.au/wps/wcm/connect/5a7adb80464f6640a604fe2e504170d4/Post+fall+manage…