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41. Module 2: How To Manage Change—Training Guide | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
    September 01, 2017 - Prevention Program Implementation Guide Fall Prevention in Hospitals—Webinars Preventing Falls … Ask: Do you currently assess staff knowledge related to falls? What tools do you currently use? … current policies and practices, you have an understanding of what your hospital currently does to prevent falls … You may already have a sense of what needs to change to decrease falls.

42. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/index.html
    March 01, 2024 - The toolkit has reduced falls by 25 percent in acute care hospitals and is used in more than 100 hospitals … Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care focuses on overcoming the challenges … Hospitals Training Program supports the training of hospital staff on how to implement AHRQ's Preventing Falls

43. Long-term Care Facilities | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/index.html
    September 01, 2021 - represent a patient safety problem, and they can be a signal that the resident is at increased risk for falling … employ to improve patient safety, create a more resident-centered environment, and reduce the number of falls

44. Module 4: How To Implement the Fall Prevention Program in Your Organization—Slide Presentation | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/slides.html
    September 01, 2017 - Prevention Program Implementation Guide Fall Prevention in Hospitals—Webinars Preventing Falls … Slide 4: Implementation Planning Goals Determine the role/responsibilities of staff in preventing falls … Tracking care processes to prevent falls is a measure of implementation success, and it should translate

45. Hospital Resources | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/resource/about.html
    December 01, 2017 - Hospitals Training Program to support the training of hospital staff on how to implement AHRQ’s Preventing Falls … Preventing Falls in Hospitals Each year, somewhere between 700,000 and 1,000,000 people in the United … Research shows that close to one-third of falls can be prevented.

46. Pressure Ulcer Prevention Toolkit (doc file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
    August 02, 2017 - Completion Date for Plan Fall Rates (e.g., falls per 1,000 occupied bed days) are calculated

47. Module 2: How To Manage Change (doc file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_fall-prevention.docx
    August 24, 2017 - ASK: Do you currently assess staff knowledge related to falls? What tools do you currently use? … current policies and practices, you have an understanding of what your hospital currently does to prevent falls … You may already have a sense of what needs to change to decrease falls.

48. Agency for Healthcare Research and Quality
    teamstepps.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

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

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

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

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

53. 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
    teamstepps.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.

54. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
    teamstepps.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

55. Patient Safety Tools | Agency for Healthcare Research and Quality
    teamstepps.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

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

57. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    teamstepps.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

58. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    teamstepps.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

59. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
    teamstepps.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

60. Spreadnotes (doc file)
    teamstepps.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