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221. Table 17E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17e.html
     February 01, 2023 - 23,009 16,087 Pressure Ulcer 2,980 2,213 2,877 2,492 3,415 2,252 Injurious Falls … 19,175 17,427 20,509 17,826 Pressure Ulcer 2,820 2,361 3,195 2,436 Injurious Falls

222. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
     October 27, 2014 - 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.

223. Hospital Resources | Agency for Healthcare Research and Quality
     www.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.

224. Appendix B31: Engineer Wheelchair Inspection | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb31.html
     December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B31: … Engineer Wheelchair Inspection Previous Page Next Page Table of Contents The Falls … Falls Engineer Instructions Resident Name: ______________________   Room: ___________

225. Session 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
     October 01, 2014 - These kinds of changes put the resident at risk for falling and also may signal an underlying problem … Falls risk—e.g., the resident reaches for objects when in a wheelchair. … Sleeping—e.g., the resident falls asleep in unusual places. … Changes to watch for include the resident complaining about not feeling rested, falling asleep in unusual … Sleeping —Observe during the day to see if the resident falls asleep in unusual places.

226. Appendix | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ap1.html
     December 01, 2014 - MPSMS (2013) Blood Stream Infections Associated With Central Venous Catheters 9,200 0.28 Falls … MPSMS (2013) In-Hospital Patient Falls 240,000 7.2 Obstetric Adverse Events PSI (2012

227. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/about/patient-safety-culture.html
     June 01, 2024 - 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

228. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
     November 19, 2015 - Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2013) OB … Central Line- Associated Bloodstream Infections 18,000 5,000 13,000 72% $221,000,000 2,405 Falls

229. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
     December 01, 2016 - Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Central Line- Associated Bloodstream Infections 18,000 5,000 13,000 72% $221,000,000 2,405 Falls … - Associated Bloodstream Infections 40,000 50% 50% 25% 10,000 $17,000 .185 $170,000,000 1,850 Falls

230. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
     November 19, 2015 - Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2013) OB … Central Line- Associated Bloodstream Infections 18,000 5,000 13,000 72% $221,000,000 2,405 Falls

231. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
     December 01, 2016 - Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2014) OB … Central Line- Associated Bloodstream Infections 18,000 5,000 13,000 72% $221,000,000 2,405 Falls

232. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overview.html
     November 01, 2017 - pressure ulcers, pressure ulcers that are not healing appropriately, avoidable hospitalizations, and falls—and … Falls Prevention Return to On-Time Home Page

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

234. Acknowledgments | Agency for Healthcare Research and Quality
     www.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

235. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
     January 01, 2016 - Line-Associated Bloodstream Infections 9,000 0.3 Clostridium difficile Infections 86,000 2.9 Falls … difficile Infections CLABSI MPSMS Blood Stream Infections Associated With Central Venous Catheters Falls … MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma in Vaginal Delivery (PSI … 2.88 CLABSI MPSMS Blood Stream Catheters Infections Associated With Central Venous 8,513 0.29 Falls … MPSMS In-Hospital Patient Falls 238,965 8.03 Obstetric Adverse Events PSI OB Trauma in Vaginal

236. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/areas.html
     February 01, 2018 - Our areas of research and tools cover: Healthcare Infections Team Training Falls Pressure Ulcers

237. 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
     www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
     December 01, 2014 - Bloodstream Infections 40,000 50% 50% 25% 10,000 $17,000 .185 $170,000,000 1,850 Falls … 39.3% 17.4% 1,040,500 NA NA $9,141,150,000 35,647 * Additional costs per HAC for Falls

238. Final progress Report: Anticholinergics and Cognitive Decline in the Elderly with Depression (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
     January 01, 2024 - Around 10-20% of nursing home falls cause serious injuries; 2-6% of the falls result in fractures.17 … Medications are considered as a potentially modifiable risk factor for falls and fractures. … Falls in the nursing home. Annals Intern Med. 1994; 121:442– 51. PMID:8053619. 16. … Medication-related falls in the elderly: causative factors and preventive strategies. … Associations Between Drug Burden Index and Falls in Older People in Residential Aged Care.

239. Final Progress Report: Effects of Patient Turnover on Nursing Care and Patient Outcomes in Acute Care Hospital Settings (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
     January 01, 2024 - falls per 1,000 patient days. … by count of falls and infections during total patient days. … and injury falls and logistic regression modeling for pressure injuries were used. … , injury falls, and pressure injuries, as reported by NDNQI. … Unit-level patient outcomes of falls, injury falls, and pressure injuries were not statistically significant

240. Making Healthcare Safer III | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
     August 01, 2024 - Harms such as adverse drug events, healthcare-associated infections (HAIs), falls, and obstetric adverse