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

242. Men: Stay Healthy at 50 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/patient-involvement/healthy-men/men-over-50.pdf
     March 01, 2014 - Vitamin D to Avoid Falls. … If you are 65 or older and have a history of falls, mobility problems, or other risks for falling, … ask your doctor about taking a vitamin D supplement to help reduce your chances of falling.

243. Part Two: Removing the Obstacles to Practice Change | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/ena-slides/part2.html
     October 01, 2020 - We traditionally thought that a catheter was helpful in preventing falls because patients didn’t have … catheter doesn’t eliminate the urge to urinate, and tubing can actually contribute to tripping and falling … Slide 73 Catheter misperceptions: Facilitates I&O measurement Protects patient from falls … invasive measurement methods: Bedpan Urinal Diaper Slide 75 Protects patient from falls

244. Resources and Tools on Patient and Healthcare Workforce Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/resources/index.html
     March 01, 2025 - Workforce Safety Learning Systems Resources by Safety Topic Diagnostic Safety  Emergency Preparedness Falls

245. Long-term Care Resources | Agency for Healthcare Research and Quality
     www.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

246. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
     January 01, 2021 - Falls were divided into two groups: Falls known to have been Assisted, and Falls considered Unassisted … , which includes both Falls known to be Unassisted and Falls where it is Unknown whether assistance … The frequency of Falls considered Unassisted (40,396 / 71,292; 56.7%) was higher than that of Falls … Falls were divided into two groups: Falls known to have been Assisted, and Falls considered Unassisted … station Other intervention(s) Visible identification of patient as being at risk for fall (e.g., Falling

247. Prologue: Laying the Foundation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
     June 02, 2025 - risk-binning" methodology applied across institutions, a case-control study to determine risk factors for falls … Veterans Affairs to reduce emergency airway management difficulties, a statewide effort to encourage falls

248. Pressure Ulcer Prevention Toolkit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
     June 02, 2025 - Completion Date for Plan Fall Rates (e.g., falls per 1,000 occupied bed days) are calculated

249. AHRQ Patient Safety Tools and Resources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
     January 01, 2024 - https://research.jefferson.edu/connected- care-center/uncertainty-communication- toolkit.html Falls … The toolkit has reduced falls by 25 percent in acute care hospitals and is used in more than 100 hospitals … Web: ahrq.gov/patient-safety/settings/hospital/ fall-tips Falls Management Program: A Quality Improvement … facilities to help them detect and communicate changes in a resident’s condition and prevent and manage falls … The toolkit addresses approaches to design that target six areas of safety: infections, falls, medication

250. No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections (May 5, 2015) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-slides.html
     December 01, 2017 - Inappropriate Catheter Indications Limited mobility or debility Catheters do not prevent falls … Slide 15 Inappropriate Catheter Indications Dementia or confusion Catheters do not prevent falls

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

252. PowerPoint Presentation (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
     May 01, 2014 - anaphylaxis Drug interactions: coumadin, glipizide If on fluoroquinolones  tendon rupture Dehydration  falls … Description of current problem Vital signs Usual cognitive function Recent/current health status (including falls … ) Falls, minor injury: require on-site first aid treatment (dressing, ice pack, pain medication) Falls … This is the point where the form itself is reviewed and discussed Note that falls are included to facilitate

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

254. 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
     www.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 … 39.3% 17.4% 1,040,500 NA NA $9,141,150,000 35,647 * Additional costs per HAC for Falls … [7] The AHRQ-developed pressure ulcer toolkit and falls toolkit are online.

255. Navigating the Health Care System | Agency for Healthcare Research and Quality
     www.ahrq.gov/patients-consumers/patient-involvement/navigating-the-health-care-system.html
     September 01, 2015 - Off-Label Drugs: What You Need to Know New Tools Help Health Providers Reduce Patients' Risk of Falls

256. Patient Safety Tools | Agency for Healthcare Research and Quality
     www.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

257. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
     www.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.

258. Table A: Indicator Rates for the HCBS and Full Medicaid Populations (Rates of Admission per 100,000 Persons) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/oirtab.html
     December 01, 2012 - Composite: ACSC Overall 17,971 7,139 Pressure Ulcer 3,067 1,136 Injurious Falls

259. Practice Self-Assessment Tool for Opioid Use in Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
     December 01, 2023 - recommendations or guidance specific to older adults, such as screening for opioid-related risks (falls … provide limited guidance specific to older adults, such as screening for opioid related risks (falls … Screening for risk factors associated with opioid use in older adults, such as falls or cognitive … members about the evidence regarding specific types of risks from opioid use in older adults (e.g., falls

260. Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - INTRO (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-intro.pdf
     January 01, 2021 - Medicare & Medicaid Services (CMS), Baltimore, MD • Kathleen Woodward, M.S.P.H., The Lewin Group, Falls