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301. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
     www.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

302. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults1.html
     September 01, 2024 - Common geriatric syndromes such as frailty, dementia, delirium, falls, and incontinence may complicate

303. Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
     January 01, 2025 - Key Words: emergency department, discharge, care transitions, older adult patients, falls, antibiotic … adults experience higher incidence of patient safety issues than younger patients,3,11-14 such as falls … Predicting geriatric falls following an episode of emergency department care: a systematic review. … Meta-analysis of the impact of 9 medication classes on falls in elderly persons. Arch Intern Med. … Using the Hendrich II Inpatient Fall Risk Screen to predict outpatient falls after ED Visits.

304. Table of Contents: Volume 4. Technology and Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
     January 01, 2025 - xi A Model of Care Delivery to Reduce Falls in a Major Cancer Center Nancy E. … Bagian Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities Patricia Ruddick … Pronovost VHA’s National Falls Collaborative and Prevention Programs Erik Stalhandske, Peter Mills

305. Table of Contents: Volume 1. Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
     January 01, 2025 - A Model of Care Delivery to Reduce Falls in a Major Cancer Center Nancy E. … Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities Patricia Ruddick, Karen Hannah … Pronovost VHA’s National Falls Collaborative and Prevention Programs Erik Stalhandske, Peter Mills

306. SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
     January 01, 2006 - Hospitals ►Moving, Transferring, or Lifting Residents ►Medication errors ►Falls ►Pressure ulcers ►Sanitation

307. Examples of Physician Quality Measures for Consumers | Agency for Healthcare Research and Quality
     www.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

308. 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-ap2.html
     December 01, 2014 - Line-Associated Bloodstream Infections 18,000 9,200 8,800 49% $149,600,000 1,628 Falls

309. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1concl.html
     October 01, 2014 - affecting the way a resident walks, urination and bowel patterns, skin changes, level of weakness, falls

310. Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/202504.html
     June 01, 2025 - The latter two areas are primarily concerned with PSIs for pressure ulcers and falls.

311. Early Mobility in the Intensive Care Unit: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-slides.html
     February 01, 2017 - Slide 14: Adverse Events 4 9 patients had 14 adverse event (<1% of activities): Falls to knees … Adverse events ranged from agitation to transient physiological events to dislodgements and to falls … (none of the falls were considered serious).

312. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
     April 30, 2025 - : Collaboration and Proactive Teamwork Used To Reduce Falls 2012-2014 $599,990 Purpose: To implement … ensure accountability, and communicated with staff regarding actions taken as a result of reported falls … • The repeat fall rate within a hospital was negatively associated with the percentage of falls that … • Over a 2-year period, 353 falls were reported; 32 percent of the falls were injurious and 75 percent … Identifying a gait belt as an intervention decreases the odds of patients falling unassisted.

313. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
     www.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

314. Table 13F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13f.html
     December 01, 2012 - Pressure Ulcer 6,180 6,029 3,239 5,537 6,191 3,067 3,636 6,965 Injurious Falls

315. Table 13A: National Home and Community-Based Services Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13.html
     December 01, 2012 - Pressure Ulcer 4,010 3,925 2,853 4,175 3,854 2,547 2,961 4,271 Injurious Falls

316. Table 13G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13g.html
     December 01, 2012 - Pressure Ulcer 4,497 4,649 3,696 5,077 4,632 2,818 3,647 5,097 Injurious Falls

317. Table 13E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13e.html
     December 01, 2012 - Pressure Ulcer 3,490 2,892 2,126 3,314 2,623 2,679 2,298 3,287 Injurious Falls

318. Table 13B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13b.html
     December 01, 2012 - Pressure Ulcer 4,306 4,221 3,413 4,523 4,155 3,058 3,454 4,564 Injurious Falls

319. Table 13C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13c.html
     December 01, 2012 - Pressure Ulcer 3,031 3,001 1,416 3,073 2,914 1,211 1,591 3,369 Injurious Falls

320. Table 13D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13d.html
     December 01, 2012 - Pressure Ulcer 1,490 1,499 1,251 1,746 1,431 1,216 1,326 1,488 Injurious Falls