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341. | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/tools/index.html?page=3
     June 01, 2016 - Date Published: June 2016 Setting of Care: Hospital Preventing Falls in Nursing

342. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
     January 01, 2023 - Six types of safety events (i.e., Blood or Blood Products, Falls, Device or Medical/Surgical Supply … Over one half of Falls occurred in Inpatient care areas (51.5%; 92,861 / 180,345). … 6.6%; 11,955 / 180,345), and Outpatient care areas (6.4%; 11,592 / 180,345) were also a source of falls … Other was the second most common reported location for falls (23.6%; 42,514 / 180,345). … Environmental factors were minor contributors for events, except for Falls (11.2%; 1,274 / 11,399)

343. The Clinician-Artificial Intelligence Dyad | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-4.html
     July 01, 2023 - process hundreds of thousands of heartbeats in seconds 22,23 and others that can automatically track falls

344. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201419.html
     November 01, 2014 - protocols for communication, teamwork, and leadership to address other patient safety issues such as falls

345. NQMC Measure Domain Framework | Agency for Healthcare Research and Quality
     www.ahrq.gov/gam/summaries/domain-framework/index.html
     July 01, 2018 - Performance on these measures falls to public officials, public health programs, or other entities that

346. Table 7: Health and Welfare of the Home and Community-Based Services Population as Measured by 13 Outcome Indicators, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab7.html
     December 01, 2012 - 1,290 1,542   Max 9,705 9,543 3,880 11,437 19,518 10,881 9,572 Injurious Falls

347. Core Principles for the PCA Diagnostic Team | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-6.html
     July 01, 2023 - ensuring the technology is worn, while the AI would provide daily summaries about fall risk and near falls … This information could lead to interventions to prevent falls.

348. Early Mobility in the Intensive Care Unit: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
     February 01, 2017 - These included: five falls to knees without injury, four with systolic blood pressure less than  90 mmHg … from agitation to transient physiological events to dislodgements of catheters and other devices to falls … , though none of the falls described were serious, and they were rare.

349. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-facguide.docx
     January 01, 2017 - These included: five falls to knees without injury, four with systolic blood pressure less than 90 mmHg … from agitation to transient physiological events to dislodgements of catheters and other devices to falls … , though none of the falls described were serious, and they were rare.

350. Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
     April 01, 2025 - national efforts to reduce hospital-acquired conditions such as adverse drug events and injuries from falls

351. Puh-Factraining-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
     June 02, 2025 - EMR, data to make staff aware of residents at risk of adverse events such as pressure ulcers and falls … prevent four adverse events: pressure ulcers, pressure ulcers that are not healing appropriately, falls … On-Time reports for preventing falls and avoidable hospitalizations are currently in development. …  Pressure Ulcer Healing, Falls, and Avoidable Hospitalization reports and worksheets have been … is designed to identify residents at risk for the adverse event of interest (e.g., pressure ulcers, falls

352. On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
     December 01, 2017 - or EMR, data to make staff aware of residents at risk of adverse events such as pressure ulcers and falls … help prevent four adverse events: pressure ulcers, pressure ulcers that are not healing appropriately, falls … On-Time reports for preventing falls and avoidable hospitalizations are currently in development. … Pressure Ulcer Healing, Falls, and Avoidable Hospitalization reports and worksheets have been tested … is designed to identify residents at risk for the adverse event of interest (e.g., pressure ulcers, falls

353. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
     January 01, 2024 - are preventable. 17 From a safety engineering perspective,18, 19 this evidence, though informative, falls … Patient gets dizzy after first dose, falls, breaks hip and ends up in nursing home for rest of life. … Patient gets dizzy after first dose, falls, hits head, resulting in subdural hematoma. … Patient gets dizzy after first dose, falls, sprains dominant hand/wrist, needs in-home care for 2 weeks … Patient gets dizzy after first dose, falls, but no injury and stops med.

354. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/index.html
     February 01, 2025 - The toolkit has reduced falls by 25 percent in acute care hospitals and is used in more than 100 hospitals

355. Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
     April 02, 2008 - is limited to five items—nosocomial infections, pressure ulcers, delirium, venous thrombosis, and falls—rather … 10 taxonomy areas “SBAR” (Situation/Background/Assessment/Recommendation) Nurse staffing ratios “Falls … Communication” Look-alike, sound-alike drugs “Medication errors” Human factors engineering “Patient falls … ” Patient falls “CPOE” (computerized provider order entry) Nosocomial infections “Patient safety”

356. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
     February 07, 2014 - with CHF Pneumothorax Pulmonary embolism Case 8 *Saint S, Ann Intern Med 2002; 137: 125-7 Falls … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient … (reach elephant without rider) 32 Engage – Patients 33 *Saint S, Ann Intern Med 2002; 137: 125-7 Falls … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient

357. Asymptomatic Bacteriuria (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-one-page.pdf
     November 01, 2019 - o Delirium, insomnia, and falls alone do not indicate a UTI.

358. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
     www.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." 

359. Maryland Guides Prescribers on Use of Atypical Antipsychotic Medications | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/coe1304.html
     April 01, 2013 - If the information falls outside of the criteria or reveals other therapeutic issues, a child psychiatrist

360. AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
     September 01, 2015 - infection, immobility (Foley is considered a "one-point restraint"), hospital-acquired pressure ulcers, falls