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381. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits - Transfer Note and Intake Note (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
     June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits - Transfer Note and Intake Note AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Transfer Note and Intake Note Transfer Notes and Intake Notes are not required, but the elemen…

382. Appendix 2-A. Suggested Slides for Module 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap2a.html
     October 01, 2014 - Falls Prevention Appendix 1-A. Suggested Slides for Module 1 Appendix 1-B.

383. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
     January 01, 2024 - Potential problems include medication errors, falls, infections, procedural complications, management

384. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
     June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Transfer Note and Intake Note Transfer Notes and Intake Notes are not required, but the elements included in them must be in the nursing home’s electronic medical record (EMR) to generate all components of…

385. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
     January 01, 2022 - national efforts to reduce hospital-acquired conditions such as adverse drug events and injuries from falls … two or more of the same AE for the same patient during a single hospitalization (e.g., two or more falls … For some AEs, such as falls, every patient is considered at risk.

386. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
     January 01, 2022 - national efforts to reduce hospital-acquired conditions such as adverse drug events and injuries from falls … two or more of the same AE for the same patient during a single hospitalization (e.g., two or more falls … For some AEs, such as falls, every patient is considered at risk.

387. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
     January 01, 2022 - national efforts to reduce hospital-acquired conditions such as adverse drug events and injuries from falls … two or more of the same AE for the same patient during a single hospitalization (e.g., two or more falls … For some AEs, such as falls, every patient is considered at risk.

388. Lessons in Safety Climate and Safety Practices from a California Hospital Consortium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
     April 01, 2003 - set a short- term patient safety performance goal of a 20-percent reduction in medication errors, falls … Several consortium hospitals reported falling into this trap at some point in time. … Employees at one consortium facility examined data on adverse events and realized that patient falls … As they reviewed the data, employees noticed that most falls were occurring in one particular unit. … As a result, falls decreased significantly.

389. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=7
     January 01, 2024 - Exchange, Patient and Family Engagement Publication Date: July 2015 An Intervention to Reduce Falls

390. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
     June 02, 2025 - , or EMR, data to make staff aware of residents at risk of adverse events such as pressure ulcers, falls … prevent four adverse events: pressure ulcers, pressure ulcers that are not healing appropriately, falls … • 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

391. Recovering After Hip Fracture Surgery (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-fracture-booklet.pdf
     November 01, 2023 - Taking care of your surgical wound ■ Showering ■ Urinating ■ Sleeping ■ Home setup ■ Preventing falls … toilet (called a: commode) 20 AHRQ Safety Program for Improving Surgical Care and Recovery Prevent Falls … Recovery at Home Taking Care of Your Surgical Wound Showering Urinating Sleeping Home Setup Prevent Falls

392. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
     September 01, 2017 - record, or EMR, data to make staff aware of residents at risk of adverse events such as pressure ulcers, falls … help prevent four adverse events: pressure ulcers, pressure ulcers that are not healing appropriately, falls … 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

393. Meeting Minutes, November 2017 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
     February 01, 2018 - Topics addressed in new draft recommendations included screening for cervical cancer, prevention of falls … AHRQ released training materials for preventing falls in hospitals. … These five training modules align with chapters in the AHRQ "Preventing Falls in Hospitals" toolkit. … Preliminary data on the use of the training materials showed significant decreases in falls with injury

394. Appendix 1-B. Pre/Post-Test Questions and Answers for Module 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap1b.html
     October 01, 2014 - Falls Prevention Appendix 1-A. Suggested Slides for Module 1 Appendix 1-B.

395. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
     November 01, 2019 - of the four moments of antibiotic decision making, management of asymptomatic bacteriuria largely falls … symptoms reviewed earlier may also be associated with delirium, there is no evidence that delirium, falls … symptoms or systemic signs of infection, older patients with bacteriuria experiencing delirium or falls

396. ChartBook On Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
     March 04, 2016 - is ch ar ge s Pressure Ulcers Adverse Drug Events Catheter-Associated Urinary Tract Infections Falls … or number of falls with major injury was not assessed in the look-back scan assessment. … or number of falls with major injury was not assessed in the look-back scan assessment. …  In 2013, the percentage of falls with major injury was worse for all subgroups of residents age …  Also in 2013, compared with Whites (3.8%), the percentage of falls with major injury was better

397. Info FAQs | Agency for Healthcare Research and Quality
     www.ahrq.gov/faqs/index.html?page=13
     What type of information falls under FOIA?

398. AHRQ Quality Indicators Toolkit Facilitates Process Improvement Work at Cedars-Sinai Medical Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
     December 01, 2017 - The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes

399. Appendix E | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
     April 01, 2018 - 26 429  -- Delirium 2 427  -- Nosocomial Infections 3 450  -- Patient Falls

400. 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/hacrate2013.html
     January 01, 2018 - software tool, to determine whether any of 21 types of adverse events—such as adverse drug events, falls … Infections $1,000 .023 Central Line-Associated Bloodstream Infections $17,000 .185 Falls … For pressure ulcers and falls, 100 percent of patients are exposed to risk for the event; but for other