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461. Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/joseph2-report.pdf
     September 29, 2015 - Scope: The SRA tool covers six safety areas – infection control, medication safety, falls, patient handling … Keywords: Safety, Risk assessment, Healthcare design, Healthcare-associated infections, Patient falls … Familiarity with Project: Two participants involved in content development (falls) Format and Timing: … Falls 3. Patient Handling 4. Medication Safety 5. … Falls 2. Medication Safety 3.

462. Improving Patient Safety in Long-Term Care Facilities, Module 1 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
     June 01, 2012 - Module 2 focuses on communicating changes in a resident’s condition, and Module 3 covers falls prevention … These kinds of changes put the resident at risk for falling and also may signal an underlying problem … Falls Risk A fall is defined as “involuntarily coming to rest on a lower surface,” whether it is an … Because falls often involve many factors, they should always be reported to determine what changes can … Changes to watch for include the resident complaining about not feeling rested, falling asleep in unusual

463. New York-Long Island Clinical Improvement Through Innovation Collaborative | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/communities/pbrn/registry/new-york-long-island-clinical-improvement-through-innovation-collaborative.html
     March 25, 2014 - Current or Past Research Interests Comments : Other health or disease related interests: Prevention of falls

464. HHS Measurement Policy Council Core Measure Set (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/mpcmeasures.pdf
     June 01, 2014 - Urinary Tract Infections CLABSI Blood Stream Infections Associated with Central Venous Catheters Falls … In-hospital Patient Falls Obstetric Adverse Events OB Trauma in Vaginal Delivery with (PSI 18) and

465. Appendix B. Advisory Panel Members | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/acfselection/appendixb.html
     July 01, 2018 - Washington University Department of Emergency Medicine, Inova Fairfax Hospital 3300 Gallows Road Falls … University Department of Emergency Medicine Inova Fairfax Hospital 3300 Gallows Road Falls

466. PCOR Findings Nominated for Consideration | Agency for Healthcare Research and Quality
     www.ahrq.gov/pcor/ahrq-dissemination-and-implementation-initiative/pcor-findings-nominated-for-consideration.html
     March 01, 2021 - Effective Frontline Strategies for CAUTI Prevention Using Mobile Technology Eliminating Preventable Falls

467. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
     May 06, 2008 - PEERs data have also been instrumental in the development of programs for falls risk assessment and … These changes increase the reliability of the organization and prevent patients from falling through … PEERs data reveal that many inpatient falls occur when patients get out of bed to use the bathroom. … Data from falls are routinely collected and used in an ongoing effort to reduce the number of patient … falls.

468. Using an EHR System to Prevent Opioid Use Disorder in Older Adults in Primary Care Practices Case Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-ehr-oud.pdf
     December 18, 2023 - for evaluating effectiveness and potential adverse effects of opioid use in older adults: misuse, falls … control level ■ adverse events experienced ■ activity level ■ aberrant behaviors ■ cognition ■ falls

469. Section 1. Preventive Services Recommended by the USPSTF | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/guide/section1.html
     June 01, 2014 - Depression in Adults, Screening 12 X X     Diabetes Mellitus, Screening 13 X X     Falls … therapy and/or vitamin D supplementation) to community-dwelling adults ≥65 years at increased risk for falls

470. Spreadnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
     August 28, 2012 - For example, if a hospital is engaged in an organization-wide improvement initiative to decrease falls … Having the Newborn Critical Care Center complete a falls risk assessment for each patient for each shift … For example, for a falls prevention program, quantitative measures to evaluate can include the falls

471. Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-work-around.pdf
     December 15, 2023 - Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study Focus on High Leverage Change: Risk Assessment Creating a Work-Aro…

472. Implementing Opioid Risk Screening for Older Adults Using Automated Patient Reminders in an Electronic Health Record Case Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-risk-screening.pdf
     December 15, 2023 - screenings: the Stopping Elderly Accidents, Deaths & Injuries (STEADI2) tool for assessing risk of falls

473. Fallpxtool2F (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2f.docx
     November 16, 2011 - 2F: Action Plan Background: The purpose of this tool is to provide a framework for outlining steps that will be needed to design and implement the fall prevention initiative. Reference: Adapted from material produced by MassPro, a participant in the Centers for Medicare & Medicaid Services Quality Improvement Organiz…

474. CUSP Toolkit Spread Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/spread/notes.html
     December 01, 2012 - For example, if a hospital is engaged in an organization-wide improvement initiative to decrease falls … Having the Newborn Critical Care Center complete a falls risk assessment for each patient for each shift … For example, for a falls prevention program, quantitative measures to evaluate can include the falls

475. No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-transcript.html
     December 01, 2017 - It's going to prevent falls. It's really not an accurate statement. … All these things will layer on top of each other, but the catheter preventing falls in the patient with … Many family members believe falsely that it will protect skin or prevent falls. … patient and family that catheters aren't going to protect their skin, they aren't going to prevent falls

476. No More Cauti Preventing Cauti Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/No_More_CAUTI_Preventing_CAUTI_transcript.docx
     May 05, 2015 - It's going to prevent falls. It's really not an accurate statement. … All these things will layer on top of each other, but the catheter preventing falls in the patient with … Many family members believe falsely that it will protect skin or prevent falls. … patient and family that catheters aren't going to protect their skin, they aren't going to prevent falls

477. No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti-transcript.html
     November 01, 2015 - It's going to prevent falls. It's really not an accurate statement. … All these things will layer on top of each other, but the catheter preventing falls in the patient with … Many family members believe falsely that it will protect skin or prevent falls. … patient and family that catheters aren't going to protect their skin, they aren't going to prevent falls

478. Featured CERTs Research | Agency for Healthcare Research and Quality
     www.ahrq.gov/chain/research-tools/featured-certs.html
     March 01, 2017 - University of Alabama at Birmingham Optimizing the Use of an Electronic Fall Prevention Toolkit To Prevent Falls

479. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/liability/pichert.html
     August 01, 2017 - Sanford Health Medical Center Sites in the North (Fargo, Bismarck) and South (Sioux Falls, Bemidji) Regions … Hoffman, MD, FACP, at the time of the planning project: Patient Safety Officer, Sanford Health, Sioux Falls … Region, Sioux Falls, SD. … the planning project, Senior Vice President, Clinical Risk Management, Sanford Health System, Sioux Falls … Leadership Development & Physician Well Being, Sanford PARS Medical Director, Sanford Health, Sioux Falls

480. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/pichert.html
     August 01, 2017 - Sanford Health Medical Center Sites in the North (Fargo, Bismarck) and South (Sioux Falls, Bemidji) Regions … Hoffman, MD, FACP, at the time of the planning project: Patient Safety Officer, Sanford Health, Sioux Falls … Region, Sioux Falls, SD. … the planning project, Senior Vice President, Clinical Risk Management, Sanford Health System, Sioux Falls … Leadership Development & Physician Well Being, Sanford PARS Medical Director, Sanford Health, Sioux Falls