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461. 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

462. 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

463. CHIPRA 201: Section 5, Table 3 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-asthma-section-5-table-3.pdf
     February 19, 2016 - After training, inhaler technique falls off with time, so checking and re- training must be repeated

464. 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.

465. 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…

466. 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

467. 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…

468. 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

469. 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

470. 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.

471. 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

472. 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

473. 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

474. Generic Dashboard Data 2024 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2024.xlsx
     January 01, 2024 - Introduction Introduction-Generic Patient Safety Concern The tables in this workbook present generic data on Patient Safety Concerns submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2023. The tables include distributions of events and…

475. Transcript-Speaking-Up (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/transcript-speaking-up.doc
     May 01, 2017 - undergoing a laparoscopic cholecystectomy, and the surgeon notices that the patient’s blood pressure is falling

476. Module 2: Communicating Change in a Resident's Condition | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2.html
     March 01, 2019 - Module 1 focuses on communicating changes in a resident's condition, and Module 3 covers falls prevention

477. Patient Safety Concerns Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2019.xlsx
     January 01, 2019 - Patient Safety Concerns Dashboard Introduction Introduction-Generic Patient Safety Concern The tables in this workbook present generic data on Patient Safety Concerns submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through March 31, 2018. The tables inc…

478. Improving Clinical Performance and Safety Culture Through TeamSTEPPS Implementation
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
     January 01, 2016 - team with focus on high functioning teams Requiring more prescriptive measures of success Sepsis, Falls

479. 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

480. Job Aid: Standardized Quality Measures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-standardized-quality-measures.pdf
     January 07, 2022 - Job Aid: Standardized Quality Measures Primary Care Practice Facilitator Training Series 1 Job Aid: Standardized Quality Measures Familiarity with the standardized quality measures that payers and regulatory groups use is an important part of a practice facilitator's core knowledge. Standar…