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  1. 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
  2. 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
  3. 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
  4. 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.
  5. 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…
  6. 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
  7. 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…
  8. 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
  9. 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
  10. 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.
  11. 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
  12. 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
  13. 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
  14. 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…
  15. 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
  16. 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
  17. 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…
  18. 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
  19. 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
  20. 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…

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