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  1. www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
    January 01, 2023 - 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, 2022. The tables include distributions of events and…
  2. 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
  3. 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
  4. 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
  5. 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
  6. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facility-transfer.html
    September 01, 2017 - Total Counts Asthma Circulatory Problems Hypertension Gastroenteritis Angina Falls
  7. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
    December 27, 2021 - analysis will require input from a clinician, as many of the factors that contribute to a patient’s falling … these patients’ medical records and other related documents to identify potential causes for their falling
  8. 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
  9. 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
  10. www.ahrq.gov/news/newsroom/case-studies/ktcdom12.html
    October 01, 2014 - Management Program is to determine whether the quality of care for the Iowa Medicaid Enterprise membership falls
  11. www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2022.xlsx
    January 01, 2022 - 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 December 31, 2021. The tables …
  12. www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2021.xlsx
    January 01, 2021 - 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 December 31, 2020. The tables …
  13. www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2020.xlsx
    January 01, 2020 - 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 December 31, 2019. The tables …
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-growth.pdf
    December 13, 2013 - Abnormal Growth ■ Infants whose growth curve plateaus or growth trajectory falls off, and those who
  15. www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-b.html
    September 01, 2017 - Fall Prevention Program Implementation Guide Appendix B. Prioritize Opportunities for Improvement Previous Page Next Page Table of Contents Fall Prevention Program Implementation Guide Overview Get Ready Fall Prevention Program Phases Appendix A. RACI Chart Appendix B. Prioritize Opportuni…
  16. Fallpxtool3N (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3n.docx
    January 01, 2008 - 3N: Postfall Assessment, Clinical Review Background: This protocol explains how to assess and follow injury risk in a patient who has fallen. Reference: Adapted from the South Australia Health Fall Prevention Toolkit. Available at: www.sahealth.sa.gov.au/wps/wcm/connect/5a7adb80464f6640a604fe2e504170d4/Post+fall+manage…
  17. 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." 
  18. Fallpxtool3B (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3b.docx
    January 01, 2006 - 3B: Scheduled Rounding Protocol Background: Hourly rounds are an opportunity to ensure that universal fall precautions are implemented and that patients’ needs are being met. These rounds integrate fall prevention activities with the rest of a patient’s care. Reference: Adapted from Meade CM, Bursell AL, Ketelsen L. …
  19. www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-a.html
    September 01, 2017 - Fall Prevention Program Implementation Guide Appendix A. RACI Chart Previous Page Next Page Table of Contents Fall Prevention Program Implementation Guide Overview Get Ready Fall Prevention Program Phases Appendix A. RACI Chart Appendix B. Prioritize Opportunities for Improvement Appendi…
  20. Fallpxtool2C (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2c.docx
    January 28, 2013 - 2C: Current Process Analysis Background: Before beginning a quality improvement initiative, you need to understand your current methods. This tool can be used to describe key processes in your organization where fall prevention activities could or should happen. Reference: Adapted from: Quality Partners of Rhode Islan…

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