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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
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www.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Falls.
Obstetric Adverse Events.
Pressure Ulcers.
Surgical Site Infections. … Catheter-Associated Urinary Tract Infections
Central Line-Associated Bloodstream Infections
Falls … )
Catheter-Associated Urinary Tract Infections
Central Line-Associated Bloodstream Infections
Falls … Beginning in 2008, CMS identified the HACs (e.g., CAUTI, falls and trauma, surgical site infection) for … Falls
Fall during an inpatient admission, with or without injury, whether or not fall was assisted.
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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
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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
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www.ahrq.gov/es/hai/pfp/haccost2017.html
November 01, 2017 - Falls.
Obstetric Adverse Events.
Pressure Ulcers.
Surgical Site Infections. … Catheter-Associated Urinary Tract Infections
Central Line-Associated Bloodstream Infections
Falls … )
Catheter-Associated Urinary Tract Infections
Central Line-Associated Bloodstream Infections
Falls … Beginning in 2008, CMS identified the HACs (e.g., CAUTI, falls and trauma, surgical site infection) for … Falls
Fall during an inpatient admission, with or without injury, whether or not fall was assisted.
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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…
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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
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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…
-
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
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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…
-
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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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 …
-
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 …
-
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 …
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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…
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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."
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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…
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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. …
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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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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…