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61. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - resources to help hospitals and other providers prevent HACs, such as infections, pressure ulcers, and falls … MPSMS (2015) Blood Stream Infections Associated With Central Venous Catheters 1,700 0.05 Falls … MPSMS (2015) In-Hospital Patient Falls 220,000 6.7 Obstetric Adverse Events PSI (2014) … Bloodstream Infections 40,000 50% 50% 25% 10,000 $17,000 .185 $170,000,000 1,850 Falls … [7] The AHRQ-developed pressure ulcer toolkit and falls toolkit are online.

62. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/funding/grantee-profiles/index.html
    April 01, 2024 - More >> Reducing Patient Falls with Evidence-based Tools Patricia Dykes, Ph.D., R.N. … Harvard Medical School, Boston, MA “Patient falls can result in traumatic and costly outcomes. … With AHRQ funding, I’ve been able to provide hospitals and primary care practices with falls prevention

63. Patient Safety Tools | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
    June 01, 2022 - Research shows that close to one-third of falls can be prevented. … Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care focuses on overcoming the challenges … The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities presents an interdisciplinary … represent a patient safety problem, and they can be a signal that the resident is at increased risk for falling … condition, Module Two addresses communicating changes in a resident's condition, and Module Three Addresses Falls

64. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - adverse drug events, and injuries due to procedures, as well as pressure ulcers/pressure injuries and falls … Line-Associated Bloodstream Infections 8500 0.3 Clostridioides difficile Infections 86,000 2.9 Falls … 9,000 -$420,000,000 -1,300 Clostridioides difficile Infections -54,000 -$920,000,000 -2,400 Falls … MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma in Vaginal Delivery (PSI … MPSMS In-Hospital Patient Falls 239,286 8.04 225,199 7.57 223,106 7.50 226,642 7.62 Obstetric

65. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/sops/about/patient-safety-culture.html
    March 01, 2022 - Hospital units with more positive SOPS scores had: Fewer hospital-acquired pressure ulcers and patient falls … Medicare & Medicaid Services (CMS) Nursing Home Five-Star Quality ratings. 5 Lower risks of resident falls

66. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - CLABSIs MPSMS (2014) Blood Stream Infections Associated With Central Venous Catheters 5,000 0.2 Falls … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2014) … Bloodstream Infections 18,000 5,000 13,000 72% $221,000,000 2,405 Falls … 50% 50% 25% 10,000 $17,000 .185 $170,000,000 1,850 Falls … 1,040,500 NA NA $9,141,150,000 35,647 * Additional costs per HAC for Falls

67. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - Blood Stream Infections Associated With Central Venous Catheters 17,000 0.52 17,000 0.51 Falls … MPSMS In-Hospital Patient Falls 260,000 7.80 230,000 7.16 Obstetric Adverse Events PSI

68. CHIPRA 201: Section 5, Table 3 (pdf file)
    www.cahps.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

69. Spreadnotes (doc file)
    www.cahps.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

70. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
    www.cahps.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

71. Job Aid: Standardized Quality Measures (pdf file)
    www.cahps.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…

72. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - • Patient safety concerns such as falls, pressure injuries, and adverse medication events were reported … Conditions The CFER-H technical specifications capture 10 types of patient safety concerns (e.g., falls … of reports, patient safety concerns that are typically not associated with the COVID- 19 PHE (e.g., falls

73. Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/research/findings/studies/index.html?page=484
    January 01, 2024 - Emergency Preparedness (26) Evidence-Based Practice (932) Eye Disease and Health (36) Falls … comparison group information is necessary to establish evidence on how hospitals can successfully prevent falls … Keywords: Adverse Events, Falls, Hospitals, Patient Safety, Prevention Braithwaite S , Friedman

74. First-of-Its-Kind Study Examines Disparities in Healthcare Costs and Outcomes of Cigarette Smoking in the United States | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/news/newsletters/e-newsletter/893.html
    December 01, 2023 - Chesapeake Regional Healthcare used AHRQ’s Preventing Falls in Hospitals: A Toolkit for Improving Quality … creation of the “Fall-Free Friday” initiative, which resulted in a 31 percent decrease in acute care falls

75. Long-term Care Resources | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
    November 01, 2021 - Program for Nursing Homes: On-Time Prevention End of Life Care Home and Community-based Services Falls

76. Hospitals and Health Systems | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/settings/hospital/resource/index.html
    August 01, 2022 - Improving Patient Safety Systems for Patients with Limited English Proficiency NICU Toolkit Preventing Falls

77. AHRQuality Indicators™ | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/cpi/about/otherwebsites/qualityindicators.ahrq.gov/qualityindicators.html
    July 01, 2018 - diagnostic centers) or populations (e.g., mental health or substance abuse, emergency preparedness, patient falls

78. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
    www.cahps.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." 

79. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    September 01, 2022 - frequently occurring events, e.g., not just fall rates over a given time, but also the percentage of falls

80. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    www.cahps.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