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41. Long-term Care Facilities | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/index.html
    September 01, 2021 - represent a patient safety problem, and they can be a signal that the resident is at increased risk for falling … employ to improve patient safety, create a more resident-centered environment, and reduce the number of falls

42. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
    January 01, 2016 - Line-Associated Bloodstream Infections 9,000 0.3 Clostridium difficile Infections 86,000 2.9 Falls … difficile Infections CLABSI MPSMS Blood Stream Infections Associated With Central Venous Catheters Falls … MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma in Vaginal Delivery (PSI … 2.88 CLABSI MPSMS Blood Stream Catheters Infections Associated With Central Venous 8,513 0.29 Falls … MPSMS In-Hospital Patient Falls 238,965 8.03 Obstetric Adverse Events PSI OB Trauma in Vaginal

43. Module 4: How To Implement the Fall Prevention Program in Your Organization—Slide Presentation | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/slides.html
    September 01, 2017 - Prevention Program Implementation Guide Fall Prevention in Hospitals—Webinars Preventing Falls … Slide 4: Implementation Planning Goals Determine the role/responsibilities of staff in preventing falls … Tracking care processes to prevent falls is a measure of implementation success, and it should translate

44. PowerPoint Presentation (ppt file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
    May 01, 2014 - anaphylaxis Drug interactions: coumadin, glipizide If on fluoroquinolones  tendon rupture Dehydration  falls … Description of current problem Vital signs Usual cognitive function Recent/current health status (including falls … ) Falls, minor injury: require on-site first aid treatment (dressing, ice pack, pain medication) Falls … This is the point where the form itself is reviewed and discussed Note that falls are included to facilitate

45. Hospital Resources | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/patient-safety/settings/hospital/resource/about.html
    December 01, 2017 - Hospitals Training Program to support the training of hospital staff on how to implement AHRQ’s Preventing Falls … Preventing Falls in Hospitals Each year, somewhere between 700,000 and 1,000,000 people in the United … Research shows that close to one-third of falls can be prevented.

46. Pressure Ulcer Prevention Toolkit (doc file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
    August 02, 2017 - Completion Date for Plan Fall Rates (e.g., falls per 1,000 occupied bed days) are calculated

47. Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/tools/index.html?page=2
    September 01, 2023 - Date Published: June 2016 Setting of Care: Hospital Preventing Falls in Hospitals … Date Published: January 2013 Setting of Care: Hospital Preventing Falls in

48. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
    July 01, 2020 - adverse drug events, and injuries due to procedures, as well as pressure ulcers/pressure injuries and falls … Line-Associated Bloodstream Infections 8,500 0.3 Clostridioides difficile Infections 86,000 2.9 Falls … -9,000 -433,000,000 -1,350 Clostridioides Infections difficile -54,000 -932,000,000 -2,380 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

49. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/patient-safety/settings/long-term-care/index.html
    September 01, 2021 - Falls Management Program: A Quality Improvement Initiative for Nursing Facilities is an interdisciplinary … facilities to help them detect and communicate changes in a resident's condition and prevent and manage falls

50. Health Care Facility Design Safety Risk Assessment Toolkit | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
    October 01, 2020 - health care facilities can minimize such safety problems as health care-associated infections, patient falls … The toolkit: Targets six areas of safety—infections, falls, medication errors, security, injuries of

51. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
    June 01, 2014 - 32,750,000 Discharges— Based on 2010 Baseline) 2012 PFP Measured HACs per 1,000 Discharge s Falls … MPSMS In-Hospital Patient Falls 260,000 7.80 230,000 7.16 Obstetric Adverse Events PSI OB Trauma

52. 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.innovations.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.

53. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
    www.innovations.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

54. Patient Safety Tools | Agency for Healthcare Research and Quality
    www.innovations.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

55. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    www.innovations.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

56. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    www.innovations.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

57. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    www.innovations.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

58. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
    www.innovations.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

59. CHIPRA 201: Section 5, Table 3 (pdf file)
    www.innovations.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

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