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101. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/about/challenge-competition.html
     February 01, 2024 - impact story: Chesapeake Regional Healthcare At Chesapeake Regional Healthcare, AHRQ’s Preventing Falls … The "Fall Free Friday" activities resulted in a 31% decrease in acute care falls from 4th quarter 2022 … Their experience using this tool is summarized in "Impact of AHRQ’s Patient Safety Tools: Preventing Falls

102. Appendix | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/pfp/hacrate2013-appendix.html
     October 01, 2015 - MPSMS (2013) Blood Stream Infections Associated With Central Venous Catheters 9,200 0.28 Falls … MPSMS (2013) In-Hospital Patient Falls 240,000 7.2 Obstetric Adverse Events PSI (2013) … Central Line-Associated Bloodstream Infections 18,000 9,200 8,800 49% $149,600,000 1,628 Falls … $1,000 Central Line-Associated Bloodstream Infections 40,000 50% 50% 25% 10,000 $17,000 Falls … $106,000,000 2,470 Central Line-Associated Bloodstream Infections .185 $170,000,000 1,850 Falls

103. References | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/pfp/hacrate2013-refs.html
     October 01, 2015 - Injury From Falls Barrett JA, Bradshaw M, Hutchinson K, et al. … Reduction of falls-related injuries using a hospital inpatient falls prevention program. … Medicare nonpayment, hospital falls, and unintended consequences. … Preventing falls and eliminating injury at Ascension Health. … VHA’s national falls collaborative and prevention programs.

104. Fallpxtool4C (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool4c.docx
     January 29, 2013 - Does the education include staff training on documentation methods related to falls (e.g., circumstances … of fall if applicable, risk factors for falls, how those risk factors have been addressed)?

105. Making Acute Care More Patient-Centered | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/resources/learning-lab/acute-care-long-desc.html
     June 01, 2020 - their family caregivers in the design of health information technology (IT) tools to prevent patient falls … Spanish versions of the Fall TIPS (Tailoring Interventions for Patient Safety) toolkit , which reduced falls … Interventions for Patient Safety) Program: a collaboration to end the persistent problem of patient falls … Preventing falls in hospitalized patients. … American Nurse 2018;13(9):8-13. https://www.myamericannurse.com/preventing-falls-hospitalized-patients

106. How To Implement the Fall Prevention Program in Your Organization
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_slides_best-practices.pptx
     November 20, 2014 - . ‹#› Implementation Planning Goals Determine the role/responsibilities of staff in preventing falls … determine who will be responsible for each task identified in your set of best practices for preventing falls … Reference: Developed by Falls Toolkit Research Team. … Tracking care processes to prevent falls is a measure of implementation success, and it should translate

107. Table 14A: Outcome Indicators by County Supply of Health Care Providers | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14.html
     February 01, 2023 - 17,903 19,831 18,937 Pressure Ulcer 3,690 3,126 3,660 3,435 3,626 3,404 Injurious Falls … 19,795 22,008 20,929 Pressure Ulcer 4,133 3,523 3,912 3,945 4,035 3,846 Injurious Falls … 12,474 13,703 13,045 Pressure Ulcer 2,435 1,929 2,922 1,971 2,477 2,094 Injurious Falls … 5,286 5,764 5,235 Pressure Ulcer 1,524 1,248 1,380 1,455 1,569 1,307 Injurious Falls … 18,066 20,218 17,718 Pressure Ulcer 2,744 2,615 2,612 2,762 2,893 2,560 Injurious Falls

108. Event-Summary-Leveraging-Data-Enhance-Cr-Program (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/event-summary-leveraging-data-enhance-cr-program.pdf
     November 12, 2020 - • Examining specific outcomes in the facility, such as the number of times patients are falling and … the location of the falls, can allow for improvement to facility conditions and safety in order to … Matt’s team traced increased falls back to changes in the gym and track layout that allowed them to … make basic changes that reduced patient falls.

109. AHRQ Signals Intent To Fund Clinics To Improve Care for People With Long COVID | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/852.html
     February 01, 2023 - Preventing Patient Falls Using an Evidence-Based Intervention May Reduce Costs . … Preventing Patient Falls Using an Evidence-Based Intervention May Reduce Costs Implementing the AHRQ-funded … After implementation of the Fall TIPS intervention, there was a nearly 20 percent reduction in falls … Policies to reduce all falls using evidence-based interventions could reduce the frequency of harms and

110. Fallpxtool3O (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3o.docx
     January 01, 2008 - key to maintaining the patient’s safety and for organizational learning about how to prevent future falls … Improving the capture of fall events in hospitals: combining a service for evaluating inpatient falls … The tool may be used for the purpose of root cause analysis to prevent future falls in this patient and … Yes No Falls precautions Fall alert identifier (door sticker) Bed alarm: if yes, check

111. Fallpxtool3C (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3c.docx
     January 29, 2013 - Tool Covering Environmental Safety at the Bedside Background: Facility safety is key to preventing falls … Reference: Adapted from AHRQ publication on the Falls Management Program for nursing homes.

112. NPSD Data Spotlights | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/npsd/data/spotlights.html
     September 01, 2023 - Falls: Associated Factors and Clinical Outcomes (PDF, 4.5 MB)  examines clinical outcomes and factors … associated with falls by age and gender based on data that the NPSD received through the end of 2021

113. Resource List - AHRQ Nursing Home Survey (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
     April 01, 2023 - • Patient Falls Reduction. • RCA Resource Guide. • SBAR. 11. … Other Relevant Resources Falls Management/Prevention 1. … a history of falls. 5. … Other Relevant Resources Falls Management/Prevention 1. … Falls Management Program 4.

114. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/pfp/methods.html
     December 01, 2017 - MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma in Vaginal Delivery … 1.44 2.24 0.64 CAUTI Catheter-Associated Urinary Tract Infections 18.80 25.58 0.73 Falls … In-Hospital Patient Falls 12.25 14.56 0.84 Pressure Ulcers Hospital-Acquired Pressure Ulcers … Blood Stream Infections Associated With Central Venous Catheters 18,091 32,750,000 0.552 Falls … MPSMS In-Hospital Patient Falls 262,317 32,750,000 8.010 Obstetric Adverse Events PSI

115. AHRQ Tools To Reduce Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/hac/tools.html
     March 01, 2024 - Central line-associated blood stream infections (CLABSI): Tools for Reducing CLABSI Injuries and falls … from immobility: Preventing Falls in Hospitals Intensive care units: Toolkit for Preventing CLABSI

116. Module 4: How to Implement the Fall Prevention Program in Your Organization (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_fall-prevention.docx
     September 20, 2017 - answering the following questions: · What roles and responsibilities will staff have in preventing falls … AHRQ Fall Prevention Program Implementation Sharing Webinar DMAIC: A Deep Dive into Reducing Patient Falls … those testing areas are now responsible for the patients’ care and need to know they are at risk for falls … Tracking the care processes to prevent falls is a measure of implementation success and should translate … This example comes from a hospital that implemented AHRQ’s Preventing Falls in Hospitals Toolkit.

117. Module 4: How To Implement the Fall Prevention Program in Your Organization—Training Guide | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/guide.html
     October 01, 2017 - Prevention Program Implementation Guide Fall Prevention in Hospitals—Webinars Preventing Falls … answering the following questions: What roles and responsibilities will staff have in preventing falls … DMAIC: A Deep Dive into Reducing Patient Falls —AHRQ Fall Prevention Program Implementation Sharing Webinar … Tracking the care processes to prevent falls is a measure of implementation success and should translate … This example comes from a hospital that implemented AHRQ’s Preventing Falls in Hospitals Toolkit.

118. Fallpxtool2A (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2a.docx
     January 28, 2013 - Reference: Developed by Falls Toolkit Research Team. … Prevention Policies and Practices Individuals designated by the Implementation Team leader 2E – Falls … Managing Change Checklist Implementation Team leader 3A – Master Clinical Pathway for Inpatient Falls

119. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
     December 01, 2016 - Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2014) OB … Central Line- Associated Bloodstream Infections 18,000 5,000 13,000 72% $221,000,000 2,405 Falls

120. Fallpxtool3P (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3p.docx
     January 29, 2013 - Reference: Developed by Falls Toolkit Research Team. How to use this tool: Complete the checklist.