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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
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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
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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.
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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)?
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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
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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
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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
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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.
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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
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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
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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.
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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
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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.
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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
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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
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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.
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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.
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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
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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
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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.