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141. 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.qualitymeasures.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.

142. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

143. Fallpxtool2G (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2g.docx
     January 28, 2013 - Reference: Developed by Falls Toolkit Research Team.

144. Patient Safety Tools | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

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

146. Fallpxtool3D (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3d.docx
     January 29, 2013 - Reference: Falls prevention strategies in health care settings.

147. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

148. Table 10: Outcome Indicators by Selected Home and Community-Based Services 1915(c) Waiver Services Offered, 2005 | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab10.html
     February 01, 2023 - 19,018 17,666 Pressure Ulcer Yes 5,006 4,208 4,833 No 2,960 3,348 3,127 Injurious Falls … 19,094 19,184 20,443 Pressure Ulcer 4,195 4,249 2,476 3,395 3,286 3,764 Injurious Falls

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

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

151. Generic Dashboard Data 2023 (xls file)
     www.qualitymeasures.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…

152. Fallpxtool2F (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2f.docx
     November 16, 2011 - 2F: Action Plan Background: The purpose of this tool is to provide a framework for outlining steps that will be needed to design and implement the fall prevention initiative. Reference: Adapted from material produced by MassPro, a participant in the Centers for Medicare & Medicaid Services Quality Improvement Organiz…

153. CHIPRA 201: Section 5, Table 3 (pdf file)
     www.qualitymeasures.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

154. Table 19G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19g.html
     March 01, 2023 - 28,599 25,757 29,466 Pressure Ulcer 4,845 3,916 4,034 4,473 4,279 3,822 Injurious Falls … Overall 24,470 31,390 25,983 29,126 Pressure Ulcer 4,169 4,242 4,328 3,449 Injurious Falls

155. Table 19D: I/DD Subpopulation | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19d.html
     March 01, 2023 - 4,903 6,049 4,408 Pressure Ulcer 1,887 1,225 1,703 1,115 1,573 1,084 Injurious Falls … Overall 5,768 5,111 6,087 4,163 Pressure Ulcer 1,543 1,223 1,589 999 Injurious Falls

156. Table 19E: SMI Subpopulation | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19e.html
     March 01, 2023 - 17,046 19,215 17,075 Pressure Ulcer 3,124 2,492 3,084 2,232 2,819 2,301 Injurious Falls … Overall 17,757 20,393 19,476 16,171 Pressure Ulcer 2,658 2,731 2,846 2,191 Injurious Falls

157. Table 17D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17d.html
     February 01, 2023 - 5,312 6,245 5,000 Pressure Ulcer 1,619 1,071 1,367 1,440 1,749 1,185 Injurious Falls … Overall 5,719 5,011 6,399 5,136 Pressure Ulcer 1,498 1,217 1,890 1,213 Injurious Falls

158. Table 17A: National HCBS Population | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17.html
     February 01, 2023 - 17,751 23,720 16,492 Pressure Ulcer 4,168 2,525 3,903 3,214 4,382 2,935 Injurious Falls … Overall 19,447 18,724 23,221 17,538 Pressure Ulcer 3,603 3,194 4,378 3,086 Injurious Falls

159. Table 17B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17b.html
     February 01, 2023 - 19,729 26,330 18,086 Pressure Ulcer 4,583 2,937 4,303 3,638 4,774 3,353 Injurious Falls … Overall 21,408 21,005 25,803 19,316 Pressure Ulcer 4,098 3,440 4,727 3,530 Injurious Falls

160. Table 19F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19f.html
     March 01, 2023 - 21,282 21,204 19,420 Pressure Ulcer 6,082 4,303 4,919 4,872 4,765 5,535 Injurious Falls … Overall 20,343 22,153 21,427 18,076 Pressure Ulcer 4,499 5,846 4,870 5,072 Injurious Falls