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