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61. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
    December 01, 2016 - hospitals in 2014 as a result of the decline in HACs compared with the number of deaths that would … estimated 17 percent reduction in HACs from 2010 to 2014 indicates that hospitals have made substantial … less frequent at hospitals that have implemented a full EHR. … expanded its efforts in order to extend the success that hospitals have achieved to all health care … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2014) OB

62. Hospitals and Health Systems | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/settings/hospital/resource/index.html
    August 01, 2022 - Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Care Facilities Hospital Resources Toolkits, recommendations, and other resources for hospitals … Hospital Quality and Safety Health Care Facility Design Safety Risk Assessment Toolkit Hospital … Improving Patient Safety Systems for Patients with Limited English Proficiency NICU Toolkit Preventing Falls … in Hospitals Preventing Pressure Ulcers in Hospitals QI Toolkit for Hospitals RED (Re-Engineered

63. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - hospitals. … 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 … 4, 2015, hospitals began using ICD-10 coded data in place of ICD-9 coded data. … Conditions 25 The MPSMS-abstracted sample is representative of hospitals submitting cases to the Hospital

64. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - Final 2014 estimates indicate that more than 36,000 fewer patients died in hospitals in 2014 as a result … The estimated 17 percent reduction in HACs from 2010 to 2014 indicates that hospitals have made substantial … expanded its efforts in order to extend the success that hospitals have achieved to all health care … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2014) … indicated that in 2012 and 2013, adverse events were less frequent at hospitals that have implemented

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

66. Module 2: How To Manage Change—Training Guide | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
    September 01, 2017 - Fall Prevention in Hospitals Training Program Module 2: How To Manage Change—Training … Fall Prevention in Hospitals Training Program Fall Prevention Program Implementation Guide … Fall Prevention in Hospitals—Webinars Preventing Falls in Hospitals Toolkit Hospital … to other quality improvement efforts in a hospital, such as preventing: Hospital-acquired pressure … currently does to prevent falls.

67. Module 2: How To Manage Change (doc file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_fall-prevention.docx
    August 24, 2017 - quality improvement efforts in a hospital, such as preventing: Hospital-acquired pressure injuries. … ASK: Do you currently assess staff knowledge related to falls? What tools do you currently use? … currently does to prevent falls. … These completed assessments will help you determine what should be changed in your hospital. … You may already have a sense of what needs to change to decrease falls.

68. AHRQ Signals Intent To Fund Clinics To Improve Care for People With Long COVID | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/news/newsletters/e-newsletter/852.html
    February 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Preventing Patient Falls Using an Evidence-Based Intervention May Reduce Costs . … savings at 33 medical and surgical units in eight hospitals, according to an AHRQ-supported study published … After implementation of the Fall TIPS intervention, there was a nearly 20 percent reduction in falls

69. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/hai/pfp/methods.html
    December 01, 2017 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma in Vaginal Delivery … In-Hospital Patient Falls 12.25 14.56 0.84 Pressure Ulcers Hospital-Acquired Pressure Ulcers … MPSMS In-Hospital Patient Falls 262,317 32,750,000 8.010 Obstetric Adverse Events PSI

70. Assessing the Impact of Value-Based Purchasing Programs | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/funding/grantee-profiles/grtprofile-waters.html
    February 01, 2022 - The concept behind most value-based purchasing programs in healthcare seems simple: Reward the hospitals … payments to hospitals when patients developed a preventable in-hospital complication of their care. … , and hospital-acquired pressure ulcers. … CMS’ Hospital Readmissions Reduction Program (HRRP), launched in 2013, levied financial penalties on … Safety net hospitals did, in fact, suffer higher penalties under the HRRP than non-safety net hospitals

71. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/settings/long-term-care/index.html
    September 01, 2021 - Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital … Hospital Labor and Delivery Units Emergency Department Long Term Care Resources … Falls Management Program: A Quality Improvement Initiative for Nursing Facilities is an interdisciplinary … resident's condition and prevent and manage falls. … TeamSTEPPS ® Long-Term Care Version is a core curriculum initially developed for use in hospitals and

72. How To Manage Change
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
    August 24, 2017 - How To Manage Change How To Manage Change ADD Hospital Name Here Module 2 QI Change Process Change … process strategies can be applied to other quality improvement efforts: Hospital-acquired pressure … Managers Senior manager     Quality improvement/safety/risk manager     Reference: Developed by Falls … This information helps you define resources your hospital has for quality improvement. … Challenges to good practice identified at organization and unit levels   Reference: Developed by Falls

73. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … The data for 2011 and 2012 are shown in Table 1 below. … 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

74. Long-term Care Facilities | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/index.html
    September 01, 2021 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Hospital Labor and Delivery Units Emergency Department Long Term Care Resources … 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

75. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/sops/about/patient-safety-culture.html
    March 01, 2022 - SOPS surveys have been developed for the following settings of care: Hospitals. … In addition, survey items are customized for each setting of care. … with more positive SOPS scores had: Fewer hospital-acquired pressure ulcers and patient falls. 1 … rates of in-hospital complications or adverse events as measured by AHRQ’s patient safety indicators … Medicare & Medicaid Services (CMS) Nursing Home Five-Star Quality ratings. 5 Lower risks of resident falls

76. First-of-Its-Kind Study Examines Disparities in Healthcare Costs and Outcomes of Cigarette Smoking in the United States | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/news/newsletters/e-newsletter/893.html
    December 01, 2023 - AHRQ has developed numerous resources to help staff in hospitals, emergency departments, long-term … Chesapeake Regional Healthcare used AHRQ’s Preventing Falls in Hospitals: A Toolkit for Improving Quality … decrease in acute care falls from the fourth quarter of 2022 to the first quarter of 2023, with sustained … The new Compendium data includes a system-level file as well as a hospital file that provides information … on system ownership of hospitals.

77. Pressure Ulcer Prevention Toolkit (doc file)
    cahps.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 … Determine whether each abnormally scored dimension of the standardized risk assessment is addressed in … the percentage of abnormally scored dimensions of the standardized risk assessment that are addressed in

78. Fallpxtool3F (doc file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3f.docx
    January 29, 2013 - Measurement Background: This tool can be used to identify orthostatic hypotension, a risk factor for falls … in hospitalized patients. … Reference: Adapted from: John Dempsey Hospital Department of Nursing Clinical Manual/Nursing Practice … When a patient is on a medication that may cause orthostasis and has other risk factors for falls. … A significant change in vital signs with a change in position also signals increased risk for falls.

79. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/hai/pfp/haccost2017.html
    November 01, 2017 - acute-care hospitals, and achieve a 20 percent reduction in HACs and a 12 percent reduction in 30-day … Beginning in 2008, CMS identified the HACs (e.g., CAUTI, falls and trauma, surgical site infection) for … ; however, beginning in 2015, the ACA required CMS to reduce payments to hospitals performing in the … These definitions are intended to be applied by hospitals and patient safety officers in their surveillance … As in the previous stage, articles had to involve primary or secondary analysis of data from U.S. hospitals

80. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
    September 01, 2014 - physician diagnosed) 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 With (PSI … The PFP national HAC rate is the total HAC count in (2) above divided by the number of annual hospital … In-Hospital Patient Falls 12.25 14.56 0.84 Pressure Ulcers Hospital-Acquired Pressure Ulcers 53.03 … MPSMS In-Hospital Patient Falls 262,317 32,750,000 8.010 Obstetric Adverse Events PSI OB Trauma in