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101. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
     January 01, 2019 - Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient … Safety Culture Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital … Fall Prevention in Hospitals Training Program https://www.ahrq.gov/professionals/systems/hospital/fallpxtraining … Commission National Patient Safety Goals Hospital Program is to improve patient safety in hospitals … • Patient Falls Reduction. • RCA Resource Guide. • SBAR. 15.

102. Resource List - AHRQ Hospital Survey (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
     April 01, 2023 - Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture … is to improve patient safety in hospitals by focusing on specific goals. … • Patient Falls Reduction. • RCA Resource Guide. • SBAR. 9. … Fall Prevention in Hospitals Training Program https://www.ahrq.gov/professionals/systems/hospital/fallpxtraining … Fall Prevention in Hospitals Training Program 10. Framework for Improving Joy in Work 11.

103. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
     July 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Other examples of effective check-backs include: One member of the team calls out, "BP is falling, … BP is falling and at 80/48, down from 90/60."  … hospital and long-term care settings ( TeamSTEPPS: Check-Back in Inpatient Surgical Terms ; TeamSTEPPS

104. AHRQ Welcomes Your Comments on Draft Report to Congress about Improving Patient Safety | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/blog/ahrqviews/comments-pso-draft-report.html
     February 01, 2021 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Although we still see too many events such as adverse drug reactions, infections, or falls, momentum … Recent years have seen a steady reduction in hospital-acquired conditions , for example. … AHRQ’s Making Healthcare Safer reports , published in 2001, 2013, and 2020.

105. Examples of Physician Quality Measures for Consumers | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/talkingquality/measures/setting/physician/examples.html
     September 01, 2019 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Different Settings Measuring Hospital Quality Measuring Health Plan Quality Measuring … patients. 1 Patient Safety Measures: Screening, risk-assessment, and plan of care to prevent future falls … in older adults.

106. Pressure Injury Prevention in Hospitals Training Program | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/index.html
     October 01, 2017 - Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Training Program AHRQ developed the Pressure Injury Prevention in Hospitals Training … in Hospitals Toolkit . … Pressure Injury Prevention in Hospitals Training Program and the associated Pressure Ulcer Prevention … Hospital implementation teams should access the modules in sequential order, view the recommended Webinars

107. AHRQ News Now | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/index.html?page=0
     April 23, 2024 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Poor-Performing Hospitals January 30, 2024 New Tool Helps Manage Opioid Use in Older Adults … Surveillance October 24, 2023 New Data Resource Provides Insights on Factors Related to Falls … in Healthcare September 26, 2023 AHRQ Awards $45 Million in Grants To Expand Access to Care

108. AHRQ News Now | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/index.html
     April 30, 2024 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Poor-Performing Hospitals January 30, 2024 New Tool Helps Manage Opioid Use in Older Adults … Surveillance October 24, 2023 New Data Resource Provides Insights on Factors Related to Falls … in Healthcare September 26, 2023 AHRQ Awards $45 Million in Grants To Expand Access to Care

109. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
     November 01, 2021 - • Patient safety concerns such as falls, pressure injuries, and adverse medication events were reported … hospitals. … In other instances, the increased workloads experienced by hospital staff and laboratories may have … Conditions The CFER-H technical specifications capture 10 types of patient safety concerns (e.g., falls … The PSWP is submitted using the AHRQ Common Formats for Event Reporting – Hospital (CFER-H) V1.2 and

110. Development of the CAHPS Adult Hospital Survey | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/cahps/surveys-guidance/hospital/about/dev_adult_hp_survey.html
     April 01, 2023 - collaboration to foster greater accountability and improvements in hospital care. … This pilot test included 132 hospitals and resulted in over 19,000 completed surveys. … These focus groups were conducted in four cities and included adults who had recently been in a hospital … or who were caregivers for someone who had recently been in a hospital. … In the summer of 2004, the CAHPS Team worked with hospitals and vendors that volunteered to test the

111. AHRQ Quality Indicators Toolkit Facilitates Process Improvement Work at Cedars-Sinai Medical Center | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
     December 01, 2017 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide … of hospitals’ performance and in future value-based purchasing programs. … The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes

112. Military Hospitals Employ AHRQ Hospital Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/case-studies/cquips0703.html
     October 01, 2014 - Employ AHRQ Hospital Survey on Patient Safety Culture … The Department of Defense Patient Safety Program chose AHRQ's Hospital Survey on Patient Safety … Data were collected from all MHS fixed facilities worldwide, comprising 68 hospitals, 340 outpatient … Nine of the 12 survey areas received a 50 percent or better positive response, with only three areas falling … Employ AHRQ Hospital Survey on Patient Safety Culture.

113. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
     August 01, 2010 - patient falls during change of shift, dropping from one to two patient falls per month to one patient … 3 months Reduce the incidence of patient falls by 20 percent in 6 months Step 2: Decide how to implement … In fact, this question achieved the highest score of all hospitals nationwide. … Patewood Memorial Hospital Three hospitals implemented the Guide bedside shift report strategy in 2011 … All hospitals also saw improvements in CAHPS Hospital Survey scores after implementing bedside shift

114. NQMC Measure Domain Framework | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/gam/summaries/domain-framework/index.html
     July 01, 2018 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Measures in NQMC were classified into domains according to the domain framework below. … In practical terms, the criterion of quality determines whether a higher or lower score for a measure … Performance on these measures falls to public officials, public health programs, or other entities that

115. Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/studies/index.html
     January 01, 2024 - Discharge (220) Hospitalization (534) Hospital Readmissions (323) Hospitals (757) Human … Hospital-physician integration and clinical volume in traditional Medicare. … acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors … Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the … Keywords: Hospital Readmissions, Medicare, Falls Fleming MD , Safaeinili N , Knox M Organizational

116. AHRQ Grants for Health Services Research Dissertation Program (R36) | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/funding/training-grants/r36.html
     November 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Be full-time academic students in good standing, who are enrolled in an accredited research doctoral … with their institutions to make sure they are registered in the NIH Commons. … When a postmark/submission date falls on a weekend or Federal holiday, the application deadline is automatically

117. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
     August 01, 2010 - Hospital Quality and Safety is a resource to help hospitals develop effective partnerships with patients … patient falls during change of shift, dropping from one to two patient falls per month to one patient … 3 months • Reduce the incidence of patient falls by 20 percent in 6 months Step 2: Decide how to … In fact, this question achieved the highest score of all hospitals nationwide. … All hospitals also saw improvements in CAHPS Hospital Survey scores after implementing bedside shift

118. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
     December 01, 2017 - LTC Facilities Reducing CAUTI in Hospitals How To Use the Toolkit Modules Information … the hospital works and how to achieve results Are strangers in the hospital environment Don’t … “If you are concerned about falling (or the family is concerned) please let the hospital staff know because … difficult to walk and/or lead to falls.” … Slide 56 References Guide to Patient and Family Engagement in Hospital Quality and Safety.

119. New Data Resources Provide Insights Into Patient Safety Risks | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/885.html
     October 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … October 17, 2023 AHRQ Stats: Hospital Readmissions by Race In 2020, non-Hispanic Black patients experienced … The new chartbooks highlight patterns and trends associated with in-hospital falls (PDF, 5 MB) and … AHRQ’s SOPS surveys ask healthcare providers and staff in hospitals, medical offices, nursing homes,

120. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/case-studies/index.html?page=1
     September 01, 2021 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Staying Healthy at 50+ (1) Preventable Hospitalization Costs and Mapping Tool (4) Preventing Falls … in Hospitals Toolkit (4) Preventing Hospital-Related VTE Guide (1) Preventing Pressure Ulcers … in Hospitals Toolkit (1) Prevention TaskForce app (formerly Electronic Preventive Services Sector