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81. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
    November 09, 2017 - to Falls Prevention Reports SAY: In this session we will introduce you to the On-Time Falls … The Falls High-Risk Report provides a weekly snapshot of residents in a nursing home at highest risk … In addition, it can be run for just injurious falls if desired rather than including all falls. … The system computes the number of residents who had at least two falls in the report period. … Treated Facility, ER, hospital admit Facility Facility ER ER Facility Facility PCP Notified?

82. Improving Clinical Performance and Safety Culture Through TeamSTEPPS Implementation
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
    January 01, 2016 - 2009 Hospitals participated on a voluntary basis beginning in 2010 19 hospitals ranging in size from … continued annually with over 100 hospitals currently engaged in the project TEAMSTEPPS 05.2 Mod 1 … 103 hospitals in 16 states Using TeamSTEPPS for greater than one year 30 additional hospitals in 11 … 133 hospitals in the HCA family using TeamSTEPPS tools by end of 2016 Partnering with the HCA Clinical … team with focus on high functioning teams Requiring more prescriptive measures of success Sepsis, Falls

83. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/about/areas.html
    February 01, 2018 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … SHARE: More topics in … also develop practical, research-based tools and resources that help clinicians and others working in … the nation’s hospitals, nursing homes, medical offices, and other settings make care safer for their … Our areas of research and tools cover: Healthcare Infections Team Training Falls Pressure Ulcers

84. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
    June 01, 2014 - methods used to compute this data are identical to those used to compute the 2010 baseline, as described in … The data for 2011 and 2012 are shown in Table 1 below. … 32,750,000 Discharges— Based on 2010 Baseline) 2012 PFP Measured HACs per 1,000 Discharge s Falls … MPSMS In-Hospital Patient Falls 260,000 7.80 230,000 7.16 Obstetric Adverse Events PSI OB Trauma … in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 82,000 2.51 77,000 2.36 Pressure

85. Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/research/findings/studies/index.html?page=484
    January 01, 2024 - Discharge (220) Hospitalization (534) Hospital Readmissions (323) Hospitals (757) Human … can successfully prevent falls. … Keywords: Adverse Events, Falls, Hospitals, Patient Safety, Prevention Braithwaite S , Friedman … Microsimulation was used to assess the financial impact on hospitals of a surge in influenza admissions … The analysis revealed that in the matched cohort, in-hospital and 30-day postdischarge mortality rates

86. AHRQuality Indicators™ | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/cpi/about/otherwebsites/qualityindicators.ahrq.gov/qualityindicators.html
    July 01, 2018 - Mission The Quality Indicators (QIs) are measures of health care quality that use readily available hospital … Currently, the AHRQ Quality Indicators are only for use with administrative data in acute care hospitals … diagnostic centers) or populations (e.g., mental health or substance abuse, emergency preparedness, patient falls … The AHRQ QIs are used in free software distributed by AHRQ. … The software programs can be applied to any hospital inpatient administrative data.

87. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsroom/case-studies/201419.html
    November 01, 2014 - It has been successful in reducing CLABSI, as evidenced by the fact that the hospital has had only two … In 2012, the hospital incorporated AHRQ's CUSP protocols for communication, teamwork, and leadership … to address other patient safety issues such as falls prevention, medication safety, urinary tract infection … This AHRQ survey is used by hundreds of hospitals in the United States to assess a facility's patient … so hospitals can compare their safety culture results with those of other hospitals. 

88. Spreadnotes (doc file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
    August 28, 2012 - Once hospital leaders are on board, they should appoint a senior executive to the CUSP team to ensure … For example, if a hospital is engaged in an organization-wide improvement initiative to decrease falls … Having the Newborn Critical Care Center complete a falls risk assessment for each patient for each shift … For example, if a hospital wants to spread a new process for patient identification, it can test the … For example, for a falls prevention program, quantitative measures to evaluate can include the falls

89. Overview of Emergency Department Visits Related to Injuries, by Cause of Injury, 2017 | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/data/visualizations/ed-visits-injury.html
    June 01, 2021 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … to Injuries, by Cause of Injury, 2017 Injuries are common and can have many causes, such as falls … In 2018, unintentional injuries were the leading cause of death among people ages 1 to 44 years. … While severe or untreated injuries can be fatal, most are nonfatal, and many are treated in emergency

90. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    September 01, 2022 - U.S. hospitals. … the magnitude of adverse events among hospital patients covered by Medicare and to create a baseline … Transferred to AHRQ in 2009, MPSMS is now in its 15th year. … frequently occurring events, e.g., not just fall rates over a given time, but also the percentage of falls … hospitals.

91. Information to Help Hospitals Get Started (doc file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.docx
    January 01, 2012 - Information to Help Hospitals Get Started How Patient and Family Engagement Benefits Your Hospital Information … In a pilot implementation project, hospitals that implemented the strategies in the Guide observed improved … medication errors, a 40 percent reduction in falls, and a 50 percent decrease in length of stay.4 Improved … care processes.9 When patients and families remain disengaged, hospitals waste resources in the form … of preventable readmissions.18 Enhanced hospital market share and competitiveness For many hospitals

92. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/research/findings/making-healthcare-safer/index.html
    July 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … government agencies about practices that can improve patient safety across the healthcare system—from hospitals … Harms such as adverse drug events, healthcare-associated infections, falls, and obstetric adverse events … safety practices in selected harm areas.

93. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
    July 01, 2022 - Voluntary Adverse Event Reporting in Rural Hospitals  (   PDF , 478 KB ) Charles P. … Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance   … A Model of Care Delivery to Reduce Falls in a Major Cancer Center (   PDF , 426 KB ) Nancy E. … Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities (   PDF , 338 KB ) Patricia … Strategies for Improving Patient Safety in Small Rural Hospitals (   PDF , 134 KB ) Judith Tupper, et

94. Participating in the 2022 CAHPS Home and Community-Based Services Survey Database: What You Need to Know | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/cahps/news-and-events/events/webinar-051823.html
    December 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Speakers reviewed the HCBS CAHPS Survey and discussed the benefits and steps involved in participating … Voluntary data submission opens in August to all States and is free. … Managing Consultant The Lewin Group Falls Church, VA HCBS CAHPS Technical Assistance (PDF, 115 KB)

95. Long-term Care Resources | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
    November 01, 2021 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital … Hospital Labor and Delivery Units Emergency Department Long Term Care Resources … Program for Nursing Homes: On-Time Prevention End of Life Care Home and Community-based Services Falls

96. EvidenceNOW in Action | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
    March 01, 2021 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Advancing Heart Health Origin Cooperatives EvidenceNOW Stories EvidenceNOW in … (Asheville, NC)   New Ideas Lead to Big Changes in Care "The practice is constantly developing … Steven Brantley (Klamath Falls, OR)   Using Data To Tackle Undiagnosed Hypertension and Improve

97. Multiple Settings | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/settings/multiple/index.html
    August 01, 2023 - SHARE: More topics in … /hospital Hospital outpatient and ambulatory surgery centers Web: ahrq.gov/cahps/surveys-guidance … /oas In-center hemodialysis facilities Web: ahrq.gov/cahps/surveys-guidance/ich Nursing homes … the hospital and other healthcare environments. … The toolkit addresses approaches to desgin tat target six areas of safety: infections, falls, medication

98. Resource List - AHRQ Nursing Home Survey (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
    April 01, 2023 - 2: Communicating Change in a Resident’s Condition • Module 3: Falls Prevention and Management SOPS … a hospital or skilled nursing facility. … The toolkit is designed to aid facilities in developing a comprehensive falls prevention program. … a history of falls. 5. … the Long-Term Care Setting Falls Management Program Framework for Improving Joy in Work Get Connected

99. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
    November 01, 2017 - 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 … Preventable Hospital and Emergency Department Visits . … Falls Prevention For each topic, the Web site provides a description of the reports and suggested meetings

100. CUSP Toolkit Spread Facilitator Notes | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/hai/cusp/modules/spread/notes.html
     December 01, 2012 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … For example, if a hospital is engaged in an organization-wide improvement initiative to decrease falls … Having the Newborn Critical Care Center complete a falls risk assessment for each patient for each shift … For example, for a falls prevention program, quantitative measures to evaluate can include the falls