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  1. monahrq.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 Hospitalfalls. … Tracking care processes to prevent falls is a measure of implementation success, and it should translate
  2. monahrq.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.
  3. monahrq.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
  4. monahrq.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
  5. monahrq.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
  6. monahrq.ahrq.gov/patient-safety/settings/long-term-care/index.html
    September 01, 2021 - Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting HospitalHospital 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
  7. monahrq.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
  8. monahrq.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 HospitalsHospital 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
  9. monahrq.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
  10. monahrq.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.
  11. monahrq.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
  12. monahrq.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
  13. monahrq.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 hospitalIn-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
  14. monahrq.ahrq.gov/topics/f.html
    March 30, 2024 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Filter the Results Topics Priority Populations Information in … Spanish Topics Browse A - Z F Fact Sheets Falls Patient
  15. monahrq.ahrq.gov/funding/grantee-profiles/index.html
    April 01, 2024 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 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
  16. monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
    October 01, 2017 - of facility residents at highest risk of falling Enables staff to be more proactive, consistent, and … Report How many residents triggered for highest risk of falling? … information about activities of daily living Included in the Falls High-Risk Report but not used in … and percentage of falls that have occurred for residents with each risk factor included in the Falls … None None None   Other               Free text             Where Resident Was Treated Facility, ER, hospital
  17. monahrq.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?
  18. monahrq.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
  19. monahrq.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
  20. monahrq.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

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