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101. New Data Resources Provide Insights Into Patient Safety Risks | Agency for Healthcare Research and Quality
     patientregistry.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,

102. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     patientregistry.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

103. AHRQ Stats | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/news/newsroom/ahrq-stats.html
     November 01, 2023 - Toolkit Significantly Reduces Hospital Falls A safety toolkit funded by AHRQ helped hospitals reduce … patient falls overall by 15 percent and falls resulting in injuries by 34 percent, according to a study … treatment of injuries due to falls (38 percent). … Hospital Participation in a Medicare Bundled Payment Model About 28 percent of hospitals that are part … Declining In-Hospital Hip Fractures The average hospital rate of in-hospital hip fractures due to falls

104. Declines in Hospital-Acquired Conditions from 2014 to 2016 | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/data/infographics/hac-rates-decline.html
     August 01, 2018 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Hospital-Acquired Conditions from 2014 to 2016 … Hospital-Acquired Conditions from 2014 to 2016 Declines in Hospital-Acquired Conditions from … Hospital-Acquired Conditions from 2014 to 2016.

105. Hospital Readmissions | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/topics/hospital-readmissions.html
     January 01, 2012 - In 2012, the Centers for Medicare & Medicaid Services began reducing Medicare payments for certain hospitals … AHRQ’s tools, data, and research to help hospitals reduce preventable readmissions. … analyses of national readmission rates for all payers and uninsured patients and addresses a large gap in … readmissions and readmissions to U.S. hospitals by procedure and diagnosis. … Measuring equity in readmission as a distinct assessment of hospital performance.

106. Health Systems Research | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/opioids/health-systems-research.html
     July 01, 2021 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … older adults who experienced common side effects from opioids (such as constipation, confusion, nausea, falls … Characterizing Opioid-Related Adverse Events in Older Adults After Hospital Discharge.  … Prescribing of opioids at hospital discharge and associated adverse patient outcomes.

107. Medicare Pay-for-Performance Programs Not Linked to Consistent Quality, Safety Improvements | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/news/newsletters/e-newsletter/829.html
     August 01, 2022 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Medicare assessed $956 million in penalties in 2019 to hospitals that failed to meet benchmarks or show … improvement under the Hospital Readmission Reduction Program, the Hospital-Acquired Conditions Program … and the Hospital Value-Based Purchasing Program. … Applicants may focus on current pressing patient safety issues such as: patient falls, medication safety

108. How To Manage Change
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
     November 20, 2014 - How To Manage Change How To Manage Change ADD Hospital Name Module 2 QI Change Process Change process … strategies can be applied to other quality improvement (QI) efforts: Hospital falls Catheter-associated … This information helps you define resources this hospital has for quality improvement. … You’ll want to address these areas in the Action Plan. … How changes in performance will be assessed.

109. Equity Is Essential to Health Care Quality Improvement: National Academy of Medicine Discussion Paper | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/news/newsletters/e-newsletter/781.html
     September 01, 2021 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Hospitals, 2018 .) … Articles featured this week include: Factors related to serious safety events in a children's hospital … student projects on topics such as falls prevention, cardiac care self-management and urinary infection … Technical Brief: Interventions To Decrease Hospital Length of Stay .

110. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
     January 01, 2024 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Potential problems include medication errors, falls, infections, procedural complications, management … In 2021, Dr. … In related work, Dr.

111. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/news/newsroom/case-studies/index.html
     February 01, 2024 - 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

112. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/news/newsroom/case-studies/index.html?page=7
     January 01, 2016 - 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

113. PS Grantee Report | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/research/findings/final-reports/index.html
     June 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … In addition, many final reports were written years ago, links and contact information may no longer be … Publication Date: August 2022 Management of Direct Anticoagulants to Lower Adverse Events in … High Risk Populations: Implementing the Centers for Disease Control Guideline (CDC) Guideline in the

114. Timing the Distribution of a Healthcare Quality Report | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/talkingquality/distribute/timing/index.html
     March 01, 2016 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Medicare beneficiaries also participate in an open enrollment process each fall. … After viewing the data, consumers made choices well aligned with their priorities. 1 In situations … interact with various components of the healthcare system—including primary care providers, specialists, hospitals

115. Examples of Hospital Quality Measures for Consumers | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html
     March 01, 2016 - Home Talking Quality Select Measures To Report Measures in … SHARE: More topics in … Types of Quality Measures Data Sources Key Questions About Measures Measures in … Also in "Measures of Hospital Quality" Examples of Hospital Quality Measures for Consumers Major … https://www.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html  

116. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
     December 01, 2017 - Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Guide to Patient and Family Engagement in Hospital Quality and Safety Preventing Falls … in Hospitals Hospital Survey on Patient Safety Culture Comprehensive Unit-based Safety Program ( … -­‐10 2016 version tested with 20 hospitals – In-depth evaluation with 6 hospitals Slide 22 … hospitals if available Can help identify which QIs the hospital may need to address for quality

117. Chlorhexidine Bathing Routine Reduces Infections in Nursing Homes | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/news/newsletters/e-newsletter/884.html
     October 01, 2023 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 2020, 23.8 out of every 100 hospital stays resulted in a 30-day readmission, the highest rate of any … Each year, 3 million healthcare-associated infections in U.S. nursing homes cause 150,000 hospital admissions … clinical decision support tool to prevent outpatient falls among older adults: protocol for a quasi-experimental … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality

118. Selected Best Practices and Suggestions for Improvement (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
     May 20, 2016 - Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital … failures in care, adverse events, and mortality … 30-Day Mortality Rate, which began in July 2014). … Recommended Practice: Engage in Action Planning • All participants participate in action planning based … • Blood cultures performed in the emergency department prior to initial antibiotic receipt in hospital

119. Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/research/findings/studies/index.html?page=1
     January 01, 2024 - Discharge (219) Hospitalization (534) Hospital Readmissions (321) Hospitals (756) Human … They discussed progress made in three potential use cases in the ED: falls, cognitive impairment, and … falls screening to algorithmic validation in cognitive impairment and end-of-life care, but should still … in pediatric emergency department patients in a community hospital during the COVID-19 pandemic. … department visits in a community hospital, 2019-2021.

120. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/teamstepps/instructor/fundamentals/module3/slcommunication.html
     July 01, 2018 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Brief: Communicate the information in a concise manner. … SEALS in WATER Don't SWIM." … S afety: Critical lab values/reports, socioeconomic factors, allergies, and alerts (falls, isolation