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61. Module 4: How To Implement the Fall Prevention Program in Your Organization—Slide Presentation | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/slides.html
    September 01, 2017 - Fall Prevention in Hospitals Training Program Fall Prevention Program Implementation Guide … Fall Prevention in Hospitals—Webinars Preventing Falls in Hospitals Toolkit Hospital … falls. … Slide 13: Staff Turnover All hospitals experience the challenges of staff turnover. … Tracking care processes to prevent falls is a measure of implementation success, and it should translate

62. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    pbrn.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

63. Module 2: How To Manage Change—Training Guide | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
    September 01, 2017 - 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. … You may already have a sense of what needs to change to decrease falls.

64. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/long-term-care/index.html
    September 01, 2021 - 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

65. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    pbrn.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

66. Module 2: How To Manage Change (doc file)
    pbrn.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.

67. AHRQuality Indicators™ | Agency for Healthcare Research and Quality
    pbrn.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.

68. 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
    pbrn.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.

69. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/about/areas.html
    February 01, 2018 - SHARE: More topics in this section Patient Safety … 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

70. How To Manage Change
    pbrn.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

71. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/hai/pfp/methods.html
    December 01, 2017 - MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma in Vaginal Delivery … The PFP national HAC rate is the total HAC count in (2) above divided by the number of annual hospital … 1.44 2.24 0.64 CAUTI Catheter-Associated Urinary Tract Infections 18.80 25.58 0.73 Falls … 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

72. Fallpxtool3O (doc file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3o.docx
    January 01, 2008 - key to maintaining the patient’s safety and for organizational learning about how to prevent future falls … Improving the capture of fall events in hospitals: combining a service for evaluating inpatient falls … How to use this tool: The information below can be customized for use within your hospital. … The tool may be used for the purpose of root cause analysis to prevent future falls in this patient and … Inouye, M.D., M.P.H. ©2000, Hospital Elder Life Program. All rights reserved. 2.3.

73. Pressure Ulcer Prevention Toolkit (doc file)
    pbrn.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

74. Fallpxtool3F (doc file)
    pbrn.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.

75. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    pbrn.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.

76. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate (pdf file)
    pbrn.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

77. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - SHARE: More topics in this section Healthcare-Associated … 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. … 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

78. PowerPoint Presentation
    pbrn.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

79. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
    pbrn.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?

80. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/research/findings/making-healthcare-safer/index.html
    July 01, 2023 - government agencies about practices that can improve patient safety across the healthcare system—from hospitals … a significant problem in the United States. … Harms such as adverse drug events, healthcare-associated infections, falls, and obstetric adverse events … safety practices in selected harm areas. … facilitating adoption and implementation in a timelier way.