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101. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2021 User Database Report Part I (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-I-508-rev0921.pdf
     January 01, 2021 - Database results from hospitals that submitted SOPS Hospital Survey 1.0 data are available in a separate … of hospitals included in the 2021 SOPS Hospital 2.0 Database, including bed size, teaching status, … for all hospitals in the database. … hospital scored higher than at least 75 percent of the hospitals in the database. … If your hospital’s score is 65 percent positive, it falls above the 90th percentile, meaning your hospital

102. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
     January 01, 2023 - • The NPSD is a summary of the elements in Hospital Common Formats Event Reports for specific types … As only data submitted in the Common Formats for Event Reporting- Hospitals (CFER-H) are included in … In the Common Formats for Event Reporting – Hospital Version 1.2 (CFER-H V1.2), the Healthcare Event … hospitals. … Over one half of Falls occurred in Inpatient care areas (51.5%; 92,861 / 180,345).

103. AHRQ News Now | Agency for Healthcare Research and Quality
     preventiveservices.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

104. How CMS Measures the "30-Day All Cause Rehospitalization Rate" on the Hospital Compare Web Site | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-30day.html
     March 01, 2013 - Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … If the actual readmission rate for the study period for all heart attack admissions in all hospitals … RSRR for Hospital A = (10/9) * 12% = 13.3% In the first case, the hospital performed better than the … in the small sample size of cases, but pools together patients from all hospitals treated for the given … In essence, the predicted readmission rate for a hospital with a small number of cases is moved toward

105. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
     preventiveservices.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

106. AHRQ Grants for Health Services Research Dissertation Program (R36) | Agency for Healthcare Research and Quality
     preventiveservices.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

107. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)
     preventiveservices.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

108. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI | Agency for Healthcare Research and Quality
     preventiveservices.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.

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

110. Sustainability-Tool (doc file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/sustainability-tool.docx
     May 01, 2017 - Sustainability Sustainability Tool Background: This tool can be used to identify sustainability issues in … Are information systems in place to support the effort going forward? … Are there opportunities for varied geographic participation (e.g., among units within a hospital; among … hospitals within a consortium; participation in regional vs. national initiative)? … Are varied roles for participation in the project provided?

111. Agency for Healthcare Research and Quality
     preventiveservices.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

112. Declines in Hospital-Acquired Conditions from 2014 to 2016 | Agency for Healthcare Research and Quality
     preventiveservices.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.

113. AHRQ-Funded Patient Safety (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
     June 01, 2023 - settings (e.g., falls, adverse drug interactions, patient misidentification). ■ Improve health outcomes … four size categories of hypothetical U.S. acute care hospitals. … Investigators concluded that results for hospitals will vary but, overall, CPOE with clinical decision … harm in hospital settings. … believe they need a fall prevention plan and then follow that plan if they know their risks of harm for falling

114. Making Health Care Safer II, Executive Summary (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
     March 01, 2013 - In the past 2 years, three studies have found high rates of preventable harm in hospitals,4-6 one of … in hospitals and clinics. … falls; in-depth review Common/Low High Moderate (increased use of restraints and/or sedation) … ‘Global trigger tool’ shows that adverse events in hospitals may be ten times greater than previously … Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. OEI-06-09-00090.

115. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/news/newsroom/case-studies/index.html?page=4
     June 01, 2017 - 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

116. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/news/newsroom/case-studies/index.html?page=0
     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

117. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     preventiveservices.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

118. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/news/newsroom/case-studies/index.html?page=48
     August 01, 2004 - 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

119. Grantee Final Reports: Patient Safety | Agency for Healthcare Research and Quality
     preventiveservices.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

120. Improving Patient Safety Systems for Limited-English-Proficient (LEP) Patients: A Guide for Hospitals | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
     December 01, 2012 - Language proficiency and adverse events in U.S. hospitals: a pilot study. … Patient Safety, Quality, and Cost Drivers Greater risk of line infections, surgical infections, falls … in the Comprehensive Accreditation Manual for Hospitals . … Language proficiency and adverse events in U.S. hospitals: a pilot study. … The effect of English language proficiency on length of stay and in-hospital mortality.