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preventiveservices.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - Preliminary 2015 estimates indicate that more than 37,000 fewer patients died in hospitals in 2015 as … HACs from 2010 to 2015 indicates that hospitals have made substantial progress in improving safety. … expanded its efforts in order to extend the success that hospitals have achieved to all health care … MPSMS (2015)
In-Hospital Patient Falls
220,000
6.7
Obstetric Adverse Events
PSI (2014) … hospitals
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preventiveservices.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - Each year, somewhere between 700,000 and 1,000,000 people in the United States fall in the hospital. … Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care focuses on overcoming the challenges … The Guide to Patient and Family Engagement in Hospital Quality and Safety will help hospitals work … The Preventing Pressure Ulcers in Hospitals Toolkit assists hospital staff in implementing effective … Three Addresses Falls Prevention and Management.
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
October 01, 2020 - Fall Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered … Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism Guide … health care facilities can minimize such safety problems as health care-associated infections, patient falls … The toolkit:
Targets six areas of safety—infections, falls, medication errors, security, injuries of … Video on Transforming Hospitals: Designing for Safety and Quality
This video reviews the case for how
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/index.html
August 01, 2022 - Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered … Care Facilities
Hospital Resources
Toolkits, recommendations, and other resources for hospitals … Hospital Quality and Safety
Health Care Facility Design Safety Risk Assessment Toolkit
Hospital … Improving Patient Safety Systems for Patients with Limited English Proficiency
NICU Toolkit
Preventing Falls … in Hospitals
Preventing Pressure Ulcers in Hospitals
QI Toolkit for Hospitals
RED (Re-Engineered
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preventiveservices.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.
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preventiveservices.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.
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preventiveservices.ahrq.gov/news/newsroom/case-studies/ktcquips86.html
October 01, 2014 - Available from AHRQ
Tools
Featured
Clinicians & Providers
Hospitals … MATCH is designed to assist clinicians in all types of organizations—including hospitals and outpatient … Glens Falls Hospital in Glens Falls, New York, entered the collaborative with a "One Source of Truth … Nancy Huntington, PharmD, Director of Pharmacy, reported, "It is Glens Falls' intent to actively use … Staten Island University Hospital in Staten Island, New York, had a medication reconciliation process
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preventiveservices.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
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preventiveservices.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
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preventiveservices.ahrq.gov/patient-safety/settings/long-term-care/index.html
September 01, 2021 - Patient Safety
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
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preventiveservices.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
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preventiveservices.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
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preventiveservices.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
Hospitals … Hospital 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
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preventiveservices.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
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preventiveservices.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.
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preventiveservices.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
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preventiveservices.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
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preventiveservices.ahrq.gov/topics/f.html
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
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/patient-safety-tools-flyer-June2022.pdf
May 01, 2023 - The toolkit has reduced falls by 25
percent in acute care hospitals and is used in more than
100 hospitals … Web: ahrq.gov/npsd/data/chartbook/index.html
Preventing Falls in Hospitals: A Toolkit for
Improving … of hospital staff on how to
implement AHRQ’s Preventing Falls in Hospitals
Toolkit. … the training of hospital staff on
how to implement AHRQ’s Preventing Pressure
Ulcers in Hospitals … and communicate changes in a
resident’s condition and prevent
and manage falls.
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preventiveservices.ahrq.gov/news/newsroom/case-studies/index.html?page=8
October 01, 2015 - 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 … Hospital Quality and Safety, Hospital Survey on Patient Safety Culture, Preventing Falls in Hospitals