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  1. talkingquality.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.
  2. talkingquality.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
  3. talkingquality.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
  4. talkingquality.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
  5. talkingquality.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
  6. talkingquality.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
  7. talkingquality.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. talkingquality.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. talkingquality.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. talkingquality.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. talkingquality.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. talkingquality.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
  13. talkingquality.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
  14. talkingquality.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
  15. talkingquality.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
  16. talkingquality.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?
  17. talkingquality.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
  18. talkingquality.ahrq.gov/research/findings/studies/index.html?page=484
    January 01, 2024 - Discharge (220) Hospitalization (534) Hospital Readmissions (323) Hospitals (757) Human … can successfully prevent falls. … Keywords: Adverse Events, Falls, Hospitals, Patient Safety, Prevention Braithwaite S , Friedman … Microsimulation was used to assess the financial impact on hospitals of a surge in influenza admissions … The analysis revealed that in the matched cohort, in-hospital and 30-day postdischarge mortality rates
  19. talkingquality.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.
  20. Spreadnotes (doc file)

    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
    August 28, 2012 - Once hospital leaders are on board, they should appoint a senior executive to the CUSP team to ensure … For example, if a hospital is engaged in an organization-wide improvement initiative to decrease falls … Having the Newborn Critical Care Center complete a falls risk assessment for each patient for each shift … For example, if a hospital wants to spread a new process for patient identification, it can test the … For example, for a falls prevention program, quantitative measures to evaluate can include the falls

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