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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.
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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
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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
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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
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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
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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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
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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
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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
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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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
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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.
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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
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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 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
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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
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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
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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
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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?
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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
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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
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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.
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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