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61. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
    teamstepps.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

62. Agency for Healthcare Research and Quality
    teamstepps.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

63. AHRQuality Indicators™ | Agency for Healthcare Research and Quality
    teamstepps.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.

64. Spreadnotes (doc file)
    teamstepps.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

65. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    teamstepps.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.

66. Information to Help Hospitals Get Started (doc file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.docx
    January 01, 2012 - Information to Help Hospitals Get Started How Patient and Family Engagement Benefits Your Hospital Information … In a pilot implementation project, hospitals that implemented the strategies in the Guide observed improved … medication errors, a 40 percent reduction in falls, and a 50 percent decrease in length of stay.4 Improved … care processes.9 When patients and families remain disengaged, hospitals waste resources in the form … of preventable readmissions.18 Enhanced hospital market share and competitiveness For many hospitals

67. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/making-healthcare-safer/index.html
    July 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … government agencies about practices that can improve patient safety across the healthcare system—from hospitals … Harms such as adverse drug events, healthcare-associated infections, falls, and obstetric adverse events … safety practices in selected harm areas.

68. Long-term Care Resources | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
    November 01, 2021 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital … Hospital Labor and Delivery Units Emergency Department Long Term Care Resources … Program for Nursing Homes: On-Time Prevention End of Life Care Home and Community-based Services Falls

69. EvidenceNOW in Action | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
    March 01, 2021 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Advancing Heart Health Origin Cooperatives EvidenceNOW Stories EvidenceNOW in … (Asheville, NC)   New Ideas Lead to Big Changes in Care "The practice is constantly developing … Steven Brantley (Klamath Falls, OR)   Using Data To Tackle Undiagnosed Hypertension and Improve

70. Multiple Settings | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/multiple/index.html
    August 01, 2023 - SHARE: More topics in … /hospital Hospital outpatient and ambulatory surgery centers Web: ahrq.gov/cahps/surveys-guidance … /oas In-center hemodialysis facilities Web: ahrq.gov/cahps/surveys-guidance/ich Nursing homes … the hospital and other healthcare environments. … The toolkit addresses approaches to desgin tat target six areas of safety: infections, falls, medication

71. Resource List - AHRQ Nursing Home Survey (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
    April 01, 2023 - 2: Communicating Change in a Resident’s Condition • Module 3: Falls Prevention and Management SOPS … a hospital or skilled nursing facility. … The toolkit is designed to aid facilities in developing a comprehensive falls prevention program. … a history of falls. 5. … the Long-Term Care Setting Falls Management Program Framework for Improving Joy in Work Get Connected

72. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
    November 01, 2017 - 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 … Preventable Hospital and Emergency Department Visits . … Falls Prevention For each topic, the Web site provides a description of the reports and suggested meetings

73. Resource List - AHRQ Hospital Survey (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
    April 01, 2023 - Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture … is to improve patient safety in hospitals by focusing on specific goals. … • Patient Falls Reduction. • RCA Resource Guide. • SBAR. 9. … Fall Prevention in Hospitals Training Program https://www.ahrq.gov/professionals/systems/hospital/fallpxtraining … Fall Prevention in Hospitals Training Program 10. Framework for Improving Joy in Work 11.

74. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
    July 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Other examples of effective check-backs include: One member of the team calls out, "BP is falling, … BP is falling and at 80/48, down from 90/60."  … hospital and long-term care settings ( TeamSTEPPS: Check-Back in Inpatient Surgical Terms ; TeamSTEPPS

75. Examples of Physician Quality Measures for Consumers | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/talkingquality/measures/setting/physician/examples.html
    September 01, 2019 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Different Settings Measuring Hospital Quality Measuring Health Plan Quality Measuring … patients. 1 Patient Safety Measures: Screening, risk-assessment, and plan of care to prevent future falls … in older adults.

76. Pressure Injury Prevention in Hospitals Training Program | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/index.html
    October 01, 2017 - Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Training Program AHRQ developed the Pressure Injury Prevention in Hospitals Training … in Hospitals Toolkit . … Pressure Injury Prevention in Hospitals Training Program and the associated Pressure Ulcer Prevention … Hospital implementation teams should access the modules in sequential order, view the recommended Webinars

77. AHRQ News Now | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/index.html
    April 23, 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

78. Development of the CAHPS Adult Hospital Survey | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/cahps/surveys-guidance/hospital/about/dev_adult_hp_survey.html
    April 01, 2023 - collaboration to foster greater accountability and improvements in hospital care. … This pilot test included 132 hospitals and resulted in over 19,000 completed surveys. … These focus groups were conducted in four cities and included adults who had recently been in a hospital … or who were caregivers for someone who had recently been in a hospital. … In the summer of 2004, the CAHPS Team worked with hospitals and vendors that volunteered to test the

79. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
    teamstepps.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

80. Agency for Healthcare Research and Quality
    teamstepps.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