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81. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)
    teamstepps.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

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

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

84. AHRQ Stats | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsroom/ahrq-stats.html
    November 01, 2023 - Toolkit Significantly Reduces Hospital Falls A safety toolkit funded by AHRQ helped hospitals reduce … patient falls overall by 15 percent and falls resulting in injuries by 34 percent, according to a study … treatment of injuries due to falls (38 percent). … Hospital Participation in a Medicare Bundled Payment Model About 28 percent of hospitals that are part … Declining In-Hospital Hip Fractures The average hospital rate of in-hospital hip fractures due to falls

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

86. Health Systems Research | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/opioids/health-systems-research.html
    July 01, 2021 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … older adults who experienced common side effects from opioids (such as constipation, confusion, nausea, falls … Characterizing Opioid-Related Adverse Events in Older Adults After Hospital Discharge.  … Prescribing of opioids at hospital discharge and associated adverse patient outcomes.

87. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
    January 01, 2024 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Potential problems include medication errors, falls, infections, procedural complications, management … In 2021, Dr. … In related work, Dr.

88. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
    teamstepps.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

89. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsroom/case-studies/index.html?page=7
    January 01, 2016 - 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

90. PS Grantee Report | Agency for Healthcare Research and Quality
    teamstepps.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

91. Timing the Distribution of a Healthcare Quality Report | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/talkingquality/distribute/timing/index.html
    March 01, 2016 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Medicare beneficiaries also participate in an open enrollment process each fall. … After viewing the data, consumers made choices well aligned with their priorities. 1 In situations … interact with various components of the healthcare system—including primary care providers, specialists, hospitals

92. Examples of Hospital Quality Measures for Consumers | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html
    March 01, 2016 - Home Talking Quality Select Measures To Report Measures in … SHARE: More topics in … Types of Quality Measures Data Sources Key Questions About Measures Measures in … Also in "Measures of Hospital Quality" Examples of Hospital Quality Measures for Consumers Major … https://www.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html  

93. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
    December 01, 2017 - Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Guide to Patient and Family Engagement in Hospital Quality and Safety Preventing Falls … in Hospitals Hospital Survey on Patient Safety Culture Comprehensive Unit-based Safety Program ( … -­‐10 2016 version tested with 20 hospitals – In-depth evaluation with 6 hospitals Slide 22 … hospitals if available Can help identify which QIs the hospital may need to address for quality

94. Chlorhexidine Bathing Routine Reduces Infections in Nursing Homes | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/884.html
    October 01, 2023 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 2020, 23.8 out of every 100 hospital stays resulted in a 30-day readmission, the highest rate of any … Each year, 3 million healthcare-associated infections in U.S. nursing homes cause 150,000 hospital admissions … clinical decision support tool to prevent outpatient falls among older adults: protocol for a quasi-experimental … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality

95. Selected Best Practices and Suggestions for Improvement (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
    May 20, 2016 - Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital … failures in care, adverse events, and mortality … 30-Day Mortality Rate, which began in July 2014). … Recommended Practice: Engage in Action Planning • All participants participate in action planning based … • Blood cultures performed in the emergency department prior to initial antibiotic receipt in hospital

96. Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/studies/index.html?page=1
    January 01, 2024 - Discharge (219) Hospitalization (534) Hospital Readmissions (321) Hospitals (756) Human … They discussed progress made in three potential use cases in the ED: falls, cognitive impairment, and … falls screening to algorithmic validation in cognitive impairment and end-of-life care, but should still … in pediatric emergency department patients in a community hospital during the COVID-19 pandemic. … department visits in a community hospital, 2019-2021.

97. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/teamstepps/instructor/fundamentals/module3/slcommunication.html
    July 01, 2018 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Brief: Communicate the information in a concise manner. … SEALS in WATER Don't SWIM." … S afety: Critical lab values/reports, socioeconomic factors, allergies, and alerts (falls, isolation

98. AHRQ Stats: Hospital Admission Emergency Department Visits | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/797.html
    January 01, 2022 - department (ED) visits in 2018 resulted in hospital admissions. … areas was $415 per month in 2007, falling to $361 in 2018. … more than 50 hospitals across Michigan and affecting the outcomes of more than 50,000 patients. … AHRQ in the Professional Literature Age cutoffs for hospitalization at hospitals without pediatric … Wide variation in surgical spending within hospital systems: a missed opportunity for bundled payment

99. Enhancing Performance Via Integrated Health Systems (ppt file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/casalino.ppt
    February 16, 2011 - way the inter-relationships outlined in the conceptual model between structure, incentives, processes … hospital or MD-owned? is the percentage of physicians employed by hospitals increasing? … the demography of organizations in the delivery system continual efforts by these organizations to … how much weight should be given to patient experience in evaluating quality? … this any sort of justice 4/6 evaluation grants and 4/4 demonstration grants can be categorized as falling

100. Strategy 3: Bedside Shift Report (Tool 3)
     teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
     July 23, 2010 - For example, in our hospital, we provide opportunities for patients and family members to be involved … : Patient safety and quality Improved communication Decrease in hospital-acquired complications Patient … patient falls during change of shift, dropping from one to two patient falls per month to one patient … After implementing bedside shift report, hospitals reported an increase in patient satisfaction scores … Hospital staff and patients know about different things in the hospital and may not always be on the