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201. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-ref.html
     May 01, 2023 - Serious falls in hospitalized patients: correlates and resource utilization. … The economics of preventing hospital falls: demonstrating ROI through a simple model. … In-hospital patient falls after total joint arthroplasty: incidence, demographics, and risk factors in … The direct medical costs of healthcare-associated infections in U.S. hospitals and the benefits of prevention … Toolkit for reducing CAUTI in hospitals.

202. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/index.html
     September 01, 2021 - CUSP Toolkit to Reduce CAUTI and Other HAIs In Long-Term Care Facilities   includes customizable training … Falls Management Program: A Quality Improvement Initiative for Nursing Facilities is an interdisciplinary … in nursing home and other long-term care facilities to help them detect and communicate changes in a … resident's condition and prevent and manage falls. … TeamSTEPPS ® Long-Term Care Version is a core curriculum initially developed for use in hospitals and

203. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/index.html?page=2
     April 01, 2019 - 2019 University of Florida Health Center Improves Teamwork Among Staff and Health Outcomes in … Date: December 2018 California Hospital Reduced Infections, Improved Diabetes Care with AHRQ … Reduce Patient Falls by 21 Percent Impact Case Study Identifier: 2018-04 AHRQ Product(s): Preventing … Falls in Hospitals Toolkit Topic(s): Healthcare Costs, Quality of Care, Medical Errors, Outcomes, Patient … Date: July 2018 Chicago Hospital Reduces Catheter-Related Infections to Zero with AHRQ’s CUSP

204. Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2014-ap1.html
     November 01, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update Appendix: Incidence of Hospital-Acquired … Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2013 … Estimates, Goals, and Projections for HACs at the Launch of PfP initiative in 2011 PfP Hospital-Acquired … * Additional costs per HAC for Falls and Pressure Ulcers were modified in 2012 from earlier higher

205. Fallpxtool3G (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3g.docx
     January 29, 2013 - Scale for Identifying Fall Risk Factors Background: This tool can be used to identify risk factors for falls … in hospitalized patients. … The total score may be used to predict future falls, but it is more important to identify risk factors … if a patient is at risk for falls and plan care accordingly. … Yes = 1 No = 0 4 Is the patient in need of especially frequent toileting?

206. Study Identifies Characteristics of Zero-Burnout Primary Care Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/769.html
     June 01, 2021 - Data Visualization Tool Shows Falls Are Most Common Injury Seen in Emergency Departments . … Data Visualization Tool Shows Falls Are Most Common Injury Seen in Emergency Departments A new interactive … data visualizations on topics ranging from health insurance trends to characteristics of preventable hospital … AHRQ in the Professional Literature Hospital variation in admissions to neonatal intensive care units … How long-term acute care hospitals can play an important role in controlling carbapenem-resistant Enterobacteriaceae

207. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201419.html
     November 01, 2014 - It has been successful in reducing CLABSI, as evidenced by the fact that the hospital has had only two … In 2012, the hospital incorporated AHRQ's CUSP protocols for communication, teamwork, and leadership … to address other patient safety issues such as falls prevention, medication safety, urinary tract infection … This AHRQ survey is used by hundreds of hospitals in the United States to assess a facility's patient … so hospitals can compare their safety culture results with those of other hospitals. 

208. Appendix C. Sample Search Strategies | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appc.html
     March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Appendix … ] OR (root [ti] AND cause* [ti]) OR (failure* [ti] AND mode* [ti]) OR RCA* [ab] OR FMEA [ab]) OR (((hospital … ti] OR accreditation [ti]) OR (Cross Infection [mh] OR Infection Control [mh] OR nosocomial [ti] OR hospital-acquired … Control [ti]) OR handwashing OR (hand [ti] AND (hygiene [ti] OR disinfection [ti] OR wash [ti]))) OR (Accidental … Falls [mh] OR (fall* [ti] AND (preventing [ab] OR prevention [ab] OR reducing [ab] OR reduction [ab]

209. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxselfassessment.pdf
     November 02, 2017 - Are care plans developed for all residents determined to be at risk of falling? … Are interventions for primary prevention* included in a falls prevention care plan? … Does your facility have a policy to assess residents after falling? … in the Elderly, http://www.patient.co.uk/doctor/prevention-of-falls-in-the- elderly-pro • Fall Prevention … for Falls Prevention 11 http://www.patient.co.uk/doctor/prevention-of-falls-in-the-elderly-pro http

210. Using a Human Factors and Systems Engineering Framework to Build Safer Patient Care Processes | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-carayon.html
     March 01, 2019 - multi-disciplinary effort to engineer safe care “journeys” for vulnerable older patients treated at hospital … emergency departments (EDs) for falls or suspected urinary tract infections. … These patients are at higher risk for patient safety issues that can require repeated ED visits or hospital … In this AHRQ-funded project that ends in 2019, Dr. … Carayon is collaborating with human factors engineers and physicians at four hospitals where she evaluated

211. Module 2: How To Manage Change (doc file)
     www.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.

212. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=248
     January 01, 2024 - the effect of high-risk medication use on falling. … in the hospital. … is explained by which hospital and what region the individual was hospitalized in. … The purposes of this study were to describe nurse-led mobilization practices in 2 community hospital … A total of 535 hospitals in four large states at two points in time between 2005 and 2016 were studied

213. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=349
     January 01, 2024 - This study determined the risk of recurrent falls associated with antidepressants other than tricyclics … At least 15 percent of women experienced recurrent falls between 0-6 and 6-12 months. … Non-tricyclic and non-selective serotonin reuptake inhibitor antidepressants and recurrent falls in frail … Personalizing nursing home compare and the discharge from hospitals to nursing homes. … Keywords: Hospital Discharge, Hospitals, Nursing Homes, Patient Experience, Quality Indicators (QIs)

214. Fallpxtool4C (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool4c.docx
     January 29, 2013 - How to use this tool: Complete the form by checking the response that best describes your hospital. … This tool should be filled out by the Implementation Team leader or designee in collaboration with the … Does your hospital have initial and ongoing education on fall prevention and management for both nursing … of fall if applicable, risk factors for falls, how those risk factors have been addressed)? … In which areas of knowledge does the assessment suggest staff need more education?

215. Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual Disability (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/bonardi-report.pdf
     January 01, 2024 - 3 falling every year. … be effective in reducing risk of falls, as determined by falls risk screening and documented rates … falls in people with ID. … Department of Developmental Services (DDS), our research team identified approximately 41% of unexpected hospital … Guideline for the prevention of falls in older persons.

216. Four New York Providers Use AHRQ Medication Reconciliation Toolkit to Improve Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips86.html
     October 01, 2014 - MATCH is designed to assist clinicians in all types of organizations—including hospitals and outpatient … hospital was the most accurate and would serve as the "One Source of Truth" at discharge. … 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

217. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=297
     January 01, 2024 - discusses how to improve long term outcomes after sepsis and asserts that to improve long-term outcomes, in-hospital … and associated with worse outcomes; the common findings across cohorts highlighted the importance for hospitals … Keywords: Hospitals, Mortality, Outcomes, Hospital Readmissions Doherty JA , Crelia SJ , … In 2015, researchers conducted and analyzed interviews with quality leaders from eight hospital-based … Management team perceptions of risks and strategies for preventing falls among short-stay patients in

218. Methods/Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/chain/research-tools/methods-tools/index.html
     March 01, 2017 - Optimizing the Use of an Electronic Fall Prevention Toolkit To Prevent Falls in Hospitalized Patients … Joint Commission requires that a fall risk assessment be conducted on every patient when admitted to a hospital … and that a fall-prevention care plan be put in place. … Learn what the Brigham and Women's Hospital CERT is doing to reduce the gap in fall-prevention care. … Tools Aid Study Recruitment In a study recently published in  Patient Preference and Adherence  the

219. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=246
     January 01, 2024 - the effects of OAB treatment on falls among older adult Medicare fee-for-service enrollees. … Association between overactive bladder treatment and falls among older adults. … The researchers were unable to identify meaningful variation in hospital performance without broadening … U.S. hospitals: implications for epidemiologic research. … , Tenth Revision, clinical modification coding in U.S. hospitals: implications for epidemiologic research

220. Appendix 1-A. Suggested Slides for Module 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1a.html
     October 01, 2014 - Communicating Change in a Resident's Condition Module 3. Falls Prevention Appendix 1-A. … Admitted after hip fracture, followed by hospital and rehabilitation stays. … Falling blood pressure, rising heart rate. Fever of 102 o  F. … Falls—e.g., the resident reaches for objects when in a wheelchair. … Sleeping—e.g., the resident falls asleep in unusual places.