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221. Fallpxtool3P (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3p.docx
     January 29, 2013 - Checklist Background: This tool can be used to monitor your progress on identifying best practices in … fall prevention for your hospital or hospital units. … Reference: Developed by Falls Toolkit Research Team. How to use this tool: Complete the checklist. … Use this tool to ensure you have not skipped any essential steps in your fall prevention efforts. … fall risk factors to changes in care plan Ensure all levels of staff are aware of care plan

222. On-Time Falls Prevention: Electronic Reports (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
     November 06, 2017 - Weekly Falls Risk or Safety Meetings Abbreviations used in tables describing meetings: ADON = assistant … of Falls Risk Factors Date: ___/___/___ High-Risk Existing Conditions High-Risk Change in Condition … that have occurred for residents with each risk factor included in the Falls High-Risk Report. … For example, in the High-Risk Existing Conditions category, 8 falls were associated with Gait and Balance … None None None None None Other Free text Where Resident Was Treated Facility, ER, hospital

223. Fallpxtool3A (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3a.docx
     January 28, 2013 - 3A: Master Clinical Pathway for Inpatient Falls Background: The purpose of this tool is to provide an … overview of how fall prevention care processes could occur at your hospital or hospital unit. … Reference: Developed by Falls Toolkit Research Team. … tool can be used by the quality improvement manager, staff nurses, and nursing assistants as an aid in … Section 7: Tools 1 Inpatient Falls Clinical Pathway

224. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
     May 06, 2008 - Originally, inconsistencies in technical capabilities across hospitals and departments within a hospital … PEERs data have also been instrumental in the development of programs for falls risk assessment and … These changes increase the reliability of the organization and prevent patients from falling through … falls. … in hospitals across the system.

225. Healthcare Costs | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/healthcare-costs.html
     is the most complete source of data on the cost and use of health care and health insurance coverage in … AHRQ Toolkit Helped Madonna Rehabilitation Hospital Reduce Patient Falls by 21 Percent Chartbook … on Care Affordability Connecticut Hospital Reduces Pressure Injuries Using AHRQ Toolkit … Iowa’s Waverly Health Center Uses AHRQ Tools to Improve Patient Safety Research Initiative in

226. Nebraska Hospitals Use AHRQ Toolkit to Revise Protocol for Preventing Blood Clots | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips97.html
     October 01, 2014 - Chadron Community Hospital in Chadron, Nebraska, entered the project with a paper-based, three-level … The 25-bed hospital revised the protocol using the toolkit's guidance and integrated it in the physician … Beatrice Community Hospital & Health Center in Beatrice. Community Hospital in McCook. … Community Medical Center in Falls City. Crete Area Medical Center in Crete. … Pender Community Hospital in Pender. Saunders Medical Center in Wahoo.

227. Outcome Indicators for the HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
     December 01, 2012 - All but two of the indicators (Pressure Ulcer and Injurious Falls) build on existing AHRQ Prevention … Injurious Falls. … from the denominator and any corresponding hospital admissions are excluded from the numerator. … Short-Term Complications of Diabetes and Injurious Falls exhibit the lowest rates, with fewer than 300 … potentially avoidable hospital admissions per 100,000 HCBS participants.

228. Fallpxtool1C (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1c.docx
     January 28, 2013 - For more information on who is part of the senior leadership team, see the resource box in section 1.3 … Reference: Developed by Falls Toolkit Research Team based on the Ontario Agency for Health Protection … This assessment is best suited for hospital supervisors, managers, and administrators. … Leadership Support Assessment Yes No Patient safety is clearly articulated in the organization’ … Someone in senior management is in charge of patient safety.

229. Fallpxtool1F (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1f.docx
     January 28, 2013 - Reference: Developed by Falls Toolkit Research Team. How to use this tool: Complete the checklist. … This assessment is best suited for hospital supervisors, managers, and administrators. … Hospital-specific reasons for change have been identified. … Staff attitudes about falls have been assessed. … This leader is now involved in the subsequent planning steps.

230. Module 2: How To Manage Change—Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/slides.html
     September 01, 2017 - Module 2: How To Manage Change—Slide Presentation Slide 1: How to Manage Change ADD Hospital … Slide 8: Successful Implementation Team A strong link to hospital leadership. … Reference: Developed by Falls Toolkit Research Team. … This information helps you define resources your hospital has for quality improvement. … Reference: Developed by Falls Toolkit Research Team.  

231. Patient Experience | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/patient-experience.html
     AHRQ Toolkit Helped Madonna Rehabilitation Hospital Reduce Patient Falls by 21 Percent AHRQ Tools … Help Consumers Across Pennsylvania Take an Active Role in Their Health Care Engaging Patients … and Families in Their Health Care Maine Groups Improve Care for Patients with Intellectual/Developmental … Trains Maternal-Child Nurses in Shared Decisionmaking RED Lowering Hospital Readmissions and Improving … Patient Satisfaction at Euclid Hospital in Ohio University of Texas Health at San Antonio, University

232. How To Manage Change
     www.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

233. AHRQ's Patient Safety Indicators Help Canadian Institute Track Falls in Elderly | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cdom0601.html
     October 01, 2014 - AHRQ's Patient Safety Indicators Help Canadian Institute Track Falls in Elderly Search All Impact … November 2005 The Canadian Institute for Health Information (CIHI) is using a measure to track in-hospital … falls among seniors that was adapted from AHRQ's Patient Safety Indicators. … CIHI tailored AHRQ's in-hospital hip fracture indicator for use with the Canadian health care system … In their analysis of in-hospital hip fractures, Pulcins and Wen found that in all age groups, females

234. Fallpxtool5A (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool5a.docx
     January 29, 2013 - Reference: Adapted from National Health Service publication Slips, Trips, and Falls in the Hospital, … below is captured in the report. … If a fall from bed, whether bedrails were in use Help assess how bedrail use is affecting falls or injury … Walking aid in use/in reach It may highlight bedside storage issues or access to walking aids for patients … Days since admission Ensure timescales for assessing and preventing falls are tailored to when falls

235. Chapter 2. Fall Response | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
     December 01, 2017 - Falls Engineer Instructions Key points in Chapter 2 Eight-step Fall Response … information such as emergency room visits, hospital admissions, x-ray results or additional medical … Complete Falls Assessment In addition to the clues discovered during immediate resident evaluation … and increased monitoring, the FMP Falls Assessment is used for a more in-depth look at fall risk. … Five areas of risk accepted in the literature as being associated with falls are included.

236. AHRQ Celebrates Patient Safety Awareness Week | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/755.html
     March 01, 2021 - March 16, 2021 AHRQ Stats: 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 … Lacson studied interventions to improve follow-up on critical test results during transitions from the hospital … Association of a safety program for improving antibiotic use with antibiotic use and hospital-onset … Clostridioides difficile infection rates among US hospitals.

237. Improving Patient Safety in Long-Term Care Facilities: Training Modules (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
     June 01, 2012 - Substantial improvements have taken place in hospitals, in particular, yet progress on this front has … a resident’s health) that happen in both hospitals and long-term nursing centers. … . › Understand the risk factors for falls. › Understand which residents are at high risk of falling … What are his risk factors for falling? … falling. › How falls can be prevented. › How nursing assistants and licensed nurses can work together

238. AHRQ Quality Indicators Toolkit Strengthens Nursing Coursework at University of Phoenix | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/202102.html
     September 01, 2021 - Since introducing the AHRQ QI Toolkit as a curriculum resource in early 2019, professors report that … student projects on topics such as falls prevention, cardiac care self-management, and urinary infection … The AHRQ QI Toolkit helps hospitals use AHRQ's Quality Indicators, which are standardized, evidence-based … Hospitals can use these indicators to measure and track clinical performance and patient outcomes. … a hospital setting.

239. Declines in Hospital-Acquired Conditions Save 8,000 Lives and $2.9 Billion in Costs | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/press-releases/declines-in-hacs.html
     June 01, 2018 - Declines in Hospital-Acquired Conditions Save 8,000 Lives and $2.9 Billion in Costs National … falls, helped prevent an estimated 8,000 deaths and save $2.9 billion between 2014 and 2016, according … conditions, resulting in 53,000 fewer deaths and saving $19.1 billion in hospital costs from 2015 through … “Today’s results show that this is a tremendous accomplishment by America’s hospitals in delivering high-quality … In addition to developing this measurement strategy, AHRQ developed many of the tools used by hospitals

240. Fallpxtool3O (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3o.docx
     January 01, 2008 - key to maintaining the patient’s safety and for organizational learning about how to prevent future falls … Improving the capture of fall events in hospitals: combining a service for evaluating inpatient falls … How to use this tool: The information below can be customized for use within your hospital. … The tool may be used for the purpose of root cause analysis to prevent future falls in this patient and … Inouye, M.D., M.P.H. ©2000, Hospital Elder Life Program. All rights reserved. 2.3.