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261. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate (pdf file)
     www.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

262. 10 Patient Safety Tips for Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
     December 01, 2009 - 10 Patient Safety Tips for Hospitals Advancing Excellence in Health Care • www.ahrq.gov Agency for … Healthcare Research and Quality PATIENT SAFETY 10 Patient Safety Tips for Hospitals Medical errors … may occur in different health care settings, and those that happen in hospitals can have serious consequences … your hospital. … Prevent patient falls by providing well-designed patient rooms and bathrooms and creating decentralized

263. Fallpxtool4B (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool4b.docx
     January 29, 2013 - example of how responsibilities may be assigned among different staff members on the Unit Team and hospital … Reference: Developed by Falls Toolkit Research Team. … tool: The unit manager can use this tool to help assign specific individuals or groups to each task in … Files incident report for new falls and carries out postfall assessment. … Facilities engineer Participates in regularly scheduled environmental rounds to identify equipment in

264. Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
     January 01, 2024 - No resulting changes in hospitalizations due to falls and delirium were observed. … We considered these events potential, as it is not possible to determine origin based on hospital claims … Homes Falls-Intervention Homes Slight changes in following medications in the CNS drug class were observed … Delirium is also associated with longer hospital stays (12 vs. 7 days), increased mortality (8% vs. … et al, 1998), with over 50% of residents falling each year.

265. Making Healthcare Safer III | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
     August 01, 2024 - recent years, patient safety remains a significant problem in the United States. … Harms such as adverse drug events, healthcare-associated infections (HAIs), falls, and obstetric adverse … AHRQ statistics (PDF) estimate that in 2017, there were 86 hospital-acquired conditions per 1,000 hospital … discharges—a figure that has fallen steadily in recent years but remains alarmingly high. … Making Healthcare Safer III reviews 47 practices that target patient safety improvement in hospitals,

266. Featured CERTs Research | Agency for Healthcare Research and Quality
     www.ahrq.gov/chain/research-tools/featured-certs.html
     March 01, 2017 - CERT: Brigham and Women's Hospital Opportunities for Suicide Prevention in the Emergency Department … University of Alabama at Birmingham Optimizing the Use of an Electronic Fall Prevention Toolkit To Prevent Falls … 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. … CERT: Brigham and Women's Hospital Reducing Racial Disparities in Hospital Readmissions and Health

267. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=421
     January 01, 2024 - two hospital discharge datasets in the Pacific Northwest. … The purpose of this study was to examine the characteristics of hospitals penalized by the Hospital-Acquired … It found that among hospitals participating in the HAC Reduction Program, hospitals that were penalized … It concluded that, in older persons, differences in falls, pain, and self-rated health can be detected … Longitudinal patient-oriented outcomes in neuropathy: importance of early detection and falls.

268. All Practice Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/chain/practice-tools/index.html
     March 01, 2017 - the hospital. … Recent Research Findings Suggest Practice Recommendations for Preventing Falls in Hospitalized Patients … Joint Commission requires that a fall risk assessment be conducted on every patient when admitted to a hospital … of Maladaptive Aggression in Youth (T-MAY) were recently published in the journal Pediatrics . … Learn about the recommendations and the Rutgers CERT Center role in their development.  

269. Resources by National Action Plan Foundational Area | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/resources/foundational-area.html
     March 01, 2025 - AHRQ Guide to Patient and Family Engagement in Hospital Quality and Safety This guide helps hospitals … Set for hospitals is used with the core SOPS® Hospital Survey to help hospitals assess the extent … Healthcare Workers This workbook helps healthcare workers recognize and reduce risks for slips, trips, and falls … The workbook also offers support for implementing a slip, trip, and falls prevention program in a healthcare … They include measures for prevention, inpatient hospital care, patient safety, pediatric hospital care

270. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2011-12.html
     January 01, 2018 - 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. … 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 OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 82,000 2.51

271. AHRQ Patient Safety Tools and Resources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/Patient-Safety-Tools-flyer-June2022.pdf
     May 01, 2022 - The toolkit has reduced falls by 25 percent in acute care hospitals and is used in more than 100 hospitals … of hospital staff on how to implement AHRQ’s Preventing Falls in Hospitals Toolkit. … Hospitals is a toolkit that assists hospital staff in implementing effective pressure ulcer prevention … the training of hospital staff on how to implement AHRQ’s Preventing Pressure Ulcers in Hospitals Toolkit … Web: ahrq.gov/patient-safety/settings/hospital/ Toolkit To Improve Antibiotic Use in Acute Care Hospitals

272. Long-Term Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/long-term-care.html
     AHRQ Research Findings Support Effort to Reduce Pressure Ulcers in Virginia AHRQ’s Safety Program … HHS-funded Program RED Lowering Hospital Readmissions and Improving Patient Satisfaction at Euclid … Hospital in Ohio Shared Decisionmaking for Chronic Conditions and Long-Term Care Planning … The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Toolkit … To Reduce CAUTI and Other HAIs in Long-Term Care Facilities

273. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
     September 01, 2017 - Surgical procedures received in the hospital, if applicable. … Surgical procedures received in the hospital, if applicable. … that resulted in hospital admissions. … Hospital readmissions (all cause in last 180 days) - number of residents readmitted with previous hospital … cellulitis, dehydration, COPD, asthma, circulatory problems, hypertension, gastroenteritis, angina, falls

274. AHRQ Signals Intent To Fund Clinics To Improve Care for People With Long COVID | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/852.html
     February 01, 2023 - Preventing Patient Falls Using an Evidence-Based Intervention May Reduce Costs . … Preventing Patient Falls Using an Evidence-Based Intervention May Reduce Costs Implementing the AHRQ-funded … 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 … Policies to reduce all falls using evidence-based interventions could reduce the frequency of harms and

275. Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/11835-Lapane-draft-1.pdf
     January 01, 2006 - No resulting changes in hospitalizations due to falls and delirium were observed. … We considered these events potential, as it is not possible to determine origin based on hospital claims … Homes Falls-Intervention Homes Slight changes in following medications in the CNS drug class were observed … Delirium is also associated with longer hospital stays (12 vs. 7 days), increased mortality (8% vs. … et al, 1998), with over 50% of residents falling each year.

276. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
     January 01, 2022 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 Adverse Events Among In-Hospital … Because IHS hospitals are sampled differently than the hospitals in all other cohorts, records from … these hospitals are not included in the analyses presented in this report. … patient during a single hospitalization (e.g., two or more falls). … For some AEs, such as falls, every patient is considered at risk.

277. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
     January 01, 2022 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 Adverse Events Among In-Hospital … Because IHS hospitals are sampled differently than the hospitals in all other cohorts, records from … these hospitals are not included in the analyses presented in this report. … patient during a single hospitalization (e.g., two or more falls). … For some AEs, such as falls, every patient is considered at risk.

278. 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/otimefallspx-implmatls.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 10 http://www.patient.co.uk/doctor/prevention-of-falls-in-the-elderly-pro http

279. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
     January 01, 2022 - Because IHS hospitals are sampled differently than the hospitals in all other cohorts, records from … these hospitals are not included in the analyses presented in this report. … patient during a single hospitalization (e.g., two or more falls). … For some AEs, such as falls, every patient is considered at risk. … Hospitals chosen for months 1, 2, and 3 will define the master list of hospitals used in the following

280. Appendix A. References and Equipment Sources | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapa.html
     December 01, 2017 - Falls in Older Persons: Prevention and Management. (3rd ed.) … Effectiveness of a multifaceted intervention on falls in nursing home patients. … Falls in Nursing Homes. … Preventing falls in the nursing home. … The Hospital Bed Safety Workgroup.