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101. 10 Patient Safety Tips for Hospitals | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patients-consumers/diagnosis-treatment/hospitals-clinics/10-tips/index.html
     June 01, 2018 - Medical errors may occur in different health care settings, and those that happen in hospitals … your hospital. … Re-engineer hospital discharges. … Eliminate hospital-acquired venous thromboembolism (VTE), the most common cause of preventable hospital … Prevent patient falls by providing well-designed patient rooms and bathrooms and creating decentralized

102. AHRQuality Indicators™ | Agency for Healthcare Research and Quality
     www.cpsi.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.

103. Video Reflections | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/primarycare/handouts/pcvideo.html
     January 01, 2013 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Where do you see breakdowns in the process of providing quality patient care? … Where do you see breakdowns in the process of providing quality patient care? … As you identify breakdowns, consider for each whether it falls under the TeamSTEPPS component of leadership

104. Video Reflections | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/officebasedcare/handouts/video.html
     November 01, 2015 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … SHARE: More topics in … Where do you see breakdowns in the process of providing quality patient care? … As you identify breakdowns, consider for each whether it falls under the TeamSTEPPS component of leadership

105. Spreadnotes (doc file)
     www.cpsi.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

106. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/reports/liability/pichert.html
     August 01, 2017 - CPPA currently partners with more than 140 hospitals nationally to implement PARS, resulting in a national … 100+ year histories centered in Sioux Falls, SD (hereafter "SHS South") and Fargo, ND (hereafter "SHS … SHS is one of the largest health systems in the Nation with 43 hospitals and nearly 250 clinics in nine … Sanford Health Medical Center Sites in the North (Fargo, Bismarck) and South (Sioux Falls, Bemidji) Regions … Region, Sioux Falls, SD.

107. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
     www.cpsi.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.

108. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/pfp/hacrate2013.html
     January 01, 2018 - Some HACs have declined dramatically in the Nation's hospitals. … these hospitals engaged in achieving the aims throughout 2012, 2013, and 2014. … software tool, to determine whether any of 21 types of adverse events—such as adverse drug events, falls … abstracts from 994 acute care hospitals across 28 States in 2000. … patients died in hospitals as a result of the decline in HACs compared to the number of deaths that

109. Information to Help Hospitals Get Started (doc file)
     www.cpsi.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

110. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
     www.cpsi.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.

111. Long-term Care Resources | Agency for Healthcare Research and Quality
     www.cpsi.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

112. EvidenceNOW in Action | Agency for Healthcare Research and Quality
     www.cpsi.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

113. Information to Help Hospitals Get Started (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.pdf
     January 01, 2012 - In a pilot implementation project, hospitals that implemented the strategies in the Guide observed … medication errors, a 40 percent reduction in falls, and a 50 percent decrease in length of stay.4 … care processes.9 When patients and families remain disengaged, hospitals waste resources in the form … and Family Engagement :: 3 Enhanced hospital market share and competitiveness For many hospitals, … of more than 2,000 patients in which 41 percent indicated they would be willing to switch hospitals

114. Early Mobility in the Intensive Care Unit: Facilitator Guide | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
     February 01, 2017 - LTC Facilities Reducing CAUTI in Hospitals Reducing CLABSI Toolkit Safe Surgery Toolkit … an eight-bed respiratory ICU in a community hospital. … It has been shown to significantly decrease length of stay both in the ICU and in the hospital. … to dislodgements of catheters and other devices to falls, though none of the falls described were serious … All quality improvement projects in the hospital are time consuming.

115. Multiple Settings | Agency for Healthcare Research and Quality
     www.cpsi.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

116. Early Mobility in the Intensive Care Unit: Slide Presentation | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-slides.html
     February 01, 2017 - LTC Facilities Reducing CAUTI in Hospitals Reducing CLABSI Toolkit Safe Surgery Toolkit … ICU/hospital LOS, or discharge location. … Subjects: Eight-bed respiratory ICU in a community hospital: 103 patients. … Slide 14: Adverse Events 4 9 patients had 14 adverse event (<1% of activities): Falls to knees … (none of the falls were considered serious).

117. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
     www.cpsi.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

118. Workplace Safety Resource List (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_resource_list.pdf
     October 01, 2021 - Workplace Safety Resource List Improving Workplace Safety in Hospitals: A Resource List for Users … /OSHA3767.pdf This toolkit was developed to assist hospitals in developing and implementing effective … /patientsafety/Falls/Safe-Patient-Handling- Road-Map.pdf This road map provides a comprehensive set … a hospital, identify what hospitals are already doing well, and identify opportunities for improvement … In hospitals, prioritizing safety in the care environment reaps important additional benefits through

119. Meeting Minutes, November 2017 | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
     February 01, 2018 - Topics addressed in new draft recommendations included screening for cervical cancer, prevention of falls … AHRQ released training materials for preventing falls in hospitals. … These five training modules align with chapters in the AHRQ "Preventing Falls in Hospitals" toolkit. … Preliminary data on the use of the training materials showed significant decreases in falls with injury … AHRQ also released training materials for preventing pressure ulcers in hospitals.

120. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
     www.cpsi.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