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121. Pressure Injury Prevention in Hospitals Training Program | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/index.html
     October 01, 2017 - Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Training Program AHRQ developed the Pressure Injury Prevention in Hospitals Training … in Hospitals Toolkit . … Pressure Injury Prevention in Hospitals Training Program and the associated Pressure Ulcer Prevention … Hospital implementation teams should access the modules in sequential order, view the recommended Webinars

122. AHRQ News Now | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsletters/e-newsletter/index.html
     April 23, 2024 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Poor-Performing Hospitals January 30, 2024 New Tool Helps Manage Opioid Use in Older Adults … Surveillance October 24, 2023 New Data Resource Provides Insights on Factors Related to Falls … in Healthcare September 26, 2023 AHRQ Awards $45 Million in Grants To Expand Access to Care

123. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
     November 01, 2021 - • Patient safety concerns such as falls, pressure injuries, and adverse medication events were reported … hospitals. … In other instances, the increased workloads experienced by hospital staff and laboratories may have … Conditions The CFER-H technical specifications capture 10 types of patient safety concerns (e.g., falls … The PSWP is submitted using the AHRQ Common Formats for Event Reporting – Hospital (CFER-H) V1.2 and

124. PowerPoint Presentation
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module10/ts2-0ltc_module10_slides_msmt.pptx
     February 03, 2006 - LTC 2.0 Page ‹#› Measurement Level IV: Results Resident Outcome Measures Examples: Pressure ulcers, falls … home Specific unit, department, or work area Comparative database Voluntarily submitted data from U.S. hospitals … TEAMSTEPPS 05.2 Mod 10 LTC 2.0 Page ‹#› Measurement 14 How Can Hospitals Use the Nursing Home Survey … Stevens settled down and back in his room. … Stevens, it will result in two additional staff going to provide assistance with Mr. Stevens.

125. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
     August 01, 2010 - 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 implement … In fact, this question achieved the highest score of all hospitals nationwide. … Patewood Memorial Hospital Three hospitals implemented the Guide bedside shift report strategy in 2011 … All hospitals also saw improvements in CAHPS Hospital Survey scores after implementing bedside shift

126. Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/research/findings/studies/index.html
     January 01, 2024 - Discharge (220) Hospitalization (534) Hospital Readmissions (323) Hospitals (757) Human … Hospital-physician integration and clinical volume in traditional Medicare. … acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors … Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the … Keywords: Hospital Readmissions, Medicare, Falls Fleming MD , Safaeinili N , Knox M Organizational

127. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)
     www.cpsi.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

128. New Data Resources Provide Insights Into Patient Safety Risks | Agency for Healthcare Research and Quality
     www.cpsi.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,

129. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI | Agency for Healthcare Research and Quality
     www.cpsi.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.

130. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb3.html
     December 01, 2013 - Hospital Resources NICU Toolkit Appendix B. … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide … Abnormal Growth Infants whose growth curve plateaus or growth trajectory falls off, and those who lose … Interest in feedings. Decrease in tongue thrust.

131. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
     January 01, 2004 - .2 In another study, 2.4 percent (2,539 out of 105,603) of medication errors reported in hospitals … resulted in prolonged hospital stays, additional Advances in Patient Safety: Vol. 2 426 testing … from the bed to the bathroom, beds that lower to reduce the harm to patients falling and rubber flooring … In our case, the capital requirements were comparable with recently built traditional hospitals of … hospitals. Rockville, MD: Pharmacopeia; 2002. 4.

132. TeamSTEPPS | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/topics/teamstepps.html
     Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Filter the Results Topics Priority Populations Information in … What influences sustainment and nonsustainment of facilitation activities in implementation? … Analysis of organizational factors in hospitals implementing TeamSTEPPS.

133. PowerPoint Presentation (ppt file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
     May 01, 2014 - anaphylaxis Drug interactions: coumadin, glipizide If on fluoroquinolones  tendon rupture Dehydration  falls … instances, should be used for ALL referrals to medical care providers, including transfer to ED or hospital … Description of current problem Vital signs Usual cognitive function Recent/current health status (including falls … ) Falls, minor injury: require on-site first aid treatment (dressing, ice pack, pain medication) Falls … This is the point where the form itself is reviewed and discussed Note that falls are included to facilitate

134. AHRQ Stats | Agency for Healthcare Research and Quality
     www.cpsi.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

135. Figure 9: Tips for Conducting a Patient Medication Interview | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/figure-9.html
     July 01, 2022 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … SHARE: More topics in … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure Ulcers in … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide

136. Health Systems Research | Agency for Healthcare Research and Quality
     www.cpsi.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.

137. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/reports/liability/sands.html
     August 01, 2017 - This law covers nearly all hospitals in Massachusetts. … Using its own tools, MACRMI facilitated the launch of pilot CARe programs in six hospitals across Massachusetts … MeritCare (Fargo, ND) and Sanford Health (Sioux Falls, SD) systems combine to form SHS. … Vanderbilt CPPA receives four back-years of patient complaint data from Fargo, ND hospital (North) and … Sioux Falls, SD hospital (South) to be coded in the PARS program; South complaints were largely scanned

138. Making Health Care Safer II, Executive Summary (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
     March 01, 2013 - In the past 2 years, three studies have found high rates of preventable harm in hospitals,4-6 one of … in hospitals and clinics. … falls; in-depth review Common/Low High Moderate (increased use of restraints and/or sedation) … ‘Global trigger tool’ shows that adverse events in hospitals may be ten times greater than previously … Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. OEI-06-09-00090.

139. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
     www.cpsi.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.

140. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     www.cpsi.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