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www.cpsi.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.
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www.cpsi.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - Featured
Clinicians & Providers
Data & Measures
Digital Healthcare Research
Education & Training
Hospitals … Available from AHRQ
Tools
Featured
Clinicians & Providers
Hospitals … MPSMS
In-Hospital Patient Falls
Obstetric Adverse Events
PSI
OB Trauma in Vaginal Delivery … In-Hospital Patient Falls
12.25
14.56
0.84
Pressure Ulcers
Hospital-Acquired Pressure Ulcers … MPSMS
In-Hospital Patient Falls
262,317
32,750,000
8.010
Obstetric Adverse Events
PSI
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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb30.html
December 01, 2017 - 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 … Falls Engineer Instructions
Engineer Cane Inspection
Resident Name: _____________
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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/index.html
September 01, 2021 - Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital … Hospital Labor and Delivery Units
Emergency Department
Long Term Care
Resources … Falls Management Program: A Quality Improvement Initiative for Nursing Facilities is an interdisciplinary … resident's condition and prevent and manage falls. … TeamSTEPPS ® Long-Term Care Version is a core curriculum initially developed for use in hospitals and
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www.cpsi.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
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www.cpsi.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - Featured
Clinicians & Providers
Data & Measures
Digital Healthcare Research
Education & Training
Hospitals … Available from AHRQ
Tools
Featured
Clinicians & Providers
Hospitals … 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
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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/index.html
September 01, 2021 - 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 … represent a patient safety problem, and they can be a signal that the resident is at increased risk for falling … employ to improve patient safety, create a more resident-centered environment, and reduce the number of falls
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www.cpsi.ahrq.gov/sops/about/patient-safety-culture.html
March 01, 2022 - SOPS surveys have been developed for the following settings of care:
Hospitals. … In addition, survey items are customized for each setting of care. … with more positive SOPS scores had:
Fewer hospital-acquired pressure ulcers and patient falls. 1 … rates of in-hospital complications or adverse events as measured by AHRQ’s patient safety indicators … Medicare & Medicaid Services (CMS) Nursing Home Five-Star Quality ratings. 5
Lower risks of resident falls
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/893.html
December 01, 2023 - AHRQ has developed numerous resources to help staff in hospitals, emergency departments, long-term … Chesapeake Regional Healthcare used AHRQ’s Preventing Falls in Hospitals: A Toolkit for Improving Quality … decrease in acute care falls from the fourth quarter of 2022 to the first quarter of 2023, with sustained … The new Compendium data includes a system-level file as well as a hospital file that provides information … on system ownership of hospitals.
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www.cpsi.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
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
August 02, 2017 - Completion Date for Plan
Fall Rates (e.g., falls per 1,000 occupied bed days) are calculated … Determine whether each abnormally scored dimension of the standardized risk assessment is addressed in … the percentage of abnormally scored dimensions of the standardized risk assessment that are addressed in
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www.cpsi.ahrq.gov/hai/cauti-tools/ena-slides/part2.html
October 01, 2020 - LTC Facilities
Reducing CAUTI in Hospitals
How To Use the Toolkit
Modules
Information … We traditionally thought that a catheter was helpful in preventing falls because patients didn’t have … catheter doesn’t eliminate the urge to urinate, and tubing can actually contribute to tripping and falling … Slide 73
Catheter misperceptions:
Facilitates I&O measurement
Protects patient from falls
Protects … invasive measurement methods:
Bedpan
Urinal
Diaper
Slide 75
Protects patient from falls
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www.cpsi.ahrq.gov/funding/grantee-profiles/index.html
April 01, 2024 - Featured
Clinicians & Providers
Data & Measures
Digital Healthcare Research
Education & Training
Hospitals … Available from AHRQ
Tools
Featured
Clinicians & Providers
Hospitals … More >>
Reducing Patient Falls with Evidence-based Tools
Patricia Dykes, Ph.D., R.N. … Harvard Medical School, Boston, MA “Patient falls can result in traumatic and costly outcomes. … With AHRQ funding, I’ve been able to provide hospitals and primary care practices with falls prevention
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www.cpsi.ahrq.gov/research/findings/final-reports/ptflow/acknowledgements.html
July 01, 2018 - that participated in the Urgent Matters Learning Network (UMLN) I and II:
Grady Health System
Atlanta … , GA
Boston Medical Center
Boston, MA
Henry Ford Hospital
Detroit, MI
Elmhurst Hospital Center … Elmhurst, NY
Inova Fairfax Hospital
Falls Church, VA
BryanLGH Medical Center
Lincoln, NE
The … Joseph's Hospital & Medical Center
Phoenix, AZ
University Hospital San Antonio
San Antonio, TX … Francis Hospital
Indianapolis, IN
Westmoreland Hospital
Greensburg, PA
The authors also thank the
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - of facility residents at highest risk of falling
Enables staff to be more proactive, consistent, and … Report
How many residents triggered for highest risk of falling? … information about activities of daily living
Included in the Falls High-Risk Report but not used in … and percentage of falls that have occurred for residents with each risk factor included in the Falls … None None None
Other
Free text
Where Resident Was Treated Facility, ER, hospital
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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb31.html
December 01, 2017 - 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 … Falls Engineer Instructions
Resident Name: ______________________ Room: ___________
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
July 23, 2010 - Information to Help Hospitals Get Started
The Guide to Patient and Family Engagement
in Hospital Quality … In addition to the improvements in hospital performance already discussed, working with patients and … patient falls during change of shift, dropping from one to two patient falls per month to one patient … After implementing bedside shift report, hospitals reported an increase in patient satisfaction scores … and out-patient providers
[Add hospital data / goals related to discharge]
15
Information to Help Hospitals
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www.cpsi.ahrq.gov/patient-safety/about/areas.html
February 01, 2018 - Available from AHRQ
Tools
Featured
Clinicians & Providers
Hospitals … SHARE:
More topics in … also develop practical, research-based tools and resources that help clinicians and others working in … the nation’s hospitals, nursing homes, medical offices, and other settings make care safer for their … Our areas of research and tools cover:
Healthcare Infections
Team Training
Falls
Pressure Ulcers
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - 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. … 32,750,000
Discharges—
Based on 2010
Baseline)
2012 PFP
Measured
HACs per
1,000
Discharge
s
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 77,000 2.36
Pressure
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www.cpsi.ahrq.gov/research/findings/studies/index.html?page=484
January 01, 2024 - Discharge
(220)
Hospitalization
(534)
Hospital Readmissions
(323)
Hospitals
(757)
Human … can successfully prevent falls. … Keywords: Adverse Events, Falls, Hospitals, Patient Safety, Prevention
Braithwaite S , Friedman … Microsimulation was used to assess the financial impact on hospitals of a surge in influenza admissions … The analysis revealed that in the matched cohort, in-hospital and 30-day postdischarge mortality rates