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101. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
     December 01, 2016 - hospitals in 2014 as a result of the decline in HACs compared with the number of deaths that would … estimated 17 percent reduction in HACs from 2010 to 2014 indicates that hospitals have made substantial … less frequent at hospitals that have implemented a full EHR. … expanded its efforts in order to extend the success that hospitals have achieved to all health care … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2014) OB

102. Hospitals and Health Systems | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/resource/index.html
     August 01, 2022 - Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Care Facilities Hospital Resources Toolkits, recommendations, and other resources for hospitals … Hospital Quality and Safety Health Care Facility Design Safety Risk Assessment Toolkit Hospital … Improving Patient Safety Systems for Patients with Limited English Proficiency NICU Toolkit Preventing Falls … in Hospitals Preventing Pressure Ulcers in Hospitals QI Toolkit for Hospitals RED (Re-Engineered

103. Appendix | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/pfp/hacrate2013-appendix.html
     October 01, 2015 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … MPSMS (2013) In-Hospital Patient Falls 240,000 7.2 Obstetric Adverse Events PSI (2013) … Estimates, Goals, and Projections for HACs at the Launch of PfP Initiative in 2011 PfP Hospital-Acquired … *Additional costs per HAC for Falls and Pressure Ulcers were modified in 2012 from earlier higher projections

104. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
     January 01, 2019 - hospitals. … MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma in Vaginal Delivery (PSI … MPSMS In-Hospital Patient Falls 239,286 8.04 225,199 7.57 223,106 7.50 226,642 7.62 Obstetric … 4, 2015, hospitals began using ICD-10 coded data in place of ICD-9 coded data. … Conditions 25 The MPSMS-abstracted sample is representative of hospitals submitting cases to the Hospital

105. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/pfp/2014-final.html
     January 01, 2018 - Final 2014 estimates indicate that more than 36,000 fewer patients died in hospitals in 2014 as a result … The estimated 17 percent reduction in HACs from 2010 to 2014 indicates that hospitals have made substantial … expanded its efforts in order to extend the success that hospitals have achieved to all health care … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2014) … indicated that in 2012 and 2013, adverse events were less frequent at hospitals that have implemented

106. Module 4: How To Implement the Fall Prevention Program in Your Organization—Slide Presentation | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/slides.html
     September 01, 2017 - Fall Prevention in Hospitals Training Program Module 4: How To Implement the Fall … Fall Prevention in Hospitals Training Program Fall Prevention Program Implementation Guide … Fall Prevention in Hospitals—Webinars Preventing Falls in Hospitals Toolkit Hospital … falls. … Tracking care processes to prevent falls is a measure of implementation success, and it should translate

107. Module 2: How To Manage Change—Training Guide | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
     September 01, 2017 - Fall Prevention in Hospitals Training Program Module 2: How To Manage Change—Training … Fall Prevention in Hospitals Training Program Fall Prevention Program Implementation Guide … Fall Prevention in Hospitals—Webinars Preventing Falls in Hospitals Toolkit Hospital … to other quality improvement efforts in a hospital, such as preventing: Hospital-acquired pressure … currently does to prevent falls.

108. Event-Summary-Leveraging-Data-Enhance-Cr-Program (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/event-summary-leveraging-data-enhance-cr-program.pdf
     November 12, 2020 - Electronic medical record (EMR) systems in use in participating hospitals  Epic (47%)  Cerner … • Examining specific outcomes in the facility, such as the number of times patients are falling and … the location of the falls, can allow for improvement to facility conditions and safety in order to … Matt’s team traced increased falls back to changes in the gym and track layout that allowed them to … make basic changes that reduced patient falls.

109. Table 14B: Outcome Indicators by State Supply of Health Care Providers | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14b.html
     February 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … ↓ HCBS Subpopulation Outcome Indicator Supply of Short-Term Acute-Care Hospital Beds … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS … Sources for column heading data are described in the Appendix .

110. Fallpxtool3G (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3g.docx
     January 29, 2013 - Scale for Identifying Fall Risk Factors Background: This tool can be used to identify risk factors for falls … in hospitalized patients. … The total score may be used to predict future falls, but it is more important to identify risk factors … if a patient is at risk for falls and plan care accordingly. … Yes = 1 No = 0 4 Is the patient in need of especially frequent toileting?

111. Table 16B: Outcome Indicators by State Socioeconomic Status | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16b.html
     February 01, 2023 - 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 … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

112. Table 15B: Outcome Indicators by State Demographics | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15b.html
     February 01, 2023 - 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 … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

113. NPSD Data Spotlights | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/npsd/data/spotlights.html
     September 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … NPSD’s Role in Quality and Patient Safety Data Reporting Tools NPSD Dashboards NPSD … Falls: Associated Factors and Clinical Outcomes (PDF, 4.5 MB)  examines clinical outcomes and factors … associated with falls by age and gender based on data that the NPSD received through the end of 2021

114. Module 2: How To Manage Change (doc file)
     www.qualitymeasures.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.

115. AHRQ Signals Intent To Fund Clinics To Improve Care for People With Long COVID | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/852.html
     February 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Preventing Patient Falls Using an Evidence-Based Intervention May Reduce Costs . … 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

116. Four New York Providers Use AHRQ Medication Reconciliation Toolkit to Improve Care | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/ktcquips86.html
     October 01, 2014 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … MATCH is designed to assist clinicians in all types of organizations—including hospitals and outpatient … Glens Falls Hospital in Glens Falls, New York, entered the collaborative with a "One Source of Truth … Nancy Huntington, PharmD, Director of Pharmacy, reported, "It is Glens Falls' intent to actively use … Staten Island University Hospital in Staten Island, New York, had a medication reconciliation process

117. Fallpxtool4C (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool4c.docx
     January 29, 2013 - How to use this tool: Complete the form by checking the response that best describes your hospital. … This tool should be filled out by the Implementation Team leader or designee in collaboration with the … Does your hospital have initial and ongoing education on fall prevention and management for both nursing … of fall if applicable, risk factors for falls, how those risk factors have been addressed)? … In which areas of knowledge does the assessment suggest staff need more education?

118. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

119. Fallpxtool3P (doc file)
     www.qualitymeasures.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

120. Assessing the Impact of Value-Based Purchasing Programs | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/funding/grantee-profiles/grtprofile-waters.html
     February 01, 2022 - The concept behind most value-based purchasing programs in healthcare seems simple: Reward the hospitals … payments to hospitals when patients developed a preventable in-hospital complication of their care. … , and hospital-acquired pressure ulcers. … CMS’ Hospital Readmissions Reduction Program (HRRP), launched in 2013, levied financial penalties on … Safety net hospitals did, in fact, suffer higher penalties under the HRRP than non-safety net hospitals