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121. Fallpxtool3A (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3a.docx
     January 28, 2013 - 3A: Master Clinical Pathway for Inpatient Falls Background: The purpose of this tool is to provide an … overview of how fall prevention care processes could occur at your hospital or hospital unit. … Reference: Developed by Falls Toolkit Research Team. … tool can be used by the quality improvement manager, staff nurses, and nursing assistants as an aid in … Section 7: Tools 1 Inpatient Falls Clinical Pathway

122. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

123. Fallpxtool1C (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1c.docx
     January 28, 2013 - For more information on who is part of the senior leadership team, see the resource box in section 1.3 … Reference: Developed by Falls Toolkit Research Team based on the Ontario Agency for Health Protection … This assessment is best suited for hospital supervisors, managers, and administrators. … Leadership Support Assessment Yes No Patient safety is clearly articulated in the organization’ … Someone in senior management is in charge of patient safety.

124. Fallpxtool1F (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1f.docx
     January 28, 2013 - Reference: Developed by Falls Toolkit Research Team. How to use this tool: Complete the checklist. … This assessment is best suited for hospital supervisors, managers, and administrators. … Hospital-specific reasons for change have been identified. … Staff attitudes about falls have been assessed. … This leader is now involved in the subsequent planning steps.

125. How To Manage Change
     www.qualitymeasures.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

126. Fallpxtool5A (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool5a.docx
     January 29, 2013 - Reference: Adapted from National Health Service publication Slips, Trips, and Falls in the Hospital, … below is captured in the report. … If a fall from bed, whether bedrails were in use Help assess how bedrail use is affecting falls or injury … Walking aid in use/in reach It may highlight bedside storage issues or access to walking aids for patients … Days since admission Ensure timescales for assessing and preventing falls are tailored to when falls

127. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

128. Fallpxtool3O (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3o.docx
     January 01, 2008 - key to maintaining the patient’s safety and for organizational learning about how to prevent future falls … Improving the capture of fall events in hospitals: combining a service for evaluating inpatient falls … How to use this tool: The information below can be customized for use within your hospital. … The tool may be used for the purpose of root cause analysis to prevent future falls in this patient and … Inouye, M.D., M.P.H. ©2000, Hospital Elder Life Program. All rights reserved. 2.3.

129. Fallpxtool2A (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2a.docx
     January 28, 2013 - Reference: Developed by Falls Toolkit Research Team. … Prevention Policies and Practices Individuals designated by the Implementation Team leader 2E – Falls … Managing Change Checklist Implementation Team leader 3A – Master Clinical Pathway for Inpatient Falls … Environmental Safety at the Bedside Unit manager and facility engineer 3D – Hazard Report Form Any hospital … X Other Educators X Hospital

130. Fallpxtool5B (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool5b.docx
     January 29, 2013 - permission from: Royal College of Physicians Implementing FallSafe: Care bundles to reduce patient falls … Available at: www.rcplondon.ac.uk/resources/falls-prevention-resources. … This tool should be used to determine whether your hospital unit is carrying out its fall prevention … It can be modified according to the needs of your specific hospital or unit by adding/deleting rows to … Chart: asked about history of falls?

131. Long-term Care Facilities | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

132. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

133. Table 14A: Outcome Indicators by County Supply of Health Care Providers | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14.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 … 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 .

134. First-of-Its-Kind Study Examines Disparities in Healthcare Costs and Outcomes of Cigarette Smoking in the United States | Agency for Healthcare Research and Quality
     www.qualitymeasures.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.

135. 10 Patient Safety Tips for Hospitals (pdf file)
     www.qualitymeasures.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

136. Fallpxtool3F (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3f.docx
     January 29, 2013 - Measurement Background: This tool can be used to identify orthostatic hypotension, a risk factor for falls … in hospitalized patients. … Reference: Adapted from: John Dempsey Hospital Department of Nursing Clinical Manual/Nursing Practice … When a patient is on a medication that may cause orthostasis and has other risk factors for falls. … A significant change in vital signs with a change in position also signals increased risk for falls.

137. Fallpxtool4B (doc file)
     www.qualitymeasures.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

138. Outcome Indicators for the HCBS Population | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
     December 01, 2012 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … All but two of the indicators (Pressure Ulcer and Injurious Falls) build on existing AHRQ Prevention … Injurious Falls. … Short-Term Complications of Diabetes and Injurious Falls exhibit the lowest rates, with fewer than 300

139. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

140. Table 10: Outcome Indicators by Selected Home and Community-Based Services 1915(c) Waiver Services Offered, 2005 | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab10.html
     February 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 19,018 17,666 Pressure Ulcer Yes 5,006 4,208 4,833 No 2,960 3,348 3,127 Injurious Falls … 19,094 19,184 20,443 Pressure Ulcer 4,195 4,249 2,476 3,395 3,286 3,764 Injurious Falls … a All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the