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161. Table 11: Outcome Indicators by Use of Selected Home and Community-Based Services Medicaid State Plan Services, 2005 | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab11.html
     February 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Pressure Ulcer Yes 2,730 11,421 3,150 1,840 No 3,506 3,461 3,696 3,731 Injurious Falls … 19,218 Pressure Ulcer 12,696 8,204 883 4,475 3,415 1,644 3,729 3,459 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

162. Table 9: Outcome Indicators by Selected Home and Community-Based Services Medicaid State Plan Services Offered, 2005 | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab9.html
     February 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Pressure Ulcer Yes 3,471 3,655 3,237 3,421 No 3,873 3,358 4,221 4,253 Injurious Falls … 20,810 Pressure Ulcer 3,504 3,473 2,888 3,575 2,944 4,236 4,000 3,773 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

163. Table 12: Outcome Indicators by Use of Selected Home and Community-Based Services 1915(c) Waiver Services, 2005 | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.html
     February 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 19,300 20,127 Pressure Ulcer Yes 6,274 3,455 1,049 No 3,338 3,486 3,662 Injurious Falls … 20,714 16,992 19,479 Pressure Ulcer 1,013 6,793 2,359 3,765 2,949 3,511 Injurious Falls … a All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the

164. SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
     January 01, 2006 - in nursing homes1 ►Q. … We have patient safety problems in this facility. 38% vs. 53% − Nursing Homes vs. … Hospitals ►Moving, Transferring, or Lifting Residents ►Medication errors ►Falls ►Pressure ulcers ►Sanitation … 23 1Castle NG, Sonon KE A culture of patient safety in nursing homes. … The Swiss Cheese Model Patient Safety Culture in Nursing Homes SOPS Nursing Homes

165. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
     www.qualitymeasures.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

166. Agency for Healthcare Research and Quality
     www.qualitymeasures.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

167. AHRQuality Indicators™ | Agency for Healthcare Research and Quality
     www.qualitymeasures.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.

168. 10 Patient Safety Tips for Hospitals | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

169. Video Reflections | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

170. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/201419.html
     November 01, 2014 - It has been successful in reducing CLABSI, as evidenced by the fact that the hospital has had only two … In 2012, the hospital incorporated AHRQ's CUSP protocols for communication, teamwork, and leadership … to address other patient safety issues such as falls prevention, medication safety, urinary tract infection … This AHRQ survey is used by hundreds of hospitals in the United States to assess a facility's patient … so hospitals can compare their safety culture results with those of other hospitals. 

171. Fallpxtool3D (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3d.docx
     January 29, 2013 - Reference: Falls prevention strategies in health care settings. … Any hospital employee who enters patient rooms can use this form.

172. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
     www.qualitymeasures.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.

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

174. Fallpxtool3N (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3n.docx
     January 01, 2008 - In addition, there may be late manifestations of head injury after 24 hours. … · Notify treating medical provider immediately if any change in observations. … Notify family in accordance with your hospital’s policy. … 3-8 are usually said to be in a coma. … The total score is the sum of the scores in three categories.

175. Fallpxtool3C (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3c.docx
     January 29, 2013 - Tool Covering Environmental Safety at the Bedside Background: Facility safety is key to preventing falls … in the hospital. … Reference: Adapted from AHRQ publication on the Falls Management Program for nursing homes. … hospital rooms. … Write notes about special problems or add details in the Notes column.

176. 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.qualitymeasures.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

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

178. Long-term Care Resources | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

179. EvidenceNOW in Action | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

180. Fallpxtool1A (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1a.docx
     January 01, 2004 - ( Background: The Hospital Survey on Patient Safety Culture is a staff survey designed to help hospitals … Since 2004, hundreds of hospitals have implemented the survey. … For example, it may be difficult for your hospital to overcome chronic underreporting of falls if you … Results can be compared with those of other hospitals using the Hospital Survey on Patient Safety Culture … What is your staff position in this hospital?