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221. Table 18C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18c.html
     December 01, 2012 - 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 … 11,746 Pressure Ulcer 3,451 1,762 2,142 2,427 2,827 1,758 3,323 1,746 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

222. Table 18F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18f.html
     December 01, 2012 - 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 … 17,993 Pressure Ulcer 6,748 4,003 4,586 5,403 6,035 3,967 6,763 3,893 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

223. Table 18B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18b.html
     December 01, 2012 - 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 … 18,479 Pressure Ulcer 4,754 3,486 3,908 3,901 4,595 3,208 4,736 3,445 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

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

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

226. East Alabama Medical Center TAKEheart Profile | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/takeheart/about/initiative/partner-hospitals/east-alabama.html
     November 01, 2022 - TAKEheart Initiative TAKEheart Partner Hospitals East Alabama … Opelika, Ala., is a full-service hospital serving an 11-county area with 314 general, acute care beds … When joining TAKEheart in 2021, EAMC already had automatic referral to CR in place in its electronic … In particular, patients with heart failure had been difficult to engage. … identify the situations where CR processes were not firmly established to learn where patients were falling

227. TeamSTEPPS | Agency for Healthcare Research and Quality
     www.qualitymeasures.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.

228. AHRQ Stats | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

229. PowerPoint Presentation (ppt file)
     www.qualitymeasures.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

230. Outcomes by HCBS Participant Characteristics | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find5.html
     December 01, 2012 - Injurious Falls, and Asthma or Chronic Obstructive Pulmonary Disease (COPD). … the Medicaid-only population are always higher than for whites and Hispanics except in Injurious Falls … In contrast to the dually eligible, Hispanics in this population do not exhibit lower rates, falling … Higher rates of hospital admissions in areas with more health care providers might also reflect greater … There is a general pattern of higher indicator rates in areas with a greater supply of acute care hospital

231. Appendix C: "Long List" of Delivery System Research Areas | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapc.html
     February 01, 2014 - Hospitals. Specialty hospitals. … Integrated delivery systems (physicians + hospital(s) ± health plan ± …). … Ownership Is physician employment by hospitals increasing? … Innovative approaches to hospital discharge To what extent can discharge programs operated by hospitals … Processes intended to improve patient safety—for example, to minimize falls in the hospital How prevalent

232. Previous TeamSTEPPS Webinars: 2016 | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/teamstepps/webinars/previous-webinars-2016.html
     June 01, 2017 - patient harm in areas such as falls and retained foreign bodies. … February Webinar: How to Introduce TeamSTEPPS in Small and Rural Hospitals: The Yellow Brick Road of … small and rural hospitals in TeamSTEPPS concepts. … "How to Introduce TeamSTEPPS in Small and Rural Hospitals: The Yellow Brick Road of Teamwork," featured … His presentation provided insights on engaging hospitals to become interested in TeamSTEPPS, and he shared

233. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/sops/bibliography/index.html?page=2
     January 01, 2024 - Safety and quality of pediatric care in freestanding children’s and general hospitals. … Determinants of hand hygiene compliance among nurses in U.S. hospitals: A formative research study. … Improving hospital safety culture for falls prevention through interdisciplinary health education. … Organisational context of hospitals that participated in a multi-site mentored medication reconciliation … Patient safety culture in Peking University Cancer Hospital in China: Baseline assessment and comparative

234. Health Systems Research | Agency for Healthcare Research and Quality
     www.qualitymeasures.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.

235. Figure 9: Tips for Conducting a Patient Medication Interview | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

236. Approach to Residents With Reported Penicillin Allergy (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/penicillin-allergy.pdf
     June 01, 2021 - High risk These residents should NOT receive penicillin or other beta-lactam antibiotics in the absence … often with white centers that can be different sizes � Severe maculopapular rash that required hospital … The falling rate of positive penicillin skin tests from 1995 to 2007. Perm J. 2009;13(2):12-18. … Drug allergies documented in electronic health records of a large healthcare system.

237. Table 7: Health and Welfare of the Home and Community-Based Services Population as Measured by 13 Outcome Indicators, 2005 | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab7.html
     December 01, 2012 - 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 … 2,139 1,290 1,542   Max 9,705 9,543 3,880 11,437 19,518 10,881 9,572 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

238. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

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

240. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     www.qualitymeasures.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