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www.talkingquality.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.talkingquality.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.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
November 09, 2017 - to Falls Prevention
Reports
SAY:
In this session we will introduce you to the On-Time Falls … The Falls High-Risk Report provides a weekly snapshot of
residents in a nursing home at highest risk … In addition, it can be run for just
injurious falls if desired rather than including all falls. … The system computes the number
of residents who had at least two falls in the report period. … Treated
Facility, ER, hospital admit Facility Facility ER ER Facility Facility
PCP
Notified?
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www.talkingquality.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.talkingquality.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.talkingquality.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
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www.talkingquality.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
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www.talkingquality.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.
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www.talkingquality.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
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www.talkingquality.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.
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www.talkingquality.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.
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www.talkingquality.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
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www.talkingquality.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.
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.ahrq.gov/patient-safety/settings/multiple/index.html
August 01, 2023 - SHARE:
More topics in … /hospital
Hospital outpatient and ambulatory surgery centers
Web: ahrq.gov/cahps/surveys-guidance … /oas
In-center hemodialysis facilities
Web: ahrq.gov/cahps/surveys-guidance/ich
Nursing homes … the hospital and other healthcare environments. … The toolkit addresses approaches to desgin tat target six areas of safety: infections, falls, medication
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www.talkingquality.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
November 01, 2017 - 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 … Preventable Hospital and Emergency Department Visits . … Falls Prevention
For each topic, the Web site provides a description of the reports and suggested meetings
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_resource_list.pdf
October 01, 2021 - Workplace Safety Resource List
Improving Workplace Safety in Hospitals:
A Resource List for Users … /OSHA3767.pdf
This toolkit was developed to assist hospitals in developing and implementing effective … /patientsafety/Falls/Safe-Patient-Handling-
Road-Map.pdf
This road map provides a comprehensive set … a hospital, identify what hospitals are already doing
well, and identify opportunities for improvement … In hospitals, prioritizing safety in the care environment
reaps important additional benefits through
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www.talkingquality.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
February 01, 2018 - Topics addressed in new draft recommendations included screening for cervical cancer, prevention of falls … AHRQ released training materials for preventing falls in hospitals. … These five training modules align with chapters in the AHRQ "Preventing Falls in Hospitals" toolkit. … Preliminary data on the use of the training materials showed significant decreases in falls with injury … AHRQ also released training materials for preventing pressure ulcers in hospitals.
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www.talkingquality.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
July 01, 2023 - Featured
Clinicians & Providers
Data & Measures
Digital Healthcare Research
Education & Training
Hospitals … Available from AHRQ
Tools
Featured
Clinicians & Providers
Hospitals … Other examples of effective check-backs include:
One member of the team calls out, "BP is falling, … BP is falling and at 80/48, down from 90/60." … hospital and long-term care settings ( TeamSTEPPS: Check-Back in Inpatient Surgical Terms ; TeamSTEPPS