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  1. References | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/pfp/interimhac2013-ref.html
    December 01, 2014 - A multicenter qualitative study on preventing hospital-acquired urinary tract infection in U.S. hospitals … Reduction of falls-related injuries using a hospital inpatient falls prevention program. … Characteristics and circumstances of falls in a hospital setting: a prospective analysis. … Medicare nonpayment, hospital falls, and unintended consequences. … Antithrombotic therapy practices in US hospitals in an era of practice guidelines.

  2. References | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/pfp/hacrate2013-refs.html
    October 01, 2015 - A multicenter qualitative study on preventing hospital-acquired urinary tract infection in U.S. hospitals … Reduction of falls-related injuries using a hospital inpatient falls prevention program. … Characteristics and circumstances of falls in a hospital setting: a prospective analysis. … Medicare nonpayment, hospital falls, and unintended consequences. … Antithrombotic therapy practices in US hospitals in an era of practice guidelines.

  3. Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study. | PSNet

    psnet.ahrq.gov/issue/evidence-guiding-practice-reported-versus-observed-adherence-contact-precautions-pilot-study
    June 28, 2017 - June 28, 2017 Is it possible to identify risks for injurious falls in hospitalized patients … hospitals: a descriptive study. … November 30, 2022 In-hospital sequelae of injurious falls in 24 medical/surgical units … in four hospitals in the United States. … hospital care: how organizational factors matter.

  4. Hospital trustees shift their focus to medical safety. | PSNet

    psnet.ahrq.gov/issue/hospital-trustees-shift-their-focus-medical-safety
    July 30, 2014 - July 30, 2014 Hospitals tie CEO bonuses to safety. … April 27, 2016 Clash in the name of care. … Resources Perspective The Ongoing Journey to Prevent Patient Falls … with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls December 18, 2024 … September 19, 2018 Diagnostic error in acute care.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33722/psn-pdf
    December 01, 2011 - Age in and of itself is not a good predictor of falls because there are just as many 75-year-olds playing … Many patients have a change in status that causes them to be at high risk for falling, and it goes undetected … The hospitals and health care systems who really get it are using the risk factors in just that way. … In today's complex hospital environment, there are so many alarms going off and nurses are pulled in … Hospital falls is on that list, which implies that they are identifiable and largely preventable.

  6. Implementation of the Centers for Medicare & Medicaid Services' nonpayment policy for preventable hospital-acquired conditions in rural and nonrural US hospitals. | PSNet

    psnet.ahrq.gov/issue/implementation-centers-medicare-medicaid-services-nonpayment-policy-preventable-hospital
    September 16, 2020 - conditions in rural and nonrural US hospitals. … Conditions in Rural and Nonrural US Hospitals. … Rural hospitals had significantly fewer of these hospital-acquired conditions, except for patient falls … The lower rates in some of these conditions are likely related to rural hospitals generally seeing patients … Conditions in Rural and Nonrural US Hospitals.

  7. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
    October 27, 2014 - MPSMS (2013) In-Hospital Patient Falls 240,000 7.2 Obstetric Adverse Events PSI (2012) OB … A multicenter qualitative study on preventing hospital-acquired urinary tract infection in U.S. hospitals … Reduction of falls-related injuries using a hospital inpatient falls prevention program. … Characteristics and circumstances of falls in a hospital setting: a prospective analysis. … Medicare nonpayment, hospital falls, and unintended consequences.

  8. The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. | PSNet

    psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled
    January 12, 2022 - Study The effect of external inspections on safety in acute hospitals in the National … The effect of external inspections on safety in acute hospitals in the National Health Service in England … did not improve rates of either pressure ulcers or falls. … The effect of external inspections on safety in acute hospitals in the National Health Service in England … awaiting long-term care in hospital.

  9. An Example of Using Present on Admission Data: CMS-Defined Hospital-Acquired Conditions in All-Payer Data

    hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.jsp
    August 01, 2011 - from community, non-rehabilitation hospitals in 2008. … Adult discharges with a reported CMS hospital-acquired condition (HAC) in selected community hospitals … community hospitals in 15 states, 2008 Discharges and population at risk by CMS defined hospital-acquired … , in Selected Community Hospitals in 15 States, 2008. … Community Hospitals in 15 States, 2008.

  10. Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. | PSNet

    psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
    July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure … (i.e., patient falls, pressure injuries, medication administration errors). … Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure … October 27, 2010 View More See More About The Topic Hospitals Nurse

  11. Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report. | PSNet

    psnet.ahrq.gov/issue/partnership-patients-pfp-hospital-engagement-network-hen-20-final-report
    May 06, 2015 - May 6, 2015 Hand Hygiene Project: Best Practices from Hospitals Participating in the … December 24, 2008 Preventing Patient Falls: A Systematic Approach From the Joint Commission … Related Resources Patient Safety Innovations Preventing Falls … Keys to safer hospitals. … December 3, 2008 Hospital-acquired Infections in Pennsylvania.

  12. Health Information Technology Leadership Panel: Final Report. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-leadership-panel-final-report
    March 30, 2022 - Lewin Group: Falls Church, VA; March 2005. … Lewin Group: Falls Church, VA; March 2005. … a VA hospital: design and outcomes. … January 13, 2021 Adverse Events in Rehabilitation Hospitals: National Incidence Among … June 18, 2013 Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events

  13. Nurses' perceptions of safety culture in long-term care settings. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-safety-culture-long-term-care-settings
    April 06, 2011 - facilities are particularly vulnerable to patient safety problems such as medication errors and falls … Mirroring an issue previously identified in hospitals, nurse managers had a considerably more optimistic … The study measured safety climate using a slightly modified version of the AHRQ Hospital Survey on Patient … falls: enhancing resident safety in long-term care. … falls: enhancing resident safety in long-term care.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860382/psn-pdf
    January 10, 2024 - Changes in hospital adverse events and patient outcomes associated with private equity acquisition. … Changes in hospital adverse events and patient outcomes associated with private equity acquisition. … Findings indicate a significant increase in in-hospital falls and healthcare-associated infections (i.e … There was no change in 30-day mortality after hospital discharge, but in-hospital mortality decreased … /primer/falls https://psnet.ahrq.gov/primer/health-care-associated-infections

  15. Partnering to Improve Patient Safety in Rural WV | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/partnering-improve-patient-safety-rural-wv
    January 01, 2023 - rural West Virginia hospitals to support improvements in patient safety. … The Falls Collaborative resulted in an overall decrease in the rate of falls. … Improving self-reporting of adverse drug events in a West Virginia hospital. … In some cases, the data are used to increase hospitals' attention to problems that might be rooted in … One hospital, Bluefield Regional Medical Center, agreed to participate in a pilot project that would

  16. Hospitalizations for Circulatory System Disorders, 2004 (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.pdf
    July 01, 2011 - A total of 386 hospitals out of 1,725 (22 percent) community, non-rehabilitation hospitals in the 15 … from community, non-rehabilitation hospitals in 2008. … Adult discharges with a reported CMS hospital-acquired condition (HAC) in selected community hospitals … and population at risk by payer in selected community hospitals in 15 states, 2008 Discharges … , in Selected Community Hospitals in 15 States, 2008 ± ± Adults 18 years and older. ‡ Deep vein thrombosis

  17. Methods to increase reliability in quality improvement projects. | PSNet

    psnet.ahrq.gov/issue/methods-increase-reliability-quality-improvement-projects
    October 20, 2021 - a paediatric hospital. … January 12, 2022 The impact of adding a 2-way video monitoring system on falls and costs … , ethnic, and payer groups for pediatric safety events in US hospitals. … a children's hospital cohort. … hospital.

  18. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)

    www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
    November 01, 2017 - ("Accidental Falls" [mh] OR Falls [tiab] OR Falling [tiab] OR Fall [tiab] OR "Accidental Falls" [tiab … ] OR "Accidental Fall" [tiab] OR Slip [tiab] OR Faller [tiab]) AND (hospital*[tiab] OR inpatient* … related"[tiab] OR “inpatient”[tiab] OR "in hospital"[tiab] OR "in hospitals"[tiab] OR “within hospitals … "in hospital"[tiab] OR "in hospitals"[tiab] OR “within hospitals”[tiab]) Surgical Site Infections … ”[tiab] OR "in hospital"[tiab] OR "in hospitals"[tiab] OR “within hospitals”[tiab]) AND (“surgical

  19. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
    November 01, 2017 - ("Accidental Falls" [mh] OR Falls [tiab] OR Falling [tiab] OR Fall [tiab] OR "Accidental Falls" [tiab … ] OR "Accidental Fall" [tiab] OR Slip [tiab] OR Faller [tiab]) AND (hospital*[tiab] OR inpatient* … related"[tiab] OR “inpatient”[tiab] OR "in hospital"[tiab] OR "in hospitals"[tiab] OR “within hospitals … "in hospital"[tiab] OR "in hospitals"[tiab] OR “within hospitals”[tiab]) Surgical Site Infections … ”[tiab] OR "in hospital"[tiab] OR "in hospitals"[tiab] OR “within hospitals”[tiab]) AND (“surgical

  20. Call to action: addressing pediatric fall safety in ambulatory environments. | PSNet

    psnet.ahrq.gov/issue/call-action-addressing-pediatric-fall-safety-ambulatory-environments
    June 30, 2021 - Patient falls represent a significant cause of patient harm. … While most research on falls focus on the in-patient setting, this study reviewed research evidence … and findings from environmental assessments to provide recommendations for reducing risk of falls in … a paediatric hospital. … June 8, 2010 Ounce of prevention: to reduce errors, hospitals prescribe innovative designs
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