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psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports
July 06, 2022 - Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals … environment: a study of 484 COVID-19-related event reports across 94 hospitals
September 1, 2021 … July 8, 2009
Utilizing quality improvement methods to prevent falls and injury from falls … from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals … long-term care hospitals and their relationship to Joint Commission accreditation.
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psnet.ahrq.gov/issue/risk-care-plans-way-reduce-readmissions-and-adverse-events
October 27, 2010 - one hospital's effort to decrease readmissions and adverse events involving inpatients at risk for falls … November 2, 2012
Fall prevention in acute care hospitals: a randomized trial. … September 20, 2011
An inpatient fall prevention initiative in a tertiary care hospital … Coverage
February 1, 2007
View More
See More About The Topic
Hospitals … Health Care Providers
Risk Managers
Hospital Medicine
Patient Falls
View More
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psnet.ahrq.gov/issue/aviations-gift-health-care
December 19, 2018 - Copy Citation
Related Resources From the Same Author(s)
Why Hospitals Should … care or hospital outpatient settings has COVID-19 disease. … with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
December 18, 2024 … Communication During Transitions of Care
March 27, 2024
Safer Hospital … May 16, 2019
Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change
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psnet.ahrq.gov/issue/improving-medication-administration-safety-community-hospital-setting-using-lean-methodology
September 23, 2020 - Commentary
Improving medication administration safety in a community hospital setting … Improving medication administration safety in a community hospital setting using Lean methodology. … This commentary discusses how one hospital applied Lean methodology in an interdisciplinary effort … Improving medication administration safety in a community hospital setting using Lean methodology. … July 3, 2013
Utilizing quality improvement methods to prevent falls and injury from falls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - hospitals in 2014 as a
result of the decline in HACs compared with the number of deaths that would … estimated 17 percent reduction in HACs from 2010 to 2014 indicates that hospitals have
made substantial … less frequent at hospitals that have implemented a full EHR. … expanded its efforts in order to extend the success that hospitals have
achieved to all health care … MPSMS
(2014)
In-Hospital Patient
Falls
260,000 7.9
Obstetric
Adverse
Events
PSI (2014) OB
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psnet.ahrq.gov/issue/revitalizing-established-rapid-response-team
September 23, 2020 - a multistate hospital network--13 academic medical centers, April-June 2020. … July 5, 2017
Cost of inpatient falls and cost-benefit analysis of implementation of an … November 16, 2022
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls … March 26, 2008
View More
See More About The Topic
Hospitals
Nurses
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psnet.ahrq.gov/issue/keeping-each-patient-safe
September 21, 2005 - These include protecting patients from hospital-acquired infection, minimizing falls and confusion, and … The organization was recognized for this work with the John Eisenberg award in 2004 . … July 19, 2023
Serious Reportable Events in Massachusetts. … October 24, 2018
Fall Prevention in Hospitals Training Program. … See More About The Topic
Health Care Providers
Nosocomial Infections
Patient Falls
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
January 01, 2024 - The toolkit has reduced falls by 25
percent in acute care hospitals and is used in more than
100 hospitals … Web: ahrq.gov/patient-safety/settings/hospital/
fall-tips
Falls Management Program: A Quality Improvement … and communicate changes in a
resident’s condition and prevent
and manage falls. … Hospitals assists hospital staff
in implementing effective pressure ulcer prevention
practices through … the training of hospital staff on how
to implement AHRQ’s Preventing Pressure Ulcers in
Hospitals
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www.ahrq.gov/patient-safety/about/areas.html
February 01, 2018 - 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.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess2.html
October 01, 2014 - Any resident who has a pattern of falls is at risk of falling again. … new residents or those in transition back from hospital stays—are going to need a special "fall watch … Staff must be able to document how many falls are occurring in a given time period and why those falls … In one nursing center, for example, lack of easy access to call buttons may be a major issue in falls … ; in another, falls may result from insufficient ambulation and exercise.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - hospitals. … MPSMS In-Hospital Patient Falls
Obstetric
Adverse
Events
PSI OB Trauma in Vaginal Delivery
(PSI … MPSMS In-Hospital
Patient Falls
239,286 8.04 225,199 7.57 223,106 7.50 226,642 7.62
Obstetric … 4, 2015, hospitals began using ICD-10 coded data in place of ICD-9 coded data. … Conditions 25
The MPSMS-abstracted sample is representative of hospitals submitting cases to the Hospital
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psnet.ahrq.gov/node/72554/psn-pdf
December 09, 2020 - Fall prevention implementation strategies in use at 60
United States hospitals: a descriptive study. … Fall prevention implementation strategies in use at 60 United States
hospitals: a descriptive study. … https://psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals … in the United States. … inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
https://psnet.ahrq.gov/primer/falls
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/nursing-home-safety_research-protocol.pdf
July 22, 2015 - , include falls, pressure ulcers, infection, including hospital acquired infection (HAI) and
urinary … Home Compare Quality Indicators.10 These
include: falls, pressure ulcers, infection, including hospital … Hospital Safety Interventions Potentially Relevant to NH
Hospitals serve many patients who are at risk … Interventions for
preventing falls in older people in care facilities and hospitals. … Nurse-staffing levels and the quality of care
in hospitals.
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psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool
June 19, 2024 - Related Resources
Patient Safety Innovations
Preventing Falls … in ORs in the Veterans Health Administration. … July 16, 2015
Effects of an intervention to increase bed alarm use to prevent falls in … July 21, 2010
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See More About The Topic
Hospitals
Facility … and Group Administrators
Risk Managers
Hospital Medicine
Nurse Care
View More
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hcup-us.ahrq.gov/reports/statbriefs/sb19.jsp
May 19, 2016 - Falls resulted in nearly 474,400 injury hospitalizations (67.9 percent) among patients age 65 and older … Falls resulted in nearly 474,400 injury hospitalizations among patients age 65 and older, or 67.9 percent … Definitions
Types of hospitals included in HCUP
HCUP is based on data from community hospitals, … hospitals). … The NIS is a sample of hospitals and includes all patients from each hospital, regardless of payer.
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psnet.ahrq.gov/issue/improving-communication-diagnostic-uncertainty-families-hospitalized-children
December 23, 2020 - December 23, 2020
Uncertain diagnoses in a children's hospital: patient characteristics … January 22, 2025
Reducing falls in hospitalized children and adolescents with cancer … Study
The Stoplight Mobility Alert System for safety and prevention of falls … August 7, 2019
Parents' perspectives on "keeping their children safe" in the hospital … Hospitals
Pediatrics
Clinical Misdiagnosis
Provider-Patient Communication
View More
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www.ahrq.gov/sops/about/patient-safety-culture.html
June 01, 2024 - SOPS surveys have been developed for the following settings of care: Hospitals. Medical Offices. … 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 Lower … surgical site infection rates. 2 Hospitals with more positive SOPS scores had: Lower rates of in-hospital … Medicare & Medicaid Services (CMS) Nursing Home Five-Star Quality ratings. 5 Lower risks of resident falls
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psnet.ahrq.gov/issue/preventable-and-mitigable-adverse-events-cancer-care-measuring-risk-and-harm-across-continuum
July 19, 2017 - Adverse events included medication errors and hospital-acquired conditions , such as pressure ulcers … and falls. … : do patients know something that hospitals do not? … February 1, 2012
View More
See More About The Topic
Hospitals
Health … Care Providers
Medical Oncology
Chemotherapeutic Agents
Patient Falls
View More
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psnet.ahrq.gov/issue/medical-errors-kill-thousands-people-each-year-are-hospitals-getting-any-safer
June 17, 2020 - But are hospitals getting any safer? … The semi-annual Leapfrog Hospital Safety Grades are recognized across the industry as a tool for highlighting … article shares one organization’s work to improve core safety activities related to medication safety, falls … lure patients back in COVID-19 era. … September 28, 2022
CMS proposal to suppress hospital safety data angers advocates — agency
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psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
October 10, 2018 - Newspaper/Magazine Article
Preventing newborn falls and drops. … while preserving rooming-in on a mother-baby unit. … January 29, 2020
What's in a name? … July 16, 2019
Mother claims hospital error kept her from newborn daughter. … June 13, 2011
Safety shortcomings spotted in Sunrise catheter case.