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61. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/sops/about/patient-safety-culture.html
    March 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Hospital units with more positive SOPS scores had: Fewer hospital-acquired pressure ulcers and patient falls … Medicare & Medicaid Services (CMS) Nursing Home Five-Star Quality ratings. 5 Lower risks of resident falls

62. How To Manage Change
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
    November 20, 2014 - Process Change process strategies can be applied to other quality improvement (QI) efforts: Hospital falls … (Tool 2C) Present the assessment of current pressure injury prevention policies and procedures. … recommendations into the action plan. 4 Expected Outcomes Begin to write a draft Pressure Injury Prevention … Links to quality improvement expertise Members who influence the areas involved in pressure injury prevention … Pilot Unit Manager 8 Multidisciplinary Team (2A) Tool 2A 9 QI Process Link the Pressure Injury Prevention

63. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
    December 01, 2016 - Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Prevention of approximately 87,000 deaths in the 2011 to 2014 period as a result of the decline in HACs … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2014) OB

64. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … The Centers for Disease Control and Prevention (CDC) data for surgical site infections (SSIs) are also … MPSMS (2015) In-Hospital Patient Falls 220,000 6.7 Obstetric Adverse Events PSI (2014) … [7] The AHRQ-developed pressure ulcer toolkit and falls toolkit are online.

65. Hospitals and Health Systems | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/resource/index.html
    August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention … Improving Patient Safety Systems for Patients with Limited English Proficiency NICU Toolkit Preventing Falls

66. Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/findings/studies/index.html?page=484
    January 01, 2024 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Emergency Preparedness (26) Evidence-Based Practice (932) Eye Disease and Health (36) Falls … comparison group information is necessary to establish evidence on how hospitals can successfully prevent falls … Keywords: Adverse Events, Falls, Hospitals, Patient Safety, Prevention Braithwaite S , Friedman

67. Overview of Emergency Department Visits Related to Injuries, by Cause of Injury, 2017 | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/data/visualizations/ed-visits-injury.html
    June 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … to Injuries, by Cause of Injury, 2017 Injuries are common and can have many causes, such as falls

68. AHRQuality Indicators™ | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/cpi/about/otherwebsites/qualityindicators.ahrq.gov/qualityindicators.html
    July 01, 2018 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … diagnostic centers) or populations (e.g., mental health or substance abuse, emergency preparedness, patient falls … Products The current AHRQ QI modules represent various aspects of quality: Prevention Quality Indicators

69. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Prevention of approximately 87,000 deaths in the 2011 to 2014 period as a result of the decline in HACs … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2014) … 50% 50% 25% 10,000 $17,000 .185 $170,000,000 1,850 Falls

70. Assessing the Impact of Value-Based Purchasing Programs | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/funding/grantee-profiles/grtprofile-waters.html
    February 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … catheter-associated urinary tract infections (CAUTI), central-line bloodstream infections, (CLABSI) falls … change dropped by 11 percent for CAUTI and 10 percent for CLABSI but remained essentially the same for falls

71. EvidenceNOW in Action | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
    March 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Implementing Evidence-based Heart Health Care in Asheville "Cardiovascular disease prevention has the … Steven Brantley (Klamath Falls, OR)   Using Data To Tackle Undiagnosed Hypertension and Improve

72. Spreadnotes (doc file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
    August 28, 2012 - For example, if a hospital is engaged in an organization-wide improvement initiative to decrease falls … Having the Newborn Critical Care Center complete a falls risk assessment for each patient for each shift … For example, for a falls prevention program, quantitative measures to evaluate can include the falls

73. Declines in Hospital Acquired Conditions (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
    June 04, 2018 - National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries from falls … CLABSI+ Clostridium difficile Infections +CLABSI - Central Line-Associated Bloodstream Infection Falls

74. Declines in Hospital-Acquired Conditions (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
    January 01, 2019 - National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries from falls … Adverse Drug Events -28% CAUTI* -5% CLABSI+ -6% Clostridioides difficile Infections -37% Falls

75. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
    July 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … 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." 

76. Pressure Injury Prevention in Hospitals Training Program | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/index.html
    October 01, 2017 - The Power of Nutrition for Pressure Ulcer Prevention —AHRQ Pressure Injury Prevention Program Implementation … Putting the Nutrition Guidelines into Practice for Pressure Injury Prevention —AHRQ Pressure Injury Prevention … Staff Roles and Training for Your Pressure Ulcer Prevention Program —AHRQ Pressure Injury Prevention … Wound Classification —AHRQ Pressure Injury Prevention Program Training Webinar.  … Measuring Pressure Ulcer Rates and Prevention Practices —AHRQ Pressure Injury Prevention Program Training

77. AHRQ News Now | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/index.html?page=0
    April 23, 2024 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Disabilities November 14, 2023 Clinical Decision Support Found To Improve Use of Blood Clot Prevention … Surveillance October 24, 2023 New Data Resource Provides Insights on Factors Related to Falls … Improve Healthcare Quality May 16, 2023 AHRQ Views: For Women’s Health Week, Let’s Make Prevention

78. AHRQ News Now | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/index.html
    April 23, 2024 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Disabilities November 14, 2023 Clinical Decision Support Found To Improve Use of Blood Clot Prevention … Surveillance October 24, 2023 New Data Resource Provides Insights on Factors Related to Falls … Improve Healthcare Quality May 16, 2023 AHRQ Views: For Women’s Health Week, Let’s Make Prevention

79. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/findings/making-healthcare-safer/index.html
    July 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Harms such as adverse drug events, healthcare-associated infections, falls, and obstetric adverse events

80. AHRQ Welcomes Your Comments on Draft Report to Congress about Improving Patient Safety | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/blog/ahrqviews/comments-pso-draft-report.html
    February 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Although we still see too many events such as adverse drug reactions, infections, or falls, momentum