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monahrq.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - Research shows that close to one-third of falls can be prevented. … Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care focuses on overcoming the challenges … represent a patient safety problem, and they can be a signal that the resident is at increased risk for falling … condition, Module Two addresses communicating changes in a resident's condition, and Module Three Addresses Falls … Prevention and Management.
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monahrq.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/index.html
September 01, 2021 - Data & Measures
Digital Healthcare Research
Education & Training
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Prevention … Tools
Featured
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Prevention … represent a patient safety problem, and they can be a signal that the resident is at increased risk for falling … employ to improve patient safety, create a more resident-centered environment, and reduce the number of falls
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monahrq.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Centers for Disease Control and Prevention. … Blood Stream Infections Associated With Central Venous Catheters
17,000
0.52
17,000
0.51
Falls … MPSMS
In-Hospital Patient Falls
260,000
7.80
230,000
7.16
Obstetric Adverse Events
PSI
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monahrq.ahrq.gov/topics/f.html
March 30, 2024 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Information in Spanish
Topics Browse A - Z
F
Fact Sheets Falls
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - Centers for Disease Control and Prevention. … 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
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monahrq.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … MPSMS
In-Hospital Patient Falls
Obstetric Adverse Events
PSI
OB Trauma in Vaginal Delivery … 1.44
2.24
0.64
CAUTI
Catheter-Associated Urinary Tract Infections
18.80
25.58
0.73
Falls … MPSMS
In-Hospital Patient Falls
262,317
32,750,000
8.010
Obstetric Adverse Events
PSI
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monahrq.ahrq.gov/patient-safety/about/areas.html
February 01, 2018 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Our areas of research and tools cover:
Healthcare Infections
Team Training
Falls
Pressure Ulcers … Diagnostic Safety
Blood Clot Prevention and Treatment
Adverse Drug Events
AHRQ Quality Indicators
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monahrq.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
November 01, 2021 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Toolkit To Improve Antibiotic Use in Long-Term Care
AHRQ’s Safety Program for Nursing Homes: On-Time Prevention … End of Life Care
Home and Community-based Services
Falls and Injury
Long-Term Care Facilities … and Other HAIs in Long-Term Care Facilities
Affiliated Centers, Portfolios & Initiatives
Prevention
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monahrq.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
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monahrq.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
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monahrq.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
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monahrq.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.
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monahrq.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
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monahrq.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
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monahrq.ahrq.gov/data/visualizations/ed-visits-injury.html
June 01, 2021 - Data & Measures
Digital Healthcare Research
Education & Training
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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
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monahrq.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Falls.
Obstetric Adverse Events.
Pressure Ulcers.
Surgical Site Infections. … )
Catheter-Associated Urinary Tract Infections
Central Line-Associated Bloodstream Infections
Falls … Beginning in 2008, CMS identified the HACs (e.g., CAUTI, falls and trauma, surgical site infection) for … Falls
Fall during an inpatient admission, with or without injury, whether or not fall was assisted.
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monahrq.ahrq.gov/cpi/about/otherwebsites/qualityindicators.ahrq.gov/qualityindicators.html
July 01, 2018 - Data & Measures
Digital Healthcare Research
Education & Training
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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
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monahrq.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
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monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-waters.html
February 01, 2022 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
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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
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monahrq.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
March 01, 2021 - Data & Measures
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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