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monahrq.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
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monahrq.ahrq.gov/hai/cusp/modules/spread/notes.html
December 01, 2012 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … 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
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monahrq.ahrq.gov/cahps/news-and-events/events/webinar-051823.html
December 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Managing Consultant
The Lewin Group
Falls Church, VA HCBS CAHPS Technical Assistance (PDF, 115 KB)
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monahrq.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
-
monahrq.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
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monahrq.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."
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monahrq.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
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monahrq.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
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monahrq.ahrq.gov/news/newsletters/e-newsletter/index.html
April 30, 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
-
monahrq.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
-
monahrq.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
-
monahrq.ahrq.gov/talkingquality/measures/setting/physician/examples.html
September 01, 2019 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … patients. 1
Patient Safety Measures:
Screening, risk-assessment, and plan of care to prevent future falls
-
monahrq.ahrq.gov/news/newsletters/e-newsletter/893.html
December 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Chesapeake Regional Healthcare used AHRQ’s Preventing Falls in Hospitals: A Toolkit for Improving Quality … creation of the “Fall-Free Friday” initiative, which resulted in a 31 percent decrease in acute care falls
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - adverse drug events, and injuries due to procedures,
as well as pressure ulcers/pressure injuries and falls … Comparing these data with other sources of information, such as the Centers
for Disease Control and Prevention … measured with MPSMS, the AHRQ Patient Safety Indicators
(PSIs), the Centers for Disease Control and Prevention … 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
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - • Patient safety concerns such as falls,
pressure injuries, and adverse medication
events were reported … Conditions
The CFER-H technical specifications capture 10 types of patient safety concerns (e.g., falls … stage of pressure ulcer
o Stage on admission
o Admission skin inspection documented
o Pressure ulcer prevention … of reports, patient safety concerns that are typically not associated with the COVID-
19 PHE (e.g., falls
-
monahrq.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … frequently occurring events, e.g., not just fall rates over a given time, but also the percentage of falls
-
monahrq.ahrq.gov/opioids/health-systems-research.html
July 01, 2021 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … older adults who experienced common side effects from opioids (such as constipation, confusion, nausea, falls … AHRQ is funding multiple responses to this challenge:
Prevention, Diagnosis, and Management of Opioids … Prescribing for Chronic Pain in High Risk Populations: implementing the Centers for Disease Control and Prevention
-
monahrq.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
December 01, 2017 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Applied to CAUTI Prevention:
Improves patient understanding of catheters:
Appropriate reasons for … Applied to CAUTI Prevention:
Enhances patient-centered, compassionate care
Improves patient safety … “If you are concerned about falling (or the family is concerned) please let the hospital staff know because … your movement in bed and in your room and may actually make it more difficult to walk and/or lead to falls
-
monahrq.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
December 01, 2017 - 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 … The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - Line-Associated Bloodstream
Infections
9,000 0.3
Clostridium difficile Infections 86,000 2.9
Falls … measured with MPSMS, the AHRQ Patient Safety Indicators (PSIs), the Centers for Disease
Control and Prevention … MPSMS In-Hospital Patient Falls
Obstetric
Adverse
Events
PSI OB Trauma in Vaginal Delivery
(PSI … 2.88
CLABSI MPSMS Blood Stream
Catheters
Infections Associated With Central Venous 8,513 0.29
Falls … MPSMS In-Hospital Patient Falls 238,965 8.03
Obstetric
Adverse
Events
PSI OB Trauma in Vaginal