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  1. Fallpxtool3O (doc file)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3o.docx
    January 01, 2008 - key to maintaining the patient’s safety and for organizational learning about how to prevent future falls … Improving the capture of fall events in hospitals: combining a service for evaluating inpatient falls … The tool may be used for the purpose of root cause analysis to prevent future falls in this patient and … Prior to fall, were fall prevention measures in place? … Yes No Falls precautions Fall alert identifier (door sticker) Bed alarm: if yes, check
  2. pcmh.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
    October 01, 2015 - Implications for prevention. ADE Prevention Study Group. JAMA 1995;274:29-34. … Reduction of falls-related injuries using a hospital inpatient falls prevention program. … Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Evidence-based practice: a falls prevention program that continues to work. … VHA’s national falls collaborative and prevention programs.
  3. pcmh.ahrq.gov/funding/grantee-profiles/index.html
    April 01, 2024 - Medical Director of Epidemiology and Infection Prevention Professor, Infectious Diseases, School of … More >> Reducing Patient Falls with Evidence-based Tools Patricia Dykes, Ph.D., R.N. … Harvard Medical School, Boston, MA “Patient falls can result in traumatic and costly outcomes. … With AHRQ funding, I’ve been able to provide hospitals and primary care practices with falls prevention
  4. pcmh.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - 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
  5. pcmh.ahrq.gov/patient-safety/settings/hospital/resource/index.html
    August 01, 2022 - 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
  6. pcmh.ahrq.gov/npsd/data/dashboard/index.html
    October 01, 2023 - Falls Dashboard Details the extent of harm due to falls, the presence of fall assistance, presence … New for 2023: Falls Dashboard and Medications or Other Substance Event Supplemental Dashboard The new … Falls dashboard combines the 2022 supplement’s enhanced analysis of NPSD falls data with data from … and/or mitigate harm from falls, as well as the ability to filter by fall assistance and use of medication … known to increase risk of falls.
  7. pcmh.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
  8. pcmh.ahrq.gov/cpi/about/otherwebsites/qualityindicators.ahrq.gov/qualityindicators.html
    July 01, 2018 - 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
  9. pcmh.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
    March 01, 2021 - 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
  10. Fallpxtool3N (doc file)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3n.docx
    January 01, 2008 - Reference: Adapted from the South Australia Health Fall Prevention Toolkit. … indicated, such as blood sugar levels and x rays. · Review current care plan and implement additional fall prevention … strategies. · Provide fall prevention information (Tool 3J). … · Review current care plan and implement additional fall prevention strategies. … · Provide fall prevention information (Tool 3J).
  11. pcmh.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
  12. pcmh.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - resources to help hospitals and other providers prevent HACs, such as infections, pressure ulcers, and falls … The Centers for Disease Control and Prevention (CDC) data for surgical site infections (SSIs) are also … MPSMS (2015) Blood Stream Infections Associated With Central Venous Catheters 1,700 0.05 Falls … 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.
  13. pcmh.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 FallsPrevention 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
  14. pcmh.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
  15. pcmh.ahrq.gov/news/newsletters/e-newsletter/index.html
    April 30, 2024 - 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
  16. pcmh.ahrq.gov/news/newsletters/e-newsletter/886.html
    October 01, 2023 - Now Events New Data Resource Provides Insights on Factors Related to Falls … Today's Headlines: New Data Resource Provides Insights on Factors Related to Falls . … Falls are one of the most frequently reported patient safety events in the NPSD, second only to medication … patient safety strategies based on increased understanding of factors most commonly associated with falls … Remote patient monitoring improves patient falls and reduces harm .
  17. pcmh.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - Prevention of approximately 87,000 deaths in the 2011 to 2014 period as a result of the decline in HACs … CLABSIs MPSMS (2014) Blood Stream Infections Associated With Central Venous Catheters 5,000 0.2 Falls … 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 … 1,040,500 NA NA $9,141,150,000 35,647 * Additional costs per HAC for Falls
  18. pcmh.ahrq.gov/data/infographics/hac-rates_2019.html
    July 01, 2020 - National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries from fallsFalls: 5% decrease. Obstetric events: 3% decrease. Pressure ulcers: 6% increase.
  19. Spreadnotes (doc file)

    pcmh.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
  20. Fallpxtool3F (doc file)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3f.docx
    January 29, 2013 - Measurement Background: This tool can be used to identify orthostatic hypotension, a risk factor for falls … When a patient is on a medication that may cause orthostasis and has other risk factors for falls. … Tool 3G, ‘STRATIFY Scale for Identifying Fall Risk Factors”) to determine a patient’s risk factors for falls … vomiting, diarrhea, bleeding), have had syncope or near syncope (dizziness, fainting), or are at risk for falls … A significant change in vital signs with a change in position also signals increased risk for falls.

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