-
pcmh.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
-
pcmh.ahrq.gov/hai/cusp/modules/spread/notes.html
December 01, 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
-
pcmh.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
December 01, 2017 - Universal and Targeted
Tools
Ambulatory Surgery Centers Toolkit
CLABSI and CAUTI 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
-
pcmh.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
December 01, 2017 - 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
-
pcmh.ahrq.gov/opioids/health-systems-research.html
July 01, 2021 - 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
-
pcmh.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
-
pcmh.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
-
pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-11-root-cause-analysis.pdf
September 01, 2015 - analysis will require input from a clinician, as many of the factors that contribute to a patient’s
falling … these patients’ medical records and other related documents to
identify potential causes for their falling
-
pcmh.ahrq.gov/patient-safety/news-events/psaw-2021/index.html
July 01, 2022 - Recent Releases
Fall TIPS: A Patient-Centered Fall Prevention Toolkit .
-
pcmh.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - frequently occurring events, e.g., not just fall rates over a given time, but also the percentage of falls
-
pcmh.ahrq.gov/patient-safety/settings/hospital/candor/videos/notification.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention
-
pcmh.ahrq.gov/patient-safety/settings/hospital/candor/videos/inapp-disclosure.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention
-
pcmh.ahrq.gov/patient-safety/settings/hospital/candor/videos/app-disclosure.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention
-
pcmh.ahrq.gov/patient-safety/settings/hospital/candor/videos/planning.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention
-
pcmh.ahrq.gov/patient-safety/settings/hospital/candor/videos/conversation.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention
-
pcmh.ahrq.gov/patient-safety/settings/hospital/candor/videos/introduction.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention
-
pcmh.ahrq.gov/patient-safety/settings/hospital/candor/videos/meeting.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention
-
pcmh.ahrq.gov/news/newsletters/e-newsletter/893.html
December 01, 2023 - 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
-
pcmh.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
-
pcmh.ahrq.gov/patient-safety/settings/hospital/candor/videos/compensation.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention