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preventiveservices.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
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
December 01, 2014 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Pressure Ulcer Prevention … Facilitator Training
Overview of On-Time
On-Time Pressure Ulcer Prevention Facilitator Training
2-day … Overview
5
5
On-Time Reports Being Developed for Four Adverse Events
Four Reports
Pressure Ulcer Prevention … Pressure Ulcer Healing
Falls Prevention
Prevention of Avoidable Hospitalizations
December 2014
On-Time … Programs: Reviews information on existing prevention programs
Communication: Reviews existing team
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preventiveservices.ahrq.gov/funding/training-grants/r36.html
November 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … When a postmark/submission date falls on a weekend or Federal holiday, the application deadline is automatically
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
September 01, 2015 - Blood Thinner Pills: Your Guide to Using Them Safely
Blood Thinner Pills:
Your Guide to Using
Them Safely
AHRQ Pub. No. 15-0047-C
Replaces AHRQ Pub. No. 09-0086-C
September 2015
The name of my blood thinner is:
_____________________________________________________________
Reminders:
Call your doctor or phar…
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preventiveservices.ahrq.gov/news/newsroom/case-studies/index.html?page=4
June 01, 2017 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Database
(3)
HCUP-Nationwide Inpatient Sample
(8)
HCUP-Patient Safety Indicators
(6)
HCUP-Prevention … Staying Healthy at 50+
(1)
Preventable Hospitalization Costs and Mapping Tool
(4)
Preventing Falls … Preventing Hospital-Related VTE Guide
(1)
Preventing Pressure Ulcers in Hospitals Toolkit
(1)
Prevention
-
preventiveservices.ahrq.gov/news/newsroom/case-studies/index.html?page=0
February 01, 2024 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Database
(3)
HCUP-Nationwide Inpatient Sample
(8)
HCUP-Patient Safety Indicators
(6)
HCUP-Prevention … Staying Healthy at 50+
(1)
Preventable Hospitalization Costs and Mapping Tool
(4)
Preventing Falls … Preventing Hospital-Related VTE Guide
(1)
Preventing Pressure Ulcers in Hospitals Toolkit
(1)
Prevention
-
preventiveservices.ahrq.gov/news/newsroom/case-studies/index.html
February 01, 2024 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Database
(3)
HCUP-Nationwide Inpatient Sample
(8)
HCUP-Patient Safety Indicators
(6)
HCUP-Prevention … Staying Healthy at 50+
(1)
Preventable Hospitalization Costs and Mapping Tool
(4)
Preventing Falls … Preventing Hospital-Related VTE Guide
(1)
Preventing Pressure Ulcers in Hospitals Toolkit
(1)
Prevention
-
preventiveservices.ahrq.gov/research/findings/final-reports/index.html
June 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Healthcare Providers
(1)
Detection/Triggers
(1)
Diagnostic Safety
(1)
Disabilities
(1)
Fall Prevention … Safety Publication Date: August 2021
Generalizability and Spread of an Evidenced-based Fall Prevention
-
preventiveservices.ahrq.gov/patient-safety/settings/multiple/index.html
August 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … The toolkit addresses approaches to desgin tat target six areas of safety: infections, falls, medication
-
preventiveservices.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.html
March 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention
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preventiveservices.ahrq.gov/news/newsroom/case-studies/index.html?page=48
August 01, 2004 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Database
(3)
HCUP-Nationwide Inpatient Sample
(8)
HCUP-Patient Safety Indicators
(6)
HCUP-Prevention … Staying Healthy at 50+
(1)
Preventable Hospitalization Costs and Mapping Tool
(4)
Preventing Falls … Preventing Hospital-Related VTE Guide
(1)
Preventing Pressure Ulcers in Hospitals Toolkit
(1)
Prevention
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - Missed nursing care is linked to patient harm, including falls and infections. … Because the Center’s Culture of Safety is based on prevention, not
punishment, RCA teams investigate … dpils&utm_term=&utm_content=1&utm_campaign=ahrq_fallprevent_2017
This website provides AHRQ’s Fall Prevention … • Patient Falls Reduction.
• RCA Resource Guide.
• SBAR.
15. … Its goal is the nationwide
reduction and prevention of inadvertent harm to patients as a result of their
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preventiveservices.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … of Falls in Hospitalized and Institutionalized Older People
Summary of Evidence
Update
(all … patients)
(Not reviewed)
Prevention of Pressure Ulcers in Older Patients
Summary of Evidence … Update
(all patients)
(Not reviewed)
Prevention of Delirium in Older Hospitalized Patients
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/849.html
February 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … Articles featured this week include:
Cost of inpatient falls and cost-benefit analysis of implementation … of an evidence-based fall prevention program . … Surgical site infection prevention: a review .
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/nursing-home/promoting-emotional-wellbeing.pdf
March 01, 2022 - staff can engage
residents and reduce isolation while maintaining necessary infection control and prevention … forgetfulness activities or becoming less sociable
Sleep, such as sleeping more than usual or
difficulty falling
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
May 01, 2017 - 2017
On-Time Overview
5
5
On-Time Reports for Four
Adverse Events
Four Reports
Pressure Ulcer Prevention … Pressure Ulcer Healing
Falls Prevention
Preventable Hospital and ED Visits
May 2017
On-Time Overview … feasibility and ease of use
Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention … Screening: Explores what processes the facility uses to screen residents at risk for adverse events
Prevention … Programs: Reviews information on existing prevention programs
Communication: Reviews existing team
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/885.html
October 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … The new chartbooks highlight patterns and trends associated with in-hospital falls (PDF, 5 MB) and
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
November 01, 2016 - On-Time Overview
5
5
On-Time Reports for Four
Adverse Events
Available Reports:
Pressure Ulcer Prevention … Pressure Ulcer Healing
Reports in Development:
Falls Prevention
Prevention of Avoidable Hospitalizations … feasibility and ease of use
Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
March 01, 2020 - The literature is clear that unrecognized, untreated delirium leads
to adverse events such as falls, … and
length of stay via
delirium recognition
Retrospective study
looking at delirium and
falls. … Two chart reviews were
performed on patient
falls as identified in the
hospital safety reporting … The fall
rates in 2011 and 2012 were 3.01
and 2.82 falls per 1,000 patient
days and in 2013 decreased … The
resulting Prevention of Delirium
Programme combines a
multicomponent delirium
prevention and
-
preventiveservices.ahrq.gov/data/infographics/hac-rates-decline.html
August 01, 2018 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention