-
preventiveservices.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.
-
preventiveservices.ahrq.gov/cpi/about/otherwebsites/qualityindicators.ahrq.gov/qualityindicators.html
July 01, 2018 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
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
-
preventiveservices.ahrq.gov/funding/grantee-profiles/grtprofile-waters.html
February 01, 2022 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
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
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
January 01, 2023 - Six types of safety events (i.e., Blood or Blood Products, Falls, Device or Medical/Surgical
Supply … Over one half of Falls occurred in Inpatient care areas (51.5%; 92,861 / 180,345). … Other was the second most
common reported location for falls (23.6%; 42,514 / 180,345). … Environmental factors were minor contributors for events, except for Falls (11.2%; 1,274 / 11,399) … Near Miss Prevention Actions by Event Type
This figure examines the percentage of each NEAR MISS PREVENTION
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
December 15, 2016 - EMR, data to make staff aware of
residents at risk of adverse events such as pressure ulcers and
falls … prevent four adverse
events: pressure ulcers, pressure ulcers that are not healing
appropriately, falls … On-Time
reports for preventing falls and avoidable hospitalizations are
currently in development. … Pressure Ulcer Healing, Falls, and Avoidable Hospitalization
reports and worksheets have been … The goal is to focus on prevention improvement.
-
preventiveservices.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."
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
June 29, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits - Transfer Note and Intake Note
AHRQ’s Safety Program for Nursing Homes: On-Time
Preventable Hospital and Emergency Department Visits
Transfer Note and Intake Note
Transfer Notes and Intake Notes are not required, but the elemen…
-
preventiveservices.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
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - pulmonary disease
• Asthma
• Circulatory problems
• Hypertension
• Gastroenteritis
• Angina pectoris
• Falls … teams can use the report to track patterns, follow up on areas of decline, and
monitor progress of new prevention … obstructive
pulmonary disease, asthma, circulatory problems, hypertension, gastroenteritis, angina,
falls
-
preventiveservices.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
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - Examples include
most fall prevention programs, VTE prophylaxis, and
medical history abbreviations … Examples include some
fall prevention programs, many clinical pharmacist
interventions, and participation … radiation exposure or to help prevent stress-related
gastrointestinal bleeding; and moderate, for PSPs falling … Moderate
Infection Control
Barrier precautions, patient isolation,
and routine surveillance for the
prevention … Encouraged patient safety practices
• Multicomponent interventions to reduce falls
• Use of clinical
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - such as the Centers for
Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention … information about patient activity prior to the fall, the use of risk assessments and of
various fall prevention … Falls were divided into two groups: Falls known to have been Assisted,
and Falls considered Unassisted … , which includes both Falls known to be Unassisted and Falls
where it is Unknown whether assistance … Falls were divided into
two groups: Falls known to have been Assisted, and Falls considered Unassisted
-
preventiveservices.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
-
preventiveservices.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
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
March 01, 2024 - :
Collaboration and
Proactive Teamwork
Used To Reduce Falls
2012-2014
$599,990
Purpose: To implement … • The repeat fall rate within a hospital was negatively associated with the percentage
of falls that … • Over a 2-year period, 353 falls were reported; 32 percent of the falls were injurious
and 75 percent … Identifying a gait belt as an intervention
decreases the odds of patients falling unassisted. … that even the largest healthcare organizations typically
have only one person in the PSO role for the prevention
-
preventiveservices.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
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-fracture-booklet.pdf
November 01, 2023 - Taking care of your surgical wound
■ Showering
■ Urinating
■ Sleeping
■ Home setup
■ Preventing falls … toilet (called a:
commode)
20 AHRQ Safety Program for Improving Surgical Care and Recovery
Prevent Falls … Recovery at Home
Taking Care of Your Surgical Wound
Showering
Urinating
Sleeping
Home Setup
Prevent Falls
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - On-Time provides EMR reports for
improving clinical decisionmaking for pressure ulcer prevention, pressure … ulcer healing,
prevention of inappropriate hospitalizations, and falls prevention.
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
November 30, 2013 - Disease Asthma Circulatory Problems Hypertension or Renal Failure Gastroenteritis Angina Pectoris Falls … rate)
Enables clinicians to track patterns, follow up on areas of decline, and monitor progress of new prevention
-
preventiveservices.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