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  1. preventiveservices.ahrq.gov/hai/pfp/haccost2017.html
    November 01, 2017 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems PreventionFalls. 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.
  2. 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
  3. 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
  4. 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
  5. 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.
  6. 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." 
  7. 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…
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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 preventionFalls 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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.
  19. 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
  20. 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

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