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  1. talkingquality.ahrq.gov/cahps/news-and-events/events/webinar-051823.html
    December 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Managing Consultant The Lewin Group Falls Church, VA HCBS CAHPS Technical Assistance (PDF, 115 KB)
  2. talkingquality.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
    June 04, 2018 - National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries from falls … CLABSI+ Clostridium difficile Infections +CLABSI - Central Line-Associated Bloodstream Infection Falls
  3. talkingquality.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
  4. talkingquality.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." 
  5. talkingquality.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
  6. talkingquality.ahrq.gov/news/newsletters/e-newsletter/index.html
    April 23, 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
  7. talkingquality.ahrq.gov/news/newsletters/e-newsletter/index.html?page=0
    April 23, 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
  8. talkingquality.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
  9. talkingquality.ahrq.gov/news/blog/ahrqviews/comments-pso-draft-report.html
    February 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Although we still see too many events such as adverse drug reactions, infections, or falls, momentum
  10. talkingquality.ahrq.gov/talkingquality/measures/setting/physician/examples.html
    September 01, 2019 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … patients. 1 Patient Safety Measures: Screening, risk-assessment, and plan of care to prevent future falls
  11. talkingquality.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
  12. talkingquality.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
  13. talkingquality.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
  14. talkingquality.ahrq.gov/opioids/health-systems-research.html
    July 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … 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
  15. talkingquality.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
  16. talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
    December 01, 2017 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … 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
  17. talkingquality.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
  18. talkingquality.ahrq.gov/news/newsletters/e-newsletter/829.html
    August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Register Now for September Webinars About Joining AHRQ’s MRSA Prevention Program . … Register Now for September Webinars About Joining AHRQ’s MRSA Prevention Program AHRQ’s Safety Program … for MRSA Prevention is recruiting hospital surgical teams seeking to reduce infections for high-risk … Applicants may focus on current pressing patient safety issues such as: patient falls, medication safety
  19. talkingquality.ahrq.gov/news/newsletters/e-newsletter/781.html
    September 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Toolkit as a curriculum resource in early 2019, professors report that student projects on topics such as fallsprevention, cardiac care self-management and urinary infection reduction have greatly improved.
  20. talkingquality.ahrq.gov/gam/summaries/domain-framework/index.html
    July 01, 2018 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Performance on these measures falls to public officials, public health programs, or other entities that

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