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61. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/hai/pfp/methods.html
    December 01, 2017 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma in Vaginal Delivery … 1.44 2.24 0.64 CAUTI Catheter-Associated Urinary Tract Infections 18.80 25.58 0.73 Falls … MPSMS In-Hospital Patient Falls 262,317 32,750,000 8.010 Obstetric Adverse Events PSI

62. Long-term Care Resources | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
    November 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Toolkit To Improve Antibiotic Use in Long-Term Care AHRQ’s Safety Program for Nursing Homes: On-Time Prevention … End of Life Care Home and Community-based Services Falls and Injury Long-Term Care Facilities … and Other HAIs in Long-Term Care Facilities Affiliated Centers, Portfolios & Initiatives Prevention

63. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/sops/about/patient-safety-culture.html
    March 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Hospital units with more positive SOPS scores had: Fewer hospital-acquired pressure ulcers and patient falls … Medicare & Medicaid Services (CMS) Nursing Home Five-Star Quality ratings. 5 Lower risks of resident falls

64. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/reports/liability/pichert.html
    August 01, 2017 - Sanford Health Medical Center Sites in the North (Fargo, Bismarck) and South (Sioux Falls, Bemidji) Regions … Region, Sioux Falls, SD. … the planning project, Senior Vice President, Clinical Risk Management, Sanford Health System, Sioux Falls … Leadership Development & Physician Well Being, Sanford PARS Medical Director, Sanford Health, Sioux Falls … Development of an early identification and response model of malpractice prevention.

65. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
    December 01, 2016 - Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections Falls … Prevention of approximately 87,000 deaths in the 2011 to 2014 period as a result of the decline in HACs … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2014) OB

66. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … The Centers for Disease Control and Prevention (CDC) data for surgical site infections (SSIs) are also … MPSMS (2015) In-Hospital Patient Falls 220,000 6.7 Obstetric Adverse Events PSI (2014) … [7] The AHRQ-developed pressure ulcer toolkit and falls toolkit are online.

67. Hospitals and Health Systems | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/settings/hospital/resource/index.html
    August 01, 2022 - 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 … Improving Patient Safety Systems for Patients with Limited English Proficiency NICU Toolkit Preventing Falls

68. Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/research/findings/studies/index.html?page=484
    January 01, 2024 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Emergency Preparedness (26) Evidence-Based Practice (932) Eye Disease and Health (36) Falls … comparison group information is necessary to establish evidence on how hospitals can successfully prevent falls … Keywords: Adverse Events, Falls, Hospitals, Patient Safety, Prevention Braithwaite S , Friedman

69. AHRQuality Indicators™ | Agency for Healthcare Research and Quality
    www.cahps.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

70. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Prevention of approximately 87,000 deaths in the 2011 to 2014 period as a result of the decline in HACs … MPSMS (2014) In-Hospital Patient Falls 260,000 7.9 Obstetric Adverse Events PSI (2014) … 50% 50% 25% 10,000 $17,000 .185 $170,000,000 1,850 Falls

71. EvidenceNOW in Action | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
    March 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Implementing Evidence-based Heart Health Care in Asheville "Cardiovascular disease prevention has the … Steven Brantley (Klamath Falls, OR)   Using Data To Tackle Undiagnosed Hypertension and Improve

72. Spreadnotes (doc file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
    August 28, 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

73. Declines in Hospital-Acquired Conditions (pdf file)
    www.cahps.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

74. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
    www.cahps.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." 

75. Pressure Injury Prevention in Hospitals Training Program | Agency for Healthcare Research and Quality
    www.cahps.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

76. AHRQ News Now | Agency for Healthcare Research and Quality
    www.cahps.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

77. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    www.cahps.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

78. First-of-Its-Kind Study Examines Disparities in Healthcare Costs and Outcomes of Cigarette Smoking in the United States | Agency for Healthcare Research and Quality
    www.cahps.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

79. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
    www.cahps.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

80. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    www.cahps.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