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41. Appendix | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/hai/pfp/hacrate2013-appendix.html
    October 01, 2015 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … MPSMS (2013) Blood Stream Infections Associated With Central Venous Catheters 9,200 0.28 Falls … MPSMS (2013) In-Hospital Patient Falls 240,000 7.2 Obstetric Adverse Events PSI (2013) … $106,000,000 2,470 Central Line-Associated Bloodstream Infections .185 $170,000,000 1,850 Falls

42. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Prevention is designed to improve long-term … AHRQ's Safety Program for Nursing Homes: On-Time Prevention provides a strategy for preventing adverse … Adverse Events Pressure Ulcer Prevention . Pressure Ulcer Healing . … Falls Prevention For each topic, the Web site provides a description of the reports and suggested meetings … Related Content Slide Presentation: On-Time Prevention Program for Long Term Care: Clinical Decision

43. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/funding/grantee-profiles/index.html
    April 01, 2024 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Medical Director of Epidemiology and Infection Prevention Professor, Infectious Diseases, School of … More >> Reducing Patient Falls with Evidence-based Tools Patricia Dykes, Ph.D., R.N. … Harvard Medical School, Boston, MA “Patient falls can result in traumatic and costly outcomes. … With AHRQ funding, I’ve been able to provide hospitals and primary care practices with falls prevention

44. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/settings/long-term-care/index.html
    September 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Falls Management Program: A Quality Improvement Initiative for Nursing Facilities is an interdisciplinary … facilities to help them detect and communicate changes in a resident's condition and prevent and manage falls … Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention is a team training curriculum to

45. Health Care Facility Design Safety Risk Assessment Toolkit | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
    October 01, 2020 - 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 … health care facilities can minimize such safety problems as health care-associated infections, patient falls … The toolkit: Targets six areas of safety—infections, falls, medication errors, security, injuries of

46. Patient Safety Tools | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
    June 01, 2022 - Research shows that close to one-third of falls can be prevented. … Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care focuses on overcoming the challenges … represent a patient safety problem, and they can be a signal that the resident is at increased risk for falling … condition, Module Two addresses communicating changes in a resident's condition, and Module Three Addresses Falls … Prevention and Management.

47. Long-term Care Facilities | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/index.html
    September 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … represent a patient safety problem, and they can be a signal that the resident is at increased risk for falling … employ to improve patient safety, create a more resident-centered environment, and reduce the number of falls

48. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Centers for Disease Control and Prevention. … Blood Stream Infections Associated With Central Venous Catheters 17,000 0.52 17,000 0.51 Falls … MPSMS In-Hospital Patient Falls 260,000 7.80 230,000 7.16 Obstetric Adverse Events PSI

49. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
    June 01, 2014 - Centers for Disease Control and Prevention. … 32,750,000 Discharges— Based on 2010 Baseline) 2012 PFP Measured HACs per 1,000 Discharge s Falls … MPSMS In-Hospital Patient Falls 260,000 7.80 230,000 7.16 Obstetric Adverse Events PSI OB Trauma

50. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
    www.healthcare411.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

51. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/about/areas.html
    February 01, 2018 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Our areas of research and tools cover: Healthcare Infections Team Training Falls Pressure Ulcers … Diagnostic Safety Blood Clot Prevention and Treatment Adverse Drug Events AHRQ Quality Indicators

52. Long-term Care Resources | Agency for Healthcare Research and Quality
    www.healthcare411.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

53. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    www.healthcare411.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

54. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
    www.healthcare411.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.

55. Video Reflections | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/teamstepps/officebasedcare/handouts/video.html
    November 01, 2015 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … As you identify breakdowns, consider for each whether it falls under the TeamSTEPPS component of leadership

56. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    www.healthcare411.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

57. 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.healthcare411.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.

58. Hospitals and Health Systems | Agency for Healthcare Research and Quality
    www.healthcare411.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

59. Agency for Healthcare Research and Quality
    www.healthcare411.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

60. AHRQuality Indicators™ | Agency for Healthcare Research and Quality
    www.healthcare411.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