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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-asthma-section-5-table-3.pdf
February 19, 2016 - National
Asthma Education and Prevention
Program. … After training, inhaler technique falls
off with time, so checking and re-
training must be repeated … Global Strategy for Asthma
Management and Prevention. 2014.
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www.monahrq.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
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www.monahrq.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
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www.monahrq.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
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www.monahrq.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
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www.monahrq.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
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www.monahrq.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.
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www.monahrq.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
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www.monahrq.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
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www.monahrq.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
-
www.monahrq.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
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www.monahrq.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
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www.monahrq.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
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www.monahrq.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
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www.monahrq.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.
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www.monahrq.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
-
www.monahrq.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
-
www.monahrq.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.
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www.monahrq.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
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www.monahrq.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