-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
January 01, 2023 - Contributing Factors by Event Type Gen_5
Contributing Factors by Report Type Gen_6
Near Miss Prevention … Gen_7
Near Miss Prevention Actions within Event Types
Event Type Near Miss Prevention Action Count … 22 202 10.9%
Multiple Unknown 34 202 16.8%
NOTE: Percentages shown are the percentage of near miss prevention
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www.qualitymeasures.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
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www.qualitymeasures.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
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www.qualitymeasures.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.
-
www.qualitymeasures.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
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2c.docx
January 28, 2013 - This tool can be used to describe key processes in your organization where fall prevention activities … Have the Implementation Team identify and define every step in the current process for fall prevention … Identify key processes involving fall prevention.
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www.qualitymeasures.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
-
www.qualitymeasures.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
-
www.qualitymeasures.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
-
www.qualitymeasures.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
-
www.qualitymeasures.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
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool4a.docx
January 29, 2013 - determine who will be responsible for each task identified in your set of best practices for preventing falls … Reference: Developed by Falls Toolkit Research Team.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_resource_list.pdf
October 01, 2021 - Centers for Disease Control and Prevention (CDC) Resources
a. … Association Safe Patient Handling Road Map
https://www.mnhospitals.org/Portals/0/Documents/patientsafety/Falls … 20BGS%20Safe%20Patient%20Handling.pdf
https://www.mnhospitals.org/Portals/0/Documents/patientsafety/Falls … /Safe-Patient-Handling-Road-Map.pdf
https://www.mnhospitals.org/Portals/0/Documents/patientsafety/Falls … Program
Workplace Violence Prevention
Workplace Violence Prevention for Nurses
Improving Workplace
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1d.docx
January 28, 2013 - Background: This tool can be used to create a high-level overview of the case for implementing a fall prevention … to the senior leader who would support your program, and discuss the potential benefits of the fall prevention
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool6a.docx
January 01, 2007 - Background: This tool can be used to identify sustainability issues in planning and implementing your fall prevention … Use this tool to ensure you have appropriate resources and strategies in place to sustain fall prevention
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8.html
February 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … 2,984
Min
1,506
s
s
s
s
Max
6,772
17,194
10,853
27,397
s
Injurious Falls … 1,051
1,473
1,015
Max
10,449
9,085
8,475
11,115
13,261
9,525
8,445
Injurious Falls
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8d.html
February 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … 1,057
894
Min
s
s
s
s
s
Max
3,665
6,218
6,218
13,974
s
Injurious Falls … 278
s
s
482
s
Max
4,720
3,827
3,566
11,374
25,641
4,261
4,038
Injurious Falls
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8f.html
February 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … 4,615
Min
1,710
s
s
s
s
Max
19,029
26,952
26,016
40,816
s
Injurious Falls … 2,139
s
s
2,151
s
Max
31,755
11,573
19,518
s
s
19,248
23,318
Injurious Falls
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8b.html
February 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … 3,397
Min
1,663
s
s
s
s
Max
7,916
20,000
16,970
11,285
s
Injurious Falls … 1,064
1,625
918
Max
11,025
10,192
7,947
11,816
13,629
9,756
9,500
Injurious Falls
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8c.html
February 01, 2023 - Data & Measures
Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention … 1,305
1,829
Min
s
s
s
s
s
Max
6,520
26,790
16,901
21,429
s
Injurious Falls … 567
s
s
785
s
Max
13,444
6,692
10,428
7,489
9,506
12,207
6,952
Injurious Falls