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  1. 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
  2. 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 FallsPrevention 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
  3. 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
  4. 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.
  5. 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
  6. Fallpxtool2C (doc file)

    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.
  7. 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
  8. 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
  9. 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 PreventionPrevention 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
  10. 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
  11. 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
  12. Fallpxtool4A (doc file)

    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.
  13. 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
  14. Fallpxtool1D (doc file)

    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
  15. Fallpxtool6A (doc file)

    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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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

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