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181. Table 8G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8g.html
     February 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … 1,307 3,856   Min s s s s s   Max 8,542 18,831 29,268 21,622 s Injurious Falls … 1,213 1,051 1,628 s   Max 12,315 10,606 s 11,115 13,261 11,132 11,243 Injurious Falls

182. Table 8E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab8e.html
     February 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … 1,613 1,534   Min s s s s s   Max 9,819 25,000 60,870 21,053 s Injurious Falls … s s 485 s   Max 13,223 10,425 7,934 16,685 41,237 12,441 11,765 Injurious Falls

183. Table A: Indicator Rates for the HCBS and Full Medicaid Populations (Rates of Admission per 100,000 Persons) | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/oirtab.html
     December 01, 2012 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … 6,913 2,846 Composite: ACSC Overall 17,971 7,139 Pressure Ulcer 3,067 1,136 Injurious Falls

184. Acknowledgments | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/final-reports/ptflow/acknowledgements.html
     July 01, 2018 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Henry Ford Hospital Detroit, MI Elmhurst Hospital Center Elmhurst, NY Inova Fairfax Hospital Falls

185. Fallpxtool3B (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3b.docx
     January 01, 2006 - These rounds integrate fall prevention activities with the rest of a patient’s care.

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

187. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/201419.html
     November 01, 2014 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … protocols for communication, teamwork, and leadership to address other patient safety issues such as falls … prevention, medication safety, urinary tract infection, and pressure ulcers.  

188. Fallpxtool3F (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3f.docx
     January 29, 2013 - Measurement Background: This tool can be used to identify orthostatic hypotension, a risk factor for falls … When a patient is on a medication that may cause orthostasis and has other risk factors for falls. … Tool 3G, ‘STRATIFY Scale for Identifying Fall Risk Factors”) to determine a patient’s risk factors for falls … vomiting, diarrhea, bleeding), have had syncope or near syncope (dizziness, fainting), or are at risk for falls … A significant change in vital signs with a change in position also signals increased risk for falls.

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

190. Declines in Hospital-Acquired Conditions (pdf file)
     www.qualitymeasures.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

191. Fallpxtool1B (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1b.docx
     January 28, 2013 - This form should be completed by the individual interested in initiating or reinvigorating a fall prevention

192. AHRQ News Now | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

193. Fallpxtool1A (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1a.docx
     January 01, 2004 - There is a growing recognition that organizational change to improve patient safety, including fall prevention … For example, it may be difficult for your hospital to overcome chronic underreporting of falls if you … completed by all interdisciplinary team members and staff on units preparing to implement the fall prevention … “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events resulting

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

195. 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.qualitymeasures.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

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

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

198. Leading Indicators Group: (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2b.docx
     January 15, 2016 - If you find that your organization has fully operationalized QI processes, connect the fall prevention … If some processes are missing, advocate for them to be put into place in the context of the fall prevention

199. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
     September 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … frequently occurring events, e.g., not just fall rates over a given time, but also the percentage of falls

200. Health Systems Research | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/opioids/health-systems-research.html
     July 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … older adults who experienced common side effects from opioids (such as constipation, confusion, nausea, falls … AHRQ is funding multiple responses to this challenge: Prevention, Diagnosis, and Management of Opioids … Prescribing for Chronic Pain in High Risk Populations: implementing the Centers for Disease Control and Prevention