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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
September 01, 2017 - in Hospitals Toolkit
Hospital Resources
CANDOR
Family-Centered Rounds Toolkit … MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure Ulcers in Hospitals … Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism Guide
Designing … Ask: Do you currently assess staff knowledge related to falls? What tools do you currently use? … You may already have a sense of what needs to change to decrease falls.
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/886.html
October 01, 2023 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … Now
Events
New Data Resource Provides Insights on Factors Related to Falls … Today's Headlines:
New Data Resource Provides Insights on Factors Related to Falls . … patient safety strategies based on increased understanding of factors most commonly associated with falls … Remote patient monitoring improves patient falls and reduces harm .
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ahrqpubs.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/index.html
September 01, 2021 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … 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 … Care and Assisted Living: State Oversight Practices and State Information Available to Consumers
Toolkit
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/831.html
September 01, 2022 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … AHRQ Grantee Helps Prevent Patient Falls in Hospital and Community Care Settings . … AHRQ Grantee Helps Prevent Patient Falls in Hospital and Community Care Settings
It’s Falls Prevention … Dykes evaluated the benefits of a falls prevention toolkit for hospitals and created software that helps … primary care physicians develop falls prevention strategies.
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ahrqpubs.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 … The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities presents an interdisciplinary … 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
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ahrqpubs.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … Falls Dashboard
Details the extent of harm due to falls, the presence of fall assistance, presence … New for 2023: Falls Dashboard and Medications or Other Substance Event Supplemental Dashboard
The new … Falls dashboard combines the 2022 supplement’s enhanced analysis of NPSD falls data with data from … known to increase risk of falls.
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/resource/index.html
August 01, 2022 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure Ulcers in Hospitals … Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism Guide
Designing … Family Engagement in Hospital Quality and Safety
Health Care Facility Design Safety Risk Assessment Toolkit … Preventing Falls in Hospitals
Preventing Pressure Ulcers in Hospitals
QI Toolkit for Hospitals
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
August 24, 2017 - Managers
Senior manager
Quality improvement/safety/risk manager
Reference: Developed by Falls … Toolkit Research Team.
‹#›
QI Process
Link the Fall Prevention Program with quality improvement … Challenges to good practice identified at organization and unit levels
Reference: Developed by Falls … Toolkit Research Team.
‹#›
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar6_falls_sustainingpractices.pdf
January 01, 2013 - aim: lower fall rate 40% in 7 months
21
Develop
assessment
protocol
Develop
knowledge
of falls … – For instance, reward staff for no preventable falls in 3
months. … • Recognize one staff member each
quarter for success in preventing
falls. … • Meet each month to address the root causes of falls. … Preventing falls
in hospitals: a toolkit for improving quality of care.
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_slides_best-practices.pptx
November 20, 2014 - .
‹#›
Implementation Planning Goals
Determine the role/responsibilities of staff in preventing falls … 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. … Tracking care processes to prevent falls is a measure of implementation success, and it should translate
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ahrqpubs.ahrq.gov/data/infographics/hac-rates_2019.html
July 01, 2020 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries from falls … Falls: 5% decrease. Obstetric events: 3% decrease. Pressure ulcers: 6% increase.
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ahrqpubs.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
November 01, 2021 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … Evidence reports and technical reviews about long-term care
Resources
Long-term care resources
Toolkit … Program for Nursing Homes: On-Time Prevention
End of Life Care
Home and Community-based Services
Falls … of Life
TeamSTEPPS
Nursing Home Antimicrobial Stewardship Guide
Related Content
Toolkit … To Improve Antibiotic Use in Long-Term Care
Topic: Long-Term Care
Toolkit To Reduce CAUTI and Other
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_fall-prevention.docx
August 24, 2017 - This training module covers Section 2 of the Toolkit, which addresses how to manage change. … Study, Act (PDSA) approach, as well as other systematic approaches, are described on page 21 of the Toolkit … ASK: Do you currently assess staff knowledge related to falls? What tools do you currently use? … current policies and practices, you have an understanding of what your hospital currently does to prevent falls … You may already have a sense of what needs to change to decrease falls.
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/index.html
October 01, 2017 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure Ulcers in Hospitals … Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism Guide
Designing … the training of hospital staff on how to implement AHRQ’s Preventing Pressure Ulcers in Hospitals Toolkit … Hospitals participating in this pilot implementation of the Training Program and Toolkit reduced their
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ahrqpubs.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … MPSMS (2015)
Blood Stream Infections Associated With Central Venous Catheters
1,700
0.05
Falls … MPSMS (2015)
In-Hospital Patient Falls
220,000
6.7
Obstetric Adverse Events
PSI (2014) … Bloodstream Infections
40,000
50%
50%
25%
10,000
$17,000
.185
$170,000,000
1,850
Falls … [7] The AHRQ-developed pressure ulcer toolkit and falls toolkit are online.
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/engage-tool.html
July 01, 2022 - MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure Ulcers in Hospitals … Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism Guide
Designing … The FCR Toolkit was designed to increase family engagement in rounds for hospitalized children. … The FCR Toolkit includes implementation materials:
FCR checklist. … The FCR Toolkit can be used without permission.
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/852.html
February 01, 2023 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … Preventing Patient Falls Using an Evidence-Based Intervention May Reduce Costs . … Preventing Patient Falls Using an Evidence-Based Intervention May Reduce Costs
Implementing the AHRQ-funded … After implementation of the Fall TIPS intervention, there was a nearly 20 percent reduction in falls … Policies to reduce all falls using evidence-based interventions could reduce the frequency of harms and
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … Hospital Resources
CANDOR
Communication and Optimal Resolution (CANDOR) Toolkit … MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure Ulcers in Hospitals … Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism Guide
Designing … The CANDOR toolkit contains eight different modules, each containing PowerPoint slides with facilitator
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
August 28, 2012 - SAY:
The Spread module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit helps all or … The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture … For example, if a hospital is engaged in an organization-wide improvement initiative to decrease falls … Having the Newborn Critical Care Center complete a falls risk assessment for each patient for each shift … For example, for a falls prevention program, quantitative measures to evaluate can include the falls
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/893.html
December 01, 2023 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … are:
University of Missouri Health Care utilized AHRQ’s Preventing Pressure Ulcers in Hospitals: A Toolkit … 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