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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man6.html
December 01, 2017 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … Environment and Equipment Safety
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Table of Contents
The Falls … Nurse Coordinator, the Falls Nursing Assistant(s) should complete the 2-page inspection. … The Falls Nurse Coordinator should explain to them what is required. … The Falls Nurse Coordinator will need to give the Falls Engineer three types of materials
Falls Engineer
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man3.html
December 01, 2017 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … The key indicators for the FMP are outcome measures that include falls, residents who fall, residents … with two or more falls and fall related serious injuries ( Figure 1 ). … Number of residents with two or more falls each month
Number of falls with serious injury each month … Item 17 asks if the resident was in the Falls Management Program at the time of the fall.
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www.qualitymeasures.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.
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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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www.qualitymeasures.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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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_slides_best-practices.pptx
November 20, 2014 - .
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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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www.qualitymeasures.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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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html
February 01, 2023 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … Overall
22,706
18,412
21,951
18,376
Pressure Ulcer
3,341
3,555
3,254
3,604
Injurious Falls … Overall
24,978
20,372
24,196
20,327
Pressure Ulcer
3,678
4,011
3,589
4,072
Injurious Falls … Overall
5,671
5,408
5,482
5,469
Pressure Ulcer
1,184
1,504
1,154
1,549
Injurious Falls … Overall
5,671
5,408
5,482
5,469
Pressure Ulcer
1,184
1,504
1,154
1,549
Injurious Falls
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www.qualitymeasures.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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www.qualitymeasures.ahrq.gov/npsd/data/spotlights.html
September 01, 2023 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … Falls: Associated Factors and Clinical Outcomes (PDF, 4.5 MB) examines clinical outcomes and factors … associated with falls by age and gender based on data that the NPSD received through the end of 2021
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1d.docx
January 28, 2013 - information on who is part of the senior leadership team, see the resource box in section 1.3 of the toolkit … Additional information on ROI estimation is available in a companion AHRQ toolkit for hospitals at: www.ahrq.gov
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16.html
December 01, 2012 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … 17,662
23,518
18,337
Pressure Ulcer
3,322
4,088
3,865
3,029
3,557
3,496
Injurious Falls … 19,821
25,958
20,278
Pressure Ulcer
3,754
4,475
4,359
3,374
3,884
3,947
Injurious Falls … 11,150
15,491
12,897
Pressure Ulcer
2,118
2,834
2,481
1,988
2,480
2,233
Injurious Falls … 4,695
6,310
5,297
Pressure Ulcer
1,348
1,729
1,777
1,154
1,411
1,428
Injurious Falls
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www.qualitymeasures.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … Reduction of falls-related injuries using a hospital inpatient falls prevention program. … Preventing falls and eliminating injury at Ascension Health. … VHA’s national falls collaborative and prevention programs. … Preventing pressure ulcers in hospitals: a toolkit for improving quality of care.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14b.html
February 01, 2023 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … Overall
21,956
16,765
21,455
17,068
Pressure Ulcer
3,799
3,199
3,745
3,230
Injurious Falls … Overall
24,337
18,495
23,801
18,856
Pressure Ulcer
4,200
3,634
4,114
3,703
Injurious Falls … Overall
14,949
11,832
14,796
11,790
Pressure Ulcer
2,619
1,957
2,698
1,836
Injurious Falls … Overall
5,797
5,112
5,808
5,048
Pressure Ulcer
1,477
1,318
1,449
1,344
Injurious Falls
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15b.html
February 01, 2023 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … Overall
21,669
17,341
20,812
17,696
Pressure Ulcer
3,481
3,488
3,458
3,512
Injurious Falls … Overall
23,918
19,140
23,031
19,550
Pressure Ulcer
3,912
3,899
3,818
3,992
Injurious Falls … Overall
14,429
12,531
14,135
12,525
Pressure Ulcer
2,094
2,388
2,373
2,172
Injurious Falls … Overall
5,517
5,450
5,449
5,532
Pressure Ulcer
1,283
1,527
1,280
1,578
Injurious Falls
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16b.html
February 01, 2023 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … Overall
16,590
23,347
19,328
18,994
Pressure Ulcer
3,050
4,160
3,514
3,406
Injurious Falls … Overall
18,160
25,955
21,393
21,016
Pressure Ulcer
3,478
4,542
4,009
3,629
Injurious Falls … Overall
12,312
15,022
13,443
12,894
Pressure Ulcer
1,883
2,943
2,104
2,733
Injurious Falls … Overall
5,039
6,194
5,874
4,811
Pressure Ulcer
1,206
1,720
1,560
1,136
Injurious Falls
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www.qualitymeasures.ahrq.gov/hai/pfp/hacrate2013-appendix.html
October 01, 2015 - of Funding Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit … 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) … Central Line-Associated Bloodstream Infections
18,000
9,200
8,800
49%
$149,600,000
1,628
Falls … $106,000,000
2,470
Central Line-Associated Bloodstream Infections
.185
$170,000,000
1,850
Falls
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www.qualitymeasures.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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www.qualitymeasures.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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www.qualitymeasures.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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www.qualitymeasures.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.