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41. Patient Safety Tools | Agency for Healthcare Research and Quality
    www.talkingquality.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

42. NPSD Dashboards | Agency for Healthcare Research and Quality
    www.talkingquality.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.

43. Hospitals and Health Systems | Agency for Healthcare Research and Quality
    www.talkingquality.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

44. How To Manage Change
    www.talkingquality.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. ‹#›

45. Sustaining Fall Prevention Practices at Your Hospital (pdf file)
    www.talkingquality.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.

46. How To Implement the Fall Prevention Program in Your Organization
    www.talkingquality.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

47. Declines in Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    www.talkingquality.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.

48. Long-term Care Resources | Agency for Healthcare Research and Quality
    www.talkingquality.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

49. References | Agency for Healthcare Research and Quality
    www.talkingquality.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.

50. Appendix | Agency for Healthcare Research and Quality
    www.talkingquality.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

51. Module 2: How To Manage Change (doc file)
    www.talkingquality.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.

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

53. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
    www.talkingquality.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.

54. Family-Centered Rounds Toolkit | Agency for Healthcare Research and Quality
    www.talkingquality.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.

55. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
    www.talkingquality.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

56. 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.talkingquality.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

57. Multiple Settings | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/multiple/index.html
    August 01, 2023 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … programs Web: ahrq.gov/cahps/surveys-guidance/hcbs Comprehensive Unit-Based Safety Program (CUSP) Toolkit … Created for clinicians by clinicians, the toolkit includes training tools to make care safer by improving … perinatalsafety Safe surgery Web: ahrq.gov/haisurgery Health Care Facility Design Safety Risk Assessment Toolkit … The toolkit addresses approaches to desgin tat target six areas of safety: infections, falls, medication

58. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
    December 01, 2017 - Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital … MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure Ulcers in Hospitals … Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide Designing … A conversation with a Toolkit user –Q&A Slide 4 Accessing the QI Toolkit Toolkit for Using … Ulcers in Hospitals Guide to Patient and Family Engagement in Hospital Quality and Safety Preventing Falls

59. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … Blood Stream Infections Associated With Central Venous Catheters 17,000 0.52 17,000 0.51 Falls … MPSMS In-Hospital Patient Falls 260,000 7.80 230,000 7.16 Obstetric Adverse Events PSI

60. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
    December 01, 2017 - of Funding Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit … CLABSI and CAUTI Prevention in ICUs Community-Acquired Pneumonia Toolkit Improving … Toolkit Safe Surgery Toolkit Safe Transitions Across Ambulatory Settings Telemedicine … “If you are concerned about falling (or the family is concerned) please let the hospital staff know because … your movement in bed and in your room and may actually make it more difficult to walk and/or lead to falls