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661. SNFs: Opening the Black Box | PSNet
     psnet.ahrq.gov/web-mm/snfs-opening-black-box
     August 27, 2012 - This patient is also at risk because of polypharmacy, which can contribute to delirium, hypotension, falls … Use of teams of physicians and nurse practitioners (or physician assistants) Clinical Collaboration Toolkit—updated … polypharmacy, and fall risk CMS will be posting new tools on specific topics such as polypharmacy, falls … 26, 2025 Patient Safety Innovations Preventing Falls

662. Hospital at Home℠ Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. | PSNet
     psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-and-enhances
     November 15, 2023 - In addition, hospitalized seniors are at risk of falls, fractures, and medical/medication errors. 2 … were less likely to receive IV fluids, sedatives (which can lead to complications such as delirium and falls

663. Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
     December 01, 2017 - Judging from the criteria of this case study, this looks like an insertion issue and again that falls … This is our super falls huddle form, and it follows the learn from a defect structure. … These learn from a defect, or super falls huddles, take place very quickly after a fall. … Return to CAUTI Toolkit Information for Specialty Audiences

664. Chapter 4: Defining Language Need and Categories for Collection, cont. | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4b.html
     May 01, 2018 - A precedent exists for recommending use of such a list—the HRET Toolkit, endorsed by the National Quality … The HRET Toolkit guidance for hospital collection of demographic data includes 35 language or language … The HRET Toolkit list closely mirrors but improves upon the commonly reported Census categories by adding

665. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
     January 01, 2024 - (5) To produce and disseminate a toolkit based on MATCH that other acute care hospitals can use to … Electronic Resources and Nonprint Data MATCH Toolkit www.nmh.medrec.org Gleason KM, Baker D, and

666. Hospital Language Services: Quality Improvement and Performance Measures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
     May 08, 2008 - The two pilot sites received a toolkit designed to assist clinical department managers, language services … The toolkit included data and information submission templates that served as the paper version of a

667. Daily Care Processes Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
     January 01, 2017 - would be easier to add a nightlight to bathrooms before redesigning floor plans to reduce patient falls … reviews, are available in the Daily Care Processes section of the Technical Bundles module, in the Toolkit … http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit … the CUSP Guide for Reducing Ventilator- Associated Events in Mechanically Ventilated Patients, in the Toolkit … http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit

668. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
     October 01, 2017 - Slide 14 Say: It is recommended in the Toolkit that you regularly monitor: An outcome measure … The hospital launched a Pressure Injury Prevention Program using the AHRQ Toolkit in April 2015.

669. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/results.html
     March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Results Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of the Enviro…

670. Final Progress Report: SAFER: Standardizing Admissions for Elderly residents (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
     January 01, 2024 - regarding AHRQ Patient Safety Culture Survey •Share lessons learned throughout pilot process •Develop toolkit … •Enhance Collaborative website to provide access to toolkit, case studies, and other learning materials … of attendees •Meeting materials distributed •Universal/standardized transfer form and checklist •Toolkit

671. Improving Diagnostic Safety and Quality | PSNet
     psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
     January 31, 2024 - At the healthcare organization level, in 2018 the Health Research and Educational Trust released a toolkit … May 31, 2023 Patient Safety Innovations Preventing Falls

672. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
     September 01, 2012 - tells us that for minority patients and patients with limited English proficiency (LEP) we may be falling … used at admissions and/or discharge.68 • Greater risk of line infections, surgical infections, falls … • LEP patients are at greater risk of line infections, surgical infections, falls, and pressure ulcers … for Physicians and Their Staff Members • This toolkit presents a systems approach to redesigning … Health Research and Educational Trust (HRET), www.hret.org/ Disparities Toolkit • This Web-based toolkit

673. Improving Sickle Cell Transitions of Care Through Health Information Technology: Recommendations for Tool Development (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/improving-sickle-cell-transitions-of-care-through-health-it-final-action-report.pdf
     January 01, 2015 - Falls Church, VA Authors: Anjali Jain, M.D. Jennifer Frost, M.P.A. … Overview of Project Tasks Environmental Scan (Task 1) The Lewin Group (Lewin, Falls Church, VA), in … http://newenglandconsortium.org/brochures/Transition-Toolkit- Complete.pdf December 2012 47 … http://newenglandconsortium.org/toolkit/intake-form.html December 2012 51 Emergency Information Form … http://www.ncbi.nlm.nih.gov/pubmed/22627570 http://newenglandconsortium.org/toolkit/intake-form.html

674. AHRQ Stats | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/ahrq-stats.html
     July 01, 2025 - Toolkit Significantly Reduces Hospital Falls A safety toolkit funded by AHRQ helped hospitals reduce … patient falls overall by 15 percent and falls resulting in injuries by 34 percent, according to a study … Medicare Payments for Falls Medicare was the most common expected payer in 2017 for emergency department … treatment of injuries due to falls (38 percent). … Declining In-Hospital Hip Fractures The average hospital rate of in-hospital hip fractures due to falls

675. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
     May 01, 2017 - Perinatal Care: Experiences from the Frontline Home The Program This Report Case Studies Toolkit … No. 17-0003-23-EF May 2017 Home The Program This Report Case Studies Toolkit Definitions … The toolkit provides guidance and resources for implementing strategies to improve maternal and newborn … RTI International provided program materials and supported the units in implementing the toolkit through … Program Participants http://www.rti.org Home The Program This Report Case Studies Toolkit

676. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
     May 01, 2017 - Perinatal Care: Experiences from the Frontline Home The Program This Report Case Studies Toolkit … No. 17-0003-23-EF May 2017 Home The Program This Report Case Studies Toolkit Definitions … The toolkit provides guidance and resources for implementing strategies to improve maternal and newborn … RTI International provided program materials and supported the units in implementing the toolkit through … Program Participants http://www.rti.org Home The Program This Report Case Studies Toolkit

677. Hybrid Cardiac Rehabilitationi (HYCR) Tools and Resources Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-tools-resources-guide.pdf
     June 02, 2025 - Each contributor is highlighted. 3a: Cardiac Rehab Toolkit Contributor : Alexis Beatty, MD, Director … , USCF MD/Masters in Advanced Studies Program This toolkit contains several resources for imple menting … Cardiac Rehab Toolkit | Alexis Beatty Research (ucsf.edu) 3b: Running a Cardiac Rehab Virtual Session … Exercises that improve balance can help prevent falls as we age. … This will help to decrease the risk of falls or accidents.

678. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
     September 03, 2014 - with technical components, such as the clinical changes suggested in the Clinical Care module  of this toolkit … resources may be helpful for your teams as you implement quality improvement in your facilities: CUSP Toolkit … 5 Diamonds Quality Assurance and Performance Improvement (QAPI) This module modified existing CUSP Toolkit … resources may be helpful for your teams as you implement quality improvement in your facilities: CUSP Toolkit … TeamSTEPPS 5 Diamonds QAPI   This module modified existing CUSP Toolkit materials for the hemodialysis

679. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
     January 01, 2016 - Slide 14 SAY: It is recommended in the Toolkit that you regularly monitor: · An outcome measure, preferably … The hospital launched a Pressure Injury Prevention Program using the AHRQ Toolkit in April 2015.

680. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
     November 11, 2019 - medications simultaneously was significantly associated with reductions in both the number of reported falls … 0.34 (p<0.001), reflecting a decrease in the cumulative exposure to medications, and the number of falls … resources were cited in our review of the evidence related to using the STOPP criteria: • STOPP/START Toolkit … • Comprehensive Geriatric Assessment (CGA) Toolkit Plus14 − A series of rules/suggestions related … cognition scores or reported quality of life Reduction in drug burden index scores, numbers of falls