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201. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/pfp/methods.html
     December 01, 2017 - Venous Catheters Falls MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma … Pressure Ulcers Surgical Site Infections NHSN SSIs combined for 17 procedures based on CDC NHSN … The national number of adverse events captured by PSIs 18 and 19 on obstetric injury , and the national … MPSMS In-Hospital Patient Falls 262,317 32,750,000 8.010 Obstetric Adverse Events PSI OB Trauma … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,317,211 32,750,000 40.220 Surgical Site

202. How CMS Measures the "30-Day All Cause Rehospitalization Rate" on the Hospital Compare Web Site | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-30day.html
     March 01, 2013 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

203. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
     January 01, 2016 - patient safety events, including many types of hospital-acquired infections, adverse drug events, and injuries … Ulcers/Pressure Injuries Surgical Site Infections Ventilator-Associated Pneumonias (Post-op) Venous … Central Venous Catheters Falls MPSMS In-Hospital Patient Falls Obstetric Adverse Events PSI OB Trauma … National number of adverse events captured by PSIs 18 and 19 on obstetric injury and national number … 8,513 0.29 Falls MPSMS In-Hospital Patient Falls 238,965 8.03 Obstetric Adverse Events PSI OB Trauma

204. Appendix, Determining the Scope of the Project | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-4.html
     July 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

205. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
     August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

206. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
     August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

207. Exhibit 7.4. Core measures for asthma, diabetes, and congestive heart failure | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh7-4.html
     October 01, 2014 - Effectiveness Reviews Facilities Home and Community Resources Findings Report Injuries … Blood Pressure (AQA and HEDIS Measure) Percentage of members with diabetes with most recent blood pressure … √ √ 12 mos Seeing a change in clinical outcomes, such as blood pressure, might take a year …   √ 12 mos   Blood Pressure Percentage of members with congestive heart failure (CHF) … with most recent blood pressure <140/80 mm Hg Claims.

208. FileNewTemplate
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module5.pptx
     January 01, 1995 - or unfolding error An opportunity to interrupt or correct an action or event before there is harm or injury … It allows for one to take steps to interrupt or correct an action or event before there is harm or injury … Are the blood pressure cuffs, otoscope, and ophthalmoscopes working properly? … Are things being left undone because of time pressure?

209. Declines in Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/data/infographics/hac-rates_2019.html
     July 01, 2020 - Description: National efforts to reduce hospital-acquired conditions such as adverse drug events and injuries … Pressure ulcers: 6% increase. Surgical site infections: 8% increase.

210. Tool 2E: Fall Knowledge Test | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/fall-knowledge-test.html
     January 01, 2013 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

211. Module 1: Preventing Falls in Hospitals (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_fall-prevention.docx
     March 01, 2013 - In one study, a fall with serious injury added 6.3 days to the hospital stay. … The average operational cost for a fall with injury is about $14,000. … Between 30 and 51 percent of falls in hospitals result in an injury ranging from bruises to severe wounds … The cost of serious fall-related injuries at three Midwestern hospitals. … Thus, the CAUTI, SSI, and Pressure Injury committees used the AHRQ assessment tools, and a speak-up campaign

212. Module 3: Best Practices in Fall Prevention—Slide Presentation | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
     September 01, 2017 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … number of medications that could cause sedation, confusion, impaired balance, or orthostatic blood pressure … Carefully assess patients for any injuries in a systematic way.

213. Module 3: Best Practices in Fall Prevention—Training Guide | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
     September 01, 2017 - Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries —AHRQ Fall Prevention Program … The patient should be carefully and systematically assessed for injuries. … The post-fall clinical review focuses on immediate risk of injury or complications. … RCA is often used for a fall with injury.

214. Table 13C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13c.html
     December 01, 2012 - Effectiveness Reviews Facilities Home and Community Resources Findings Report Injuries … Composite: ACSC Overall 16,190 13,777 11,837 15,406 12,890 12,089 11,728 15,849 Pressure

215. Table 13G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13g.html
     December 01, 2012 - Effectiveness Reviews Facilities Home and Community Resources Findings Report Injuries … Composite: ACSC Overall 33,261 30,970 20,092 30,462 31,280 18,320 22,265 33,519 Pressure

216. Table 13F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13f.html
     December 01, 2012 - Effectiveness Reviews Facilities Home and Community Resources Findings Report Injuries … Composite: ACSC Overall 25,088 21,726 18,033 23,910 21,388 17,059 17,977 25,619 Pressure

217. Table 13D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13d.html
     December 01, 2012 - Effectiveness Reviews Facilities Home and Community Resources Findings Report Injuries … 3,456 Composite: ACSC Overall 5,916 5,609 5,108 6,697 5,155 5,348 5,480 5,488 Pressure

218. Table 13E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13e.html
     December 01, 2012 - Effectiveness Reviews Facilities Home and Community Resources Findings Report Injuries … Composite: ACSC Overall 22,658 20,161 15,487 19,836 18,844 18,762 16,626 21,838 Pressure

219. Table 13A: National Home and Community-Based Services Population | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13.html
     December 01, 2012 - Effectiveness Reviews Facilities Home and Community Resources Findings Report Injuries … Composite: ACSC Overall 23,439 21,000 15,748 21,963 20,486 15,596 16,965 22,647 Pressure

220. Table 13B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13b.html
     December 01, 2012 - Effectiveness Reviews Facilities Home and Community Resources Findings Report Injuries … Composite: ACSC Overall 25,630 23,315 17,273 24,034 22,926 16,939 18,851 24,850 Pressure