Narrow Results Clear All
- Communication Improvement 1
- Culture of Safety 1
- Education and Training 3
- Error Reporting and Analysis 4
- Human Factors Engineering 1
- Legal and Policy Approaches 1
- Quality Improvement Strategies 2
- Transparency and Accountability 1
- Device-related Complications 1
- Identification Errors 1
- Patient Falls
- Medication Safety 3
- Surgical Complications 4
Search results for "Patient Falls"
Web Resource > Course Material/Curriculum
Rockville, MD: Agency for Healthcare Research and Quality; 2017.
Falls are a primary focus of quality and patient safety improvement efforts in hospitals. This training program provides educational webinars and implementation guidance to help hospitals use an AHRQ toolkit to decrease risk of falls. The toolkit draws from a 2-year pilot project that achieved sustained improvements for organizations in the program.
Oakbrook Terrace, IL: Joint Commission Center for Transforming Healthcare; August 2015.
Tools/Toolkit > Government Resource
Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publication No. 13-0015-EF.
This toolkit offers information and resources to guide hospitals through process change to implement and sustain fall prevention efforts.
Web Resource > Government Resource
Centers for Medicare & Medicaid Services.
The Centers for Medicare and Medicaid Services (CMS) provides consumers with publicly available information on the quality of Medicare-certified hospital care through this Web site. The site includes specific information for both patients and hospitals on how to use the data to guide decision-making and improvement initiatives. Most recently, listings from the Hospital-Acquired Condition Reduction Program (HACRP) and data on Department of Veterans Affairs hospitals were added to the reports available.
Web Resource > Government Resource
Washington State Department of Health.
This Web site provides never event data to promote transparency and informed consumer decision making.
Fillo KT. Bureau of Health Care Safety and Quality, Department of Public Health. Boston, MA: Commonwealth of Massachusetts; July 2018.
This report compiles patient safety data documented by Massachusetts hospitals. The latest numbers represent a modest decrease in serious reportable events recorded in acute care hospitals, from 1012 the previous year to 922. This presentation also includes events from ambulatory surgery centers. Previous years reports are also available.
St. Paul, MN: Minnesota Department of Health; March 2019.
The National Quality Forum has defined 29 never events—patient safety problems that should never occur, such as wrong-site surgery and patient falls. Since 2003, Minnesota hospitals have been required to report such incidents. The 2018 report summarizes information about 384 adverse events that were reported and found pressure ulcers and invasive procedure events increased, while fall-related deaths decreased. Reports from previous years are also available.
Renal Physicians Association.
This Web site provides toolkits, educational modules, and an annotated bibliography to support quality improvement efforts for nephrology providers, and identifies best practice strategies for avoiding the Five Adverse Patient Safety Events in renal care.
Audiovisual > Course Material/Curriculum
McKeesport, PA: University of Pittsburgh Schools of the Health Sciences.
A collection of three educational modules that address key areas of concern in patient safety. These include protecting patients from hospital-acquired infection, minimizing falls and confusion, and emphasizing the value of providers calling for help early when needed. The organization was recognized for this work with the John Eisenberg award in 2004.