All documented patient falls with an injury level of minor or greater on eligible unit types in a calendar quarter. Reported as Injury falls per 1000 Patient Days.
(Total number of injury falls / Patient days) X 1000
Measure focus is safety.
Target population is adult acute care inpatient and adult rehabilitation patients.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
Total number of patient falls of injury level minor or greater (whether or not assisted by a staff member) by eligible hospital unit during the calendar month X 1000.
Included Populations:
• Falls with Fall Injury Level of “minor” or greater, including assisted and repeat falls with an Injury level of minor or greater
• Patient injury falls occurring while on an eligible reporting unit
Target population is adult acute care inpatient and adult rehabilitation patients. Eligible unit types include adult critical care, step-down, medical, surgical, medical-surgical combined, adult rehabilitation in-patient.
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1.15 Denominator
Denominator Statement: Patient days by Type of Unit during the calendar month.
Included Populations:
•Inpatients, short stay patients, observation patients, and same day surgery patients who receive care on eligible inpatient units for all or part of a day on the following unit types:
•Adult critical care, step-down, medical, surgical, medical-surgical combined, and adult rehabilitation inpatient units.
•Patients of any age on an eligible reporting unit are included in the patient day count.
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Exclusions
Excluded Populations: Other unit types (e.g., pediatric, psychiatric, obstetrical, etc.)
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Patient Safety Fall Cycle 2020Initial EndorsementLast UpdatedRemoval Date
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StewardAmerican Nurses AssociationSteward Organization POC EmailSteward Organization Copyright
Copyright 2011, American Nurses Association. All Rights Reserved.
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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