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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
January 01, 2013 - Performance of care planning that addresses each risk factor identified during fall risk factor assessment … Determine whether this fall risk factor assessment is being performed. … Determine whether there is any documentation of a fall risk factor assessment. … Determine whether key findings from the fall risk factor assessment were further explored. … For risk factor assessment to make a difference, all risk factors identified on the risk factor assessment
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssi3.html
April 01, 2018 - Master Risk Factor List with Final Bolded
Appendix N. Surgeon Focus Group Guide
Appendix O. … Keywords used for the search included: SSI, surgical site infection, surgical risk factor, risk factor … From that search, 24 additional potential risk factors were included in the Master Risk Factor table … The data values for each risk factor, their description, and type were agreed upon via conference calls … While herniorrhaphy was included as a risk factor during the univariate analysis that included surgery
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh65-67.html
April 01, 2018 - Master Risk Factor List with Final Bolded
Appendix N. Surgeon Focus Group Guide
Appendix O. … -0.50
-1.09
0.2835
Surgery duration
0.00
1.25
0.2104
* Additional Intermountain risk factor … -0.37
-1.11
0.2670
Surgery duration
0.01
1.64
0.1007
* Additional Intermountain risk factor … -0.33
-1.08
0.2875
Surgery duration
0.00
1.78
0.0759
* Additional Intermountain risk factor
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh62-64.html
April 01, 2018 - Master Risk Factor List with Final Bolded
Appendix N. Surgeon Focus Group Guide
Appendix O. … duration
0.01
1.91
0.0571
Wound class
0.54
1.38
0.1681
* Additional Intermountain risk factor … duration
0.01
1.75
0.0801
Wound class
0.26
0.49
0.6263
* Additional Intermountain risk factor … duration
0.01
2.94
0.0033
Wound class
0.34
1.13
0.2605
* Additional Intermountain risk factor
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool5c.docx
January 29, 2013 - for each fall with at least moderate level of injury
Measuring key processes of care
Fall risk factor … assessment is performed within 24 hours of admission
Care plan addressing every deficit on fall risk factor
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3p.docx
January 29, 2013 - Identify a set of best practices
Create a clinical pathway
Identify key elements of a fall risk factor … for assessing risk factors
Explore approaches to documenting and reporting results of fall risk factor
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapa.html
April 01, 2018 - Master Risk Factor List with Final Bolded
Appendix N. Surgeon Focus Group Guide
Appendix O. … Task 3
Progress update of risk factor organization review. … Task 3
Review if master risk factor list. … Task 3
Review if master risk factor list
Master risk factor list is complete. … Development of table to indicate where each system had the data for each risk factor.
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - Opportunity to identify if factor increased or decreased the harm or risk for harm, as well as if factor … Slide 19: LFD Tool Contributing Factors
Image: Table lists Questions for the Team contributing factor … Opportunity to identify if factor increased or decreased the harm or risk for harm, as well as if factor … Opportunity to identify if factor increased or decreased the harm or risk for harm, as well as if factor … The “5 Why’s” technique can help:
Why 1: Why did this contributing factor occur?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/umich-slides.ppt
May 20, 2012 - VTE risk factor reorganization based on Clinical Advisory Group feedback (by risk factor category rather
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh29-31.html
April 01, 2018 - Master Risk Factor List with Final Bolded
Appendix N. Surgeon Focus Group Guide
Appendix O. … using the 60-percent derivation set, including each of the five surgical procedures as a possible risk factor … using the 40-percent validation set, including each of the five surgical procedures as a possible risk factor … combined derivation and validation sets, including each of the five surgical procedures as a possible risk factor
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt8.html
December 01, 2017 - Risk Factor: Medications
Risk Factor: Mobility
Selected Interventions
For changes in psychotropic … ___ Use all prescribed seating items
___ Other: _______________________________
Risk Factor … : Orthostatic Hypotension
Risk Factor: Unsafe Behavior
Selected Interventions
___ Low blood pressure … _X_ Sheepskin, air mattress or pillows
___ Other: _________________________________
Risk Factor
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapu.html
September 01, 2018 - Master Risk Factor List with Final Bolded
Appendix N. Surgeon Focus Group Guide
Appendix O. … , risk factor, surgical wound, surgical infection. … Each potential risk factor clinically reviewed and categorized as modifiable or nonmodifiable. … Next most common risk factor was history of MRSA (identified 7 times) followed by postop hematocrit ( … Need to distinguish manifestation of SSI vs risk factor.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
September 01, 2023 - Common interventions in place among falls from patients with sensory impairment risk
factor vs. patients … without sensory impairment risk factor ................................................... 13
A3. … Sensory impairment is the second most commonly cited patient risk factor for falls in the
NPSD. … There is little variation in common interventions between the subgroup of patients with a risk factor … without sensory impairment risk factor
A3.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
July 02, 2008 - risk assessment within
24 hours of admission
Performance of care planning that addresses each risk factor … identified during risk factor assessment
36
Performance Review of Comprehensive
Skin Assessment … Tool 5C
37
Risk Factor Assessment Within 24 Hours
Use the Braden Pressure Injury Scale (or the one … Pressure injury risk factor assessment is performed accurately within 24 hours of admission. … Care plan addressing every deficit on pressure ulcer risk factor assessment has been developed and is
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carayon.pdf
February 01, 2005 - The confirmatory
factor analysis involved two steps: (1) confirmatory factor analysis of each of the … Table 3
shows the results of the confirmatory factor analysis. … Results of the confirmatory factor analysis
Model X2 DF GFI AGFI CFI PGFI RMR RSMEA
Communication … The confirmatory factor analysis using structural equation modeling shows
overall, the scales of the … Results of the confirmatory factor analysis
Table 4.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
November 01, 2019 - This is likely both a health care worker and
team factor (provider did not have time or did not want … This is a technical factor (no
mechanism to handle abnormal lab results). … evaluations, identify negative
and positive contributing factors as well as the category
of each factor … -- patient factor, technical factor, health
care worker factor, team factor, or institutional factor
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
August 01, 2022 - Causal factor: the suspected or confirmed factors that caused the adverse event. … Labeling one or even several of these factors as "causes" may place undue emphasis on a single specific factor … Contributing factor: additional elements that contributed to the adverse event, many of which are outside … In a systems approach, root cause is referred to as contributing factor.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Galt.pdf
January 01, 2004 - Factor analysis
Data reduction through a factor analysis was conducted to refine the
instrument constructs … The factor analysis rotation was
conducted using the Varimax method. … The following criteria were used for initial item selection for
each factor:
1. … A factor score was calculated for each of the factors identified. … However,
respondent general emotional reaction to computers emerged as an overarching
factor—a factor
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
January 01, 2003 - noted for patient subgroups in the
CHD or CHD-risk-equivalent category, as well as the multiple risk factor … highest risk (CHD or
CHD-risk-equivalent) patients and increased 80.1 percent among 146 multiple
risk factor … identifying all individuals
with coronary heart disease (CHD) or diabetes, as well as multiple risk factor … Chi-square analysis was used to compare goal-attainment rates among CHD and
multiple-risk-factor category … the highest risk—CHD or risk-equivalent patients—and 80.1
percent (117 of 146) among multiple-risk-factor
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_slides_fallprev.pptx
December 03, 2012 - Initially, look at two practices:
Performance of fall risk factor assessment within
24 hours of admission … Performance of care planning that addresses each risk factor identified during fall risk factor assessment … ‹#›
39
Performance Review of Fall Risk Factor Assessment Within 24 Hours
Use the Morse Fall Scale … Page 78
‹#›
Care Planning Assessment
All risk factors identified on the fall risk factor assessment … A care plan addressing every deficit on the fall risk factor assessment has been developed and is being