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  1. 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
  2. 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
  3. 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
  4. 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
  5. Fallpxtool5C (doc file)

    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
  6. Fallpxtool3P (doc file)

    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
  7. 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.
  8. 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?
  9. HHCEB Presentation (ppt file)

    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
  10. 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
  11. 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
  12. 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.
  13. 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.
  14. 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
  15. 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.
  16. 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
  17. 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.  
  18. 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
  19. 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
  20. 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

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