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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - Reporters identified staff workload as a factor that prevented assisting patient
mobility. … When
other reasons is selected as a contributing factor, the reporter may provide unstructured text … to describe
what the contributing factor was. … may be submitted to elaborate on the nature of the
contributing factor. … (s) for Event included free text associated
with the “Other Contributing Factor” response.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
November 06, 2017 - The presence of at least one
high-risk change in condition factor indicates high risk of a fall. … A resident is considered at high risk of falls if there is at least one new contributing risk factor … For each risk factor, a percentage is calculated to indicate how frequently each risk factor was
associated … Because each fall may have more than one risk factor associated
with it, the total of the risk factor … Purpose
The purpose of the report is to display facility patterns by contextual factor.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - 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 … Slide 40: Performance Review of Fall Risk Factor Assessment Within 24 Hours
Use the Morse Fall Scale … Slide 41: 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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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-ltvv-tool.docx
January 01, 2017 - Pressure
(cm H2O) –
Enter value or NK
PEEP
(cm H2O) – Enter Value or NK
Does patient have a risk factor … If “3” for any specific patient, skip ahead to the last two columns:
“Does patient have a risk factor … Risk Factors for ARDS:
Does the patient have a risk factor for ARDS? … Sepsis, severe sepsis, or septic shock, not secondary to pneumonia
· Aspiration
· Trauma
· Other risk factor
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapi.html
April 01, 2018 - Master Risk Factor List with Final Bolded
Appendix N. Surgeon Focus Group Guide
Appendix O. … JAMIA Draft Manuscript
Risk Factor
Evidence
Modifiable? … Transfer from another hospital
D
Tumor necrosis factor blockers
D
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/innovations/CommunityHubManual.pdf
January 01, 2016 - As
each risk factor is addressed, the corresponding Pathway is completed. … Treat
Each risk factor identified is assigned a specific Pathway. … Parenting is an
upstream risk factor with the ability to convert to a protective factor and is an important … Yet, for reasons that must be documented, the risk factor could not be addressed. … Pathways Common Structure
Initiation Step
Defines the risk factor.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
June 30, 2017 - Accurately completing the fall risk factor assessment within 24 hours of admission.
2. … Putting appropriate care planning in place that addresses each risk factor identified during fall risk … factor assessment. … SAY: Look at the sample protocol for assessing performance of fall risk factor assessment on page 78 … factor assessment need to be addressed in the care plans.
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapb.html
April 01, 2018 - Master Risk Factor List with Final Bolded
Appendix N. Surgeon Focus Group Guide
Appendix O. … their pull
A table will be created to identify where each organization got the data for each risk factor … Discussion regarding risk factor stratification
Some risk factors have a causal relationship with … We are now looking at surgery specific risk factor assessment. This is a limitation of our work. … We are now looking at surgery specific risk factor assessment, accounting for differential impact of
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
August 24, 2017 - weeks from initiative start
Decide which scale or questions will be used for performing fall risk factor … Determine who will complete the fall risk factor assessment on admission. Tool 4A. … weeks from initiative start
Decide which scale or questions will be used for performing fall risk factor … Determine who will complete the fall risk factor assessment on admission. Tool 4A.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Using the team’s list of contributing factors, rate each factor. … Why did the contributing factor occur? … What led to the next factor that contributed to the defect occurring? … · What is the frequency of the contributing factor? … factor.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
August 02, 2017 - Completion Date for Plan
Fall risk factor assessment is performed within 24 hours of admission … Care plan addressing every deficit on fall risk factor assessment has been developed and is being implemented
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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/Blegen.pdf
January 01, 2004 - This measure has content validity and initial construct validity
as indicated by factor analysis and … Factor analysis (principal components with varimax rotation) was conducted
to study further the item … loadings greater than 0.45 on more than one
factor). … Only one clear factor was
identified, and it contained five items pertaining to worker safety. … Some of the items
emerging from the factor analyses were modified to achieve clarity and to retain
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Using the team’s list of contributing factors, rate each factor. … Why did the contributing factor occur? … What led to the next factor that contributed to the defect occurring? … What is the frequency of the contributing factor? … factor.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-ltvv-facguide.docx
January 01, 2017 - plateau pressure and PEEP at the time of observation, and if the patient has a diagnosis or a risk factor … Slide 12
Data Collection: ARDS
ASK:
Does the patient have a risk factor for ARDS? … sepsis, severe sepsis, or septic shock not secondary to pneumonia, aspiration, trauma, or other risk factor
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
January 01, 2023 - While the Common Formats
includes Prosthesis or specialty/prescription shoe as a risk factor, it is … Among patients Under 18, no
risk factor was the most commonly reported (54.1%; 211 / 390). … Missing
responses (those that are not populated) and “N/A” records for risk factor data elements
were … records with No injury and no harm, 6,229 (68.9%) indicated a History of falls as a risk
factor. … the 9,045 records, 5,622
(62.2%) indicated sensory impairment as a risk factor.
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapk.html
April 01, 2018 - Master Risk Factor List with Final Bolded
Appendix N. Surgeon Focus Group Guide
Appendix O. … JAMIA Draft Manuscript
Risk Factor
Important
Feasible
Feasible, Difficult
( … 3
1
1
Transfer from another hospital
0
1
0
Tumor necrosis factor blockers
0
1
0
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ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/chapter6p.html
June 01, 2014 - A principal component factor analysis was conducted and revealed two main factors (structure of health … Construct validity of survey established by the consistency of the extracted factor structure of the … Comparisons of American, Israeli, Italian, and Mexican physicians and nurses on the total and factor … Factor analysis was conducted and demonstrated good internal consistency reliabilities of 4 factors. … The Cronbach's alpha for each factor was: patient preferences for their regular physician (0.74), interpersonal
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
September 01, 2017 - Putting appropriate care planning in place that addresses each risk factor identified during fall risk … factor assessment. … Say: Look at the sample protocol for assessing performance of fall risk factor assessment on page 78 … Slide 41
Say: For risk factor assessment to make a difference, all risk factors identified … on the risk factor assessment need to be addressed in the care plans.
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/daily-ltvv-tool.html
January 01, 2017 - Pressure (cm H2O) – Enter value or NK
PEEP (cm H2O) – Enter Value or NK
Does patient have a risk factor … If “3” for any specific patient, skip ahead to the last two columns: “Does patient have a risk factor … Risk Factors for ARDS: Does the patient have a risk factor for ARDS? … Other risk factor (i.e., massive transfusion, acute pancreatitis, etc.).
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb5txt.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 … __ Sheepskin, air mattress or pillows
__ Other: _________________________________
Risk Factor