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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/aph.html
August 01, 2022 - Hierarchy of Solutions
Do solutions meet the following criteria:
Address the root cause/contributing factor
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
September 01, 2017 - example, on a geriatric psychiatry ward, orthostatic hypotension due to medications may be a fall risk factor … Slide 20: Role of Risk Factor Scores
The most important use of an assessment tool is to identify … suggests that your program is more likely to succeed when it addresses multiple components:
Risk factor … Identify ket elements of a fall risk factor assessment. … Explore approaches to documenting and reporting results of fall risk factor assessment.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
April 01, 2025 - Is there something about the work environment that was a factor? Is it noisy or distracting? … Slide 10
System Factors—2
SAY:
Another contributing systems factor was that the patient did not receive … This may be considered an individual provider factor, as it involved knowledge and skills. … This may also be considered a task factor, as there was an issue with task design, clarity of structure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2f.docx
November 16, 2011 - Decide which scale or questions will be used for performing fall risk factor assessment. … Determine who will complete the fall risk factor assessment on admission. Tool 4A.
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
January 01, 2013 - How can we improve the accuracy of the fall risk factor assessment? … The accuracy of a risk factor assessment tool depends on the person using the tool. … Therefore, training in how to complete the risk factor assessment is needed. … Each risk factor should have a corresponding plan of care. … How should the risk factor assessment and care plan be documented and communicated?
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.html
March 01, 2017 - first page of the document, use the open field text in the column on the right to identify how this factor … Antibiotic(s): __________________ Sensitive: Y – N
Contributing Factors
If NO, how could this factor
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www.ahrq.gov/research/findings/evidence-based-reports/nutritn3tp.html
April 01, 2018 - Background: The quality of nutrition-related systematic reviews (SR) is an unstudied but important factor
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2obj.html
July 01, 2012 - Why communication lapses are a major risk factor for resident safety.
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www.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctabb2.html
July 01, 2018 -
Inter-rater
Test-retest
Validity
Factor
-
www.ahrq.gov/sites/default/files/2024-03/kaminski-report.pdf
January 01, 2024 - This sample size of providers and
support staff provides adequate power for exploratory factor analyses … Analysis
Factor analysis was conducted to evaluate whether dimensions grouped
meaningfully into … Principal components factor analysis was
employed, using Promax rotation, as individual dimensions … accounting
for 29.5% and the second factor accounting for 11.1%. … Rotated Factor Matrix
Factor
1 2
Agreement with general
guidelines .138 .636
Familiar with
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www.ahrq.gov/research/findings/final-reports/ssi/index.html
April 01, 2018 - Master Risk Factor List with Final Bolded
Appendix N. Surgeon Focus Group Guide
Appendix O. … Master Risk Factor List with Final Bolded
Appendix N. Surgeon Focus Group Guide
Appendix O.
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www.ahrq.gov/takeheart/about/index.html
December 01, 2022 - is a medically supervised secondary prevention program that provides patient-centric education, risk factor
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - Falls Prevention
12
Rules for Determining High Risk
Rule #3: High Risk Based on New Contributing Risk Factor … information regarding the number and percentage of falls that have occurred for residents with each risk factor … Existing Condition
High-Risk Existing Change of Condition Within 7 Days of Fall
New Contributing Risk Factor … High-Risk Existing Conditions High-Risk Change in Condition New Contributing Risk Factor … -MEH
30
Contextual Factors Report
Displays facility trends by contextual factor
Enables comparison of
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www.ahrq.gov/patient-safety/capacity/candor/modules/guide4/aph.html
February 01, 2017 - Appendix H
Do solutions meet the following criteria:
Address the root cause/contributing factor
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/vu_physician_patient_harms.pdf
September 18, 2014 - Patient preference was an important factor for physicians
when considering screening, and most … For patients, a doctor’s recommendation was the most influential
factor.
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www.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctabc8.html
July 01, 2018 - Consistency
+
Inter-rater
+
Test-retest
Validity
Factor
-
www.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctabc5.html
July 01, 2018 - Consistency
+
Inter-rater
N/A
N/A
Test-retest
+
Validity
Factor
-
www.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctabc14.html
July 01, 2018 - Internal Consistency
Inter-rater
N/A
Test-retest
Validity
Factor
-
www.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctabc13.html
July 01, 2018 -
+
Inter-rater
N/A
Test-retest
Validity
Factor
-
www.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctabc15.html
July 01, 2018 - Consistency
+
Inter-rater
+
Test-retest
Validity
Factor