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Showing results for "factor".

21. Exhibits 56 to 58 | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh56-58.html
    April 01, 2018 - Master Risk Factor List with Final Bolded Appendix N. Surgeon Focus Group Guide Appendix O. … 2.02 0.0437 Preop stay -0.45 -1.36 0.1745 * Additional Intermountain risk factor … Preop stay 0.12 1.68 0.0923 @ No patients in this dataset with had the specific risk factor … * Additional Intermountain risk factor. Return to Document Exhibit 58. … 0.00 0.44 0.6570 Preop stay 0.10 1.37 0.1712 * Additional Intermountain risk factor

22. Appendix C8: Fall Interventions Plan Sample | Agency for Healthcare Research and Quality
    www.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 …    _X_ Sheepskin, air mattress or pillows ___ Other: _________________________________ Risk Factor

23. Learn From Defects Tool (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
    December 01, 2017 - System Level Harmful Contributing Factor Protective Contributing Factor Patient characteristics … Rate each harmful contributing factor by (1) how much it contributed to the defect, and (2) whether it … Interventions To Address the Harmful Contributing Factor Intervention Addresses the Factor* 1 (not well … support; but probably very little attention to an intervention that doesn’t address the factor well … After scoring, we decided to focus on any contributing factor with a 5 in either column.

24. Measuring Safety Climate in Primary Care Offices (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-SinghG_67.pdf
    April 14, 2008 - attitude” for that factor. … for that factor. … b A respondent has a positive attitude for a factor if their mean score for the items in that factor … for that factor. … b A respondent has a positive attitude for a factor if their mean score for the items in that factor

25. Learndefects (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
    June 02, 2025 - Develop interventions for each important contributing factor, and rate each intervention for its ability … Please read each contributing factor and evaluate whether it was involved. … Was the provider’s physical or mental health a factor? … Rate each contributing factor on its importance to this and future events. … Develop an intervention for each important contributing factor identified.

26. Appendix K. Final Risk Factors | Agency for Healthcare Research and Quality
    www.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

27. Exhibits 65 to 67 | Agency for Healthcare Research and Quality
    www.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. … 1.09 0.2835 Surgery duration 0.00 1.25 0.2104 * Additional Intermountain risk factor … 1.11 0.2670 Surgery duration 0.01 1.64 0.1007 * Additional Intermountain risk factor … 1.08 0.2875 Surgery duration 0.00 1.78 0.0759 * Additional Intermountain risk factor

28. The PeaceHealth Ambulatory Medication Safety Culture Survey (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stock_72.pdf
    January 01, 2007 - with two administrations separated by 12 months in three ambulatory clinics and evaluated with Mplus factor … Factor Structure An Mplus factor analysis revealed that a one-factor solution was not satisfactory with … . 3 Exploratory factor analysis in Mplus found that the best solution was a five-factor solution … ; another four items load highly on the quality improvement factor. … Varimax rotated factor loadings of the five-factor solution Item Leadership Learning culture Quality

29. Exhibits 62 to 64 | Agency for Healthcare Research and Quality
    www.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. … 0.01 1.91 0.0571 Wound class 0.54 1.38 0.1681 * Additional Intermountain risk factor … 0.01 1.75 0.0801 Wound class 0.26 0.49 0.6263 * Additional Intermountain risk factor … 0.01 2.94 0.0033 Wound class 0.34 1.13 0.2605 * Additional Intermountain risk factor

30. Chapter 6. Conclusions and Recommendations | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssi6.html
    April 01, 2018 - Master Risk Factor List with Final Bolded Appendix N. Surgeon Focus Group Guide Appendix O. … Anemia was identified as a risk factor and was to be recorded as a yes/no variable. … Task 3: The risk factor data collection at each site was delayed due to continued refining of the master … risk factor list. … The master risk factor list was updated as necessary to include reliable and obtainable elements.

31. Exhibits 29 to 31 | Agency for Healthcare Research and Quality
    www.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

32. Data Measures Guide (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
    January 01, 2017 - SSD-ETT Definitions RATE FACTOR DETAILED DESCRIPTION SSD-ETT Compliance Rate Numerator Total … HOB Definitions RATE FACTOR DETAILED DESCRIPTION HOB Compliance Rate Numerator Total number of … SAT Definitions RATE FACTOR DETAILED DESCRIPTION SAT Compliance Rate Numerator Total number … SBT Definitions RATE FACTOR DETAILED DESCRIPTION SBT Compliance Rate Numerator Total number of … Delirium Assessment Definitions RATE FACTOR DETAILED DESCRIPTION Delirium Assessment Utilization

33. Appendix Q. Surgeon Focus Group Content Analysis | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssiapq.html
    April 01, 2018 - Master Risk Factor List with Final Bolded Appendix N. Surgeon Focus Group Guide Appendix O. … current risk adjustment models are inappropriate because of improperly accounting for nonmodifiable factor … Factors, Risks, and Rates The specific definition of a factor is important. … Consider conducting an intervention on one or more risk factor variables based on risk level, instead … drawing attention to measurement and tracking of risk factors; and intervening on one or more risk factor

34. Event Investigation and Analysis Guide: Appendix I | Agency for Healthcare Research and Quality
    www.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.  

35. Improving the Measurement of Surgical Site Infection Risk Stratification and Outcome Detection
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
    September 18, 2011 - , risk factor, surgical wound, surgical infection.  … 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 … Next most common risk factor was history of MRSA (identified 7 times) followed by postop hematocrit ( … While herniorrhaphy was included as a risk factor during the univariate analysis that included surgery

36. Learn from Defects Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
    December 01, 2012 - Develop interventions for each important contributing factor, and rate each intervention for its ability … Please read each contributing factor and evaluate whether it was involved. … Was the provider's physical or mental health a factor? … Rate each contributing factor on its importance to this and future events.  … Develop an intervention for each important contributing factor identified.

37. 2024 Network of Patient Safety Databases Chartbook (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
    January 01, 2024 - reported: 9,215 (10.0%) reported Human Factor, 4,345 (4.7%) reported Communication, and 2,249 (2.4% … For all 21,345 Medication or Other Substance Incorrect Dose Incidents where CONTRIBUTING FACTOR(S) … FOR EVENT was reported, 2,502 (11.7%) reported a contributing factor to be Human Factors, 876 (4.1% … (S) FOR EVENT was reported, 3,711 (12.0%) indicated Human Factors as a contributing factor. … question: “What factor(s) contributed to the event?”

38. Final Progress Report: How Do Consumers View the Risks of Medical Errors? (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/peters-report.pdf
    January 01, 2024 - In particular, past results lead us to expect two factors: one factor related to the dreadedness of … the error and a second factor related to the patient's ability to prevent the error. … In a factor analysis of perceived risk characteristics of medical errors, two factors emerged. … Factor 1, labeled Dread, was composed of blame, harmfulness, hospital/staff preventability, patient … Factor 2 ,labeled Preventability, is patient oriented; patients can observe and prevent the error.

39. 162-Example-Completed-Learning-Defects-Tool (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
    October 01, 2024 - Develop interventions for each important negative contributing factor and rate each intervention for … Physician Director and Nurse Manager Enter followup dates Technical Factor: Dressing change. … Nurse Educator Enter followup dates Team Factor: Not asking for help. … Charge Nurse or Resource Nurse Enter followup dates Team Factor: Not speaking up when cultures were … CUSP Team Enter followup dates Enter contributing factor Enter intervention Enter leader Enter

40. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
    www.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?