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www.ahrq.gov/research/findings/final-reports/ssi/ssiapj.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?
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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.
-
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
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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
-
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
-
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
-
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
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-211-tables-10-14.pdf
July 31, 2019 - Exploratory Factor Analysis Using Maximum Likelihood and a Promax Rotation
Among All Children, 8-17 … years-old for the Well-Being item pool (n=998)
Factor
Initial
Eigenvalues
Extraction … Exploratory Factor Analysis Using Maximum Likelihood and a Promax Rotation Among All Children, 8-17 years-old
-
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
-
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
-
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
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
August 08, 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.
-
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.
-
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
-
www.ahrq.gov/patient-safety/capacity/candor/modules/guide4/api.html
February 01, 2017 - 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.
-
www.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
-
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?”
-
www.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