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www.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
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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.
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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?
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www.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
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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
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apg.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix G
Data Measurement Plan
Contributing Factor
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
April 01, 2025 - Develop interventions for each important contributing factor and rate each intervention for its ability … Rate each contributing factor on its importance to this and future events. … Develop an intervention for each important contributing factor identified. … and weak interventions and then rate each intervention on its ability to mitigate the contributing factor … Interventions To Reduce the Risk of the Defect
Ability To Mitigate the Contributing Factor, 1 (Low to
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www.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
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www.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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/hopkinsinternalmed-slides.ppt
January 01, 2013 - Systemic anticoagulation
INR ≥ 1.5 or aPTT ratio ≥ 1.3
Platelet count < 50,000
Key
0 - Major Risk Factor … contraindications
2 - Contraindications
3 - Systemic Anticoagulation
6 - No Risk Factors
*Major VTE Risk Factor
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-progress-checklist.html
January 01, 2013 - fall with at least moderate level of injury
Measuring key processes of care
Fall risk factor … is performed within 24 hours of admission
Care plan addressing every deficit on fall risk factor
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
November 01, 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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www.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.
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/best-practices.html
January 01, 2013 - of best practices
Create a clinical pathway
Identify key elements of a fall risk factor … assessing risk factors
Explore approaches to documenting and reporting results of fall risk factor
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/risk.html
February 01, 2023 - Put a check beside each risk factor present for this resident. … If the resident does not have a risk factor, put a check beside N/A.
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - 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 … Slide 41: Care Planning Assessment
All risk factors identified on the fall risk factor assessment … Completion date for plan
Fall risk factor assessment is accurately performed within 24 hours … A care plan addressing every deficit on the fall risk factor assessment has been developed and is being
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www.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.
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www.ahrq.gov/prevention/chronic-care/decision/mcc/pathak-grant.html
September 01, 2015 - Investigate the temporal relationship between MDD and HF to understand whether incident MDD is a risk factor … for incident HF, a consequence of incident HF, and/or a comorbid factor that exacerbates HF, or vice
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/platelet-rich-plasma-protocol-amendment.pdf
March 30, 2020 - optimizing the microenvironment
with application of growth factors such as platelet-derived growth factor … PRP is thought to contain Platelet-Derived
Growth Factor (PDGF), Fibroblast Growth Factor (FGF), Insulin … Growth Factor (IGF),
Vascular Endothelial Growth Factor (VEGF), Transforming Growth Factor-β, and … Hepatocyte Growth Factor (HGF), all of which been all shown to stimulate healing.6 PRP
has attracted … Platelet-rich plasma-loaded chitosan
scaffolds: preparation and growth factor release kinetics.
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www.ahrq.gov/hai/tools/mvp/modules/technical/daily-ltvv-tool.html
February 01, 2025 - Plateau 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.).