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61. Exhibit 6.15. Major Factors that Inhibited Lean Success | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-15.html
    November 01, 2014 - Horizon Hospital—Lakeview Healthcare Factor Lessons Learned Resources

62. Exhibit 5.18. Major Factors that Inhibited Lean Success | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-18.html
    November 01, 2014 - Horizon Hospital—Lakeview Healthcare Factor Lessons Learned Leadership

63. Making Effective Changes in Antibiotic Decision Making (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
    November 01, 2019 - This is likely both a health care worker and team factor (provider did not have time or did not want … This is a technical factor (no mechanism to handle abnormal lab results). … evaluations, identify negative and positive contributing factors as well as the category of each factor … -- patient factor, technical factor, health care worker factor, team factor, or institutional factor

64. Physician Use of Hand-held Computers for Drug Information and Prescribing (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Galt.pdf
    January 01, 2004 - Factor analysis Data reduction through a factor analysis was conducted to refine the instrument constructs … The factor analysis rotation was conducted using the Varimax method. … The following criteria were used for initial item selection for each factor: 1. … A factor score was calculated for each of the factors identified. … However, respondent general emotional reaction to computers emerged as an overarching factor—a factor

65. Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
    January 01, 2003 - noted for patient subgroups in the CHD or CHD-risk-equivalent category, as well as the multiple risk factor … highest risk (CHD or CHD-risk-equivalent) patients and increased 80.1 percent among 146 multiple risk factor … identifying all individuals with coronary heart disease (CHD) or diabetes, as well as multiple risk factor … Chi-square analysis was used to compare goal-attainment rates among CHD and multiple-risk-factor category … the highest risk—CHD or risk-equivalent patients—and 80.1 percent (117 of 146) among multiple-risk-factor

66. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
    October 01, 2017 - Performance of care planning that addresses each risk factor identified during risk factor assessment … Slide 38: Risk Factor Assessment Within 24 Hours Use the Braden Pressure Injury Scale (or the one … Slide 40: Assessment of Care Planning All the risk factors identified in the pressure injury risk factor … Pressure injury risk factor assessment is performed accurately within 24 hours of admission.     … Care plan addressing every deficit on pressure ulcer risk factor assessment has been developed and is

67. Exhibit 6.14. Major Factors that Facilitated Lean Success | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-14.html
    November 01, 2014 - Horizon Hospital—Lakeview Healthcare Factor Lessons Learned Alignment with

68. Exhibit 2.14. Major Factors that Facilitated Lean Success at Central | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-14.html
    November 01, 2014 - Horizon Hospital—Lakeview Healthcare Factor Lessons Learned Scope, pace

69. Appendix B8: Unsafe Behavior Worksheet (Text Description) | Agency for Healthcare Research and Quality
    www.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

70. Exhibit 1.19. Major Factors that Inhibit Lean Success at LHC | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-19.html
    November 01, 2014 - Horizon Hospital—Lakeview Healthcare Factor Lessons learned Availability

71. Exhibit 3.20. Major Factors that Inhibit Lean Success | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-20.html
    November 01, 2014 - Horizon Hospital—Lakeview Healthcare Factor Lessons Learned Resources

72. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    www.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.

73. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/slides.html
    November 01, 2017 - Slide 13: 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 … Summary of Falls Risk Factors Report Quiz Each resident fall will only be linked to one risk factor … minor injury=0 Slide 31: Contextual Factors Report Displays facility trends by contextual factor

74. Appendix C1: Falls Assessment Sample | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt1.html
    December 01, 2017 - 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.

75. Measure Descriptions for Low Tidal Volume Ventilation: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-fac-guide.html
    October 01, 2020 - plateau pressure and PEEP at the time of observation, and if the patient has a diagnosis or a risk factor … Slide 13: 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

76. Exhibit 4.18. Major Factors that Facilitate Lean Success | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-18.html
    November 01, 2014 - Horizon Hospital—Lakeview Healthcare Factor Lessons Learned Leadership

77. Pressure Ulcer Prevention Toolkit (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
    June 02, 2025 - 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

78. Factors That Influence Effectiveness of Checklists | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-4.html
    September 01, 2020 - This finding may be related to the second factor of influence: the level of difficulty of a case.

79. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
    March 01, 2025 - Depression is a risk factor for rehospitalization in medical inpatients. … Gender as risk factor for 30 days postdischarge hospital utilisation: a secondary data analysis.

80. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
    March 01, 2025 - Depression is a risk factor for rehospitalization in medical inpatients. … Gender as risk factor for 30 days postdischarge hospital utilisation: a secondary data analysis.