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81. 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

82. 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.

83. 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

84. How To Measure Fall Rates and Fall Prevention Practices
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_slides_fallprev.pptx
    December 03, 2012 - Initially, look at two practices: Performance of fall risk factor assessment within 24 hours of admission … Performance of care planning that addresses each risk factor identified during fall risk factor assessment … ‹#› 39 Performance Review of Fall Risk Factor Assessment Within 24 Hours Use the Morse Fall Scale … Page 78 ‹#› Care Planning Assessment All risk factors identified on the fall risk factor assessment … A care plan addressing every deficit on the fall risk factor assessment has been developed and is being

85. 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

86. 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

87. 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.

88. 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

89. On-Time Falls Prevention: Electronic Reports (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
    November 06, 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.

90. 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.

91. 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.

92. Daily-Ltvv-Tool (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/daily-ltvv-tool.docx
    January 01, 2017 - 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? … Sepsis, severe sepsis, or septic shock, not secondary to pneumonia · Aspiration · Trauma · Other risk factor

93. 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.

94. Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/studies/index.html?page=54
    January 01, 2024 - (EFA) and confirmatory factor analysis (CFA). … Good fit indices were indicated with factor analysis. … Factor 1 was “Humanity” which had 31 items measuring experiences of safety and accountability, autonomy … , communication, and empathy; Factor 2 “Racism” which had 12 items measuring experiences of neglect and … Sars-CoV-2 with concurrent respiratory viral infection as a risk factor for a higher level of care in

95. AHRQ Product Helps Guide Policy Decisions About Emergency Care in New Hampshire | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/cp30608.html
    October 01, 2014 - This was a key factor in the decision not to proceed with the proposed program. … This information was a factor in the Medicaid program's decision not to propose emergency room copayments

96. Module 5: How To Measure Fall Rates and Fall Prevention Practices—Training Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
    September 01, 2017 - Putting appropriate care planning in place that addresses each risk factor identified during fall risk … factor assessment. … Say: Look at the sample protocol for assessing performance of fall risk factor assessment on page 78 … Slide 41 Say: For risk factor assessment to make a difference, all risk factors identified … on the risk factor assessment need to be addressed in the care plans.

97. Module 5: How To Measure Fall Rates and Fall Prevention Practices (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
    June 30, 2017 - Accurately completing the fall risk factor assessment within 24 hours of admission. 2. … Putting appropriate care planning in place that addresses each risk factor identified during fall risk … factor assessment. … SAY: Look at the sample protocol for assessing performance of fall risk factor assessment on page 78 … factor assessment need to be addressed in the care plans.

98. How To Manage Change
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
    August 24, 2017 - weeks from initiative start Decide which scale or questions will be used for performing fall risk factor … Determine who will complete the fall risk factor assessment on admission. Tool 4A. … weeks from initiative start Decide which scale or questions will be used for performing fall risk factor … Determine who will complete the fall risk factor assessment on admission. Tool 4A.

99. Exhibit 5.17. Major Factors that Facilitated Lean Success | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-17.html
    November 01, 2014 - Horizon Hospital—Lakeview Healthcare Factor Lessons Learned Alignment

100. Appendix B. In-Person Meetings | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiapb.html
     April 01, 2018 - Master Risk Factor List with Final Bolded Appendix N. Surgeon Focus Group Guide Appendix O. … pull A table will be created to identify where each organization got the data for each risk factor … Discussion regarding risk factor stratification Some risk factors have a causal relationship with … We are now looking at surgery specific risk factor assessment. This is a limitation of our work. … We are now looking at surgery specific risk factor assessment, accounting for differential impact of