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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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psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-errors-descriptive-analysis-events
July 14, 2010 - Study
Computerized physician order entry, a factor in medication errors: descriptive … Citation Text:
Computerized physician order entry, a factor in medication errors: descriptive analysis … Cite
Citation
Citation Text:
Computerized physician order entry, a factor
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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.).
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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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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
September 01, 2003 - Perform “contributory factor analysis” using a checklist of items
4. … Design and implement countermeasures to actively “manage” this and similar errors
Contributory Factor … and use of protocols
Please refer to table in spotlight case for CFA of this case
Contributory Factor … attention of supervising MD
Verbal order—no briefing on roles/responsibilities
Contributory Factor … Take-Home Points
When evaluating medical errors, application of the Contributory Factor Analysis can
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixD_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - hazards occurred during Production Use, were due to a usability,
software design or organizational factor … In 78.7% of cases where Faulty Design was selected, a usability factor was also
selected. … Usability Factor Percent select with
Faulty Design
Difficult Information Access 26.2%
Excessive … It was the only causation factor selected for 34
hazards. … It was the only causation factor selected
in 24 hazards.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
April 01, 2025 - Develop interventions for each important contributing factor and rate each intervention for its ability … N/A
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. … Interventions To Reduce the Risk of the Defect
Ability To Mitigate the Contributing Factor, 1 (Low to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
June 02, 2025 - 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/hai/tools/mvp/modules/technical/ltvv-slides.html
October 01, 2020 - Includes two questions to complete for all patients with Vent Modes 1, 2, or 3: Does patient have a risk factor … Slide 14: For ALL Vent Modes (1, 2, or 3)
Does the patient have a risk factor for ARDS? … Other risk factor.
Otherwise, circle N.
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb2.html
January 01, 2020 - or suspected acute/subacute DVT (apply SCDs to contralateral limb if indicated)
Total Risk Factor … Brigham and Women's Hospital—Weighted Scoring System Used for Alerts
Risk factor
Score … ‡ Carriage of defects of antithrombin, protein C or S, factor V Leiden, G20210A prothrombin mutation … OR
Recent trauma (≤1 month) and/or surgery and any other listed risk factor. … IMPROVE VTE Risk Model
IMPROVE VTE Risk Model—4 Factor Version (Risk Factors Available on Admission
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb2.html
January 01, 2020 - or suspected acute/subacute DVT (apply SCDs to contralateral limb if indicated)
Total Risk Factor … Brigham and Women's Hospital—Weighted Scoring System Used for Alerts
Risk factor
Score … ‡ Carriage of defects of antithrombin, protein C or S, factor V Leiden, G20210A prothrombin mutation … OR
Recent trauma (≤1 month) and/or surgery and any other listed risk factor. … IMPROVE VTE Risk Model
IMPROVE VTE Risk Model—4 Factor Version (Risk Factors Available on Admission
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psnet.ahrq.gov/issue/child-specific-risk-factors-and-patient-safety
February 02, 2022 - While developmental attributes represented the most common factor associated with harm, the overall level … of harm was higher when given any child-specific factor.
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psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
June 09, 2010 - Review
Classic
Human factor in cardiac surgery: errors … The human factor in cardiac surgery: errors and near misses in a high technology medical domain. … The human factor in cardiac surgery: errors and near misses in a high technology medical domain.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carayon.pdf
February 01, 2005 - The confirmatory
factor analysis involved two steps: (1) confirmatory factor analysis of each of the … Table 3
shows the results of the confirmatory factor analysis. … Results of the confirmatory factor analysis
Model X2 DF GFI AGFI CFI PGFI RMR RSMEA
Communication … The confirmatory factor analysis using structural equation modeling shows
overall, the scales of the … Results of the confirmatory factor analysis
Table 4.
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psnet.ahrq.gov/issue/opportunities-improvement-nursing-homes-variance-six-patient-safety-climate-factor-scores
September 29, 2017 - Opportunities for improvement in nursing homes: variance of six patient safety climate factor … Opportunities for improvement in nursing homes: Variance of six patient safety climate factor scores … Opportunities for improvement in nursing homes: Variance of six patient safety climate factor scores
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-19.html
November 01, 2014 - Horizon Hospital—Lakeview Healthcare
Factor
Lessons Learned
Alignment with
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psnet.ahrq.gov/issue/understanding-medication-safety-involving-patient-transfer-intensive-care-hospital-ward
November 14, 2018 - safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor … safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor … safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-15.html
November 01, 2014 - Horizon Hospital—Lakeview Healthcare
Factor
Lessons Learned
Resources
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-18.html
November 01, 2014 - Horizon Hospital—Lakeview Healthcare
Factor
Lessons Learned
Leadership
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psnet.ahrq.gov/issue/tempos-management-primary-care-key-factor-classifying-adverse-events-and-improving-quality
March 15, 2017 - Study
'Tempos' management in primary care: a key factor for classifying adverse events … 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality … 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality