-
psnet.ahrq.gov/node/48114/psn-pdf
July 17, 2019 - 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 … /psnet.ahrq.gov/issue/opportunities-improvement-nursing-homes-variance-six-patient-safety-climate-
factor-scores … ://psnet.ahrq.gov/issue/opportunities-improvement-nursing-homes-variance-six-patient-safety-climate-factor-scores … ://psnet.ahrq.gov/issue/opportunities-improvement-nursing-homes-variance-six-patient-safety-climate-factor-scores
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psnet.ahrq.gov/node/47343/psn-pdf
April 16, 2019 - Using medicolegal data to support safe medical care: a
contributing factor coding framework. … Using medicolegal data to support safe medical care: A
contributing factor coding framework. … https://psnet.ahrq.gov/issue/using-medicolegal-data-support-safe-medical-care-contributing-factor-coding … https://psnet.ahrq.gov/issue/using-medicolegal-data-support-safe-medical-care-contributing-factor-coding-framework … https://psnet.ahrq.gov/issue/using-medicolegal-data-support-safe-medical-care-contributing-factor-coding-framework
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psnet.ahrq.gov/node/837761/psn-pdf
August 03, 2022 - The effectiveness of improving healthcare teams' human
factor skills using simulation-based training … The effectiveness of improving healthcare teams’
human factor skills using simulation-based training … https://psnet.ahrq.gov/issue/effectiveness-improving-healthcare-teams-human-factor-skills-using-
simulation-based-training … https://psnet.ahrq.gov/issue/effectiveness-improving-healthcare-teams-human-factor-skills-using-simulation-based-training … https://psnet.ahrq.gov/issue/effectiveness-improving-healthcare-teams-human-factor-skills-using-simulation-based-training
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
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 ( … 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.
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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?
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiexh68-70.html
April 01, 2018 - Master Risk Factor List with Final Bolded
Appendix N. Surgeon Focus Group Guide
Appendix O. … 0.99
0.3222
Preop hemoglobin
-0.16
-0.68
0.5045
* Additional Intermountain risk factor … Preop hemoglobin
-0.09
-0.31
0.7564
@ No patients in this dataset had the specific risk factor … * Additional Intermountain risk factor.
Return to Document
Exhibit 70. … 0.65
0.5150
Preop hemoglobin
-0.16
-0.97
0.3379
* Additional Intermountain risk factor
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar5_pu_riskassesst-tools.pdf
January 01, 2012 - ) Specialists will follow
up with you after this webinar to address them.
4
Attributes of Risk Factor … Zulkowski
5
Purpose of Risk Factor Assessment
Risk factor assessment facilitates—
• Clinical decisionmaking … Assessment
Risk factor assessment identifies—
• Patients who are more likely to develop
pressure … • Risk factor score of 1 is the lowest level of
functioning. … • Low subscale score indicates risk from that
factor. Address all deficits in care planning.
-
psnet.ahrq.gov/node/864847/psn-pdf
March 20, 2024 - Inter-hospital transfer is an independent risk factor for
hospital-associated infection. … Inter-hospital transfer is an independent risk factor for hospital-
associated infection. … https://psnet.ahrq.gov/issue/inter-hospital-transfer-independent-risk-factor-hospital-associated-infection … https://psnet.ahrq.gov/issue/inter-hospital-transfer-independent-risk-factor-hospital-associated-infection
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psnet.ahrq.gov/node/73668/psn-pdf
September 01, 2021 - Leadership: an effective human factor during COVID-19.
September 1, 2021
Dhahri AA, Refson J. … Leadership: an effective human factor during COVID-19. … https://psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19
Hierarchy and professional … https://psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19
https://psnet.ahrq.gov
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiexh56-58.html
April 01, 2018 - Master Risk Factor List with Final Bolded
Appendix N. Surgeon Focus Group Guide
Appendix O. … 2.02
0.0437
Preop stay
-0.45
-1.36
0.1745
* Additional Intermountain risk factor … Preop stay
0.12
1.68
0.0923
@ No patients in this dataset with had the specific risk factor … * Additional Intermountain risk factor.
Return to Document
Exhibit 58. … 0.00
0.44
0.6570
Preop stay
0.10
1.37
0.1712
* Additional Intermountain risk factor
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt8.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 … _X_ Sheepskin, air mattress or pillows
___ Other: _________________________________
Risk Factor
-
psnet.ahrq.gov/node/837300/psn-pdf
June 01, 2022 - Surgery is in itself a risk factor for the patient. … Surgery is in itself a risk
factor for the patient. … https://psnet.ahrq.gov/issue/surgery-itself-risk-factor-patient
Preventable adverse events (AE) can … https://psnet.ahrq.gov/issue/surgery-itself-risk-factor-patient
https://psnet.ahrq.gov/issue/prevalence-severity-and-nature-preventable-patient-harm-across-medical-care-settings
-
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/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/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
June 02, 2025 - 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.
-
psnet.ahrq.gov/issue/inappropriate-hospital-admission-risk-factor-subsequent-development-adverse-events-cross
March 09, 2022 - Study
Inappropriate hospital admission as a risk factor for the subsequent development … Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a … Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a … January 12, 2022
Surgery is in itself a risk factor for the patient.
-
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/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
-
psnet.ahrq.gov/issue/comparative-performance-pediatric-weight-estimation-techniques-human-factor-errors-analysis
March 30, 2022 - Study
Comparative performance of pediatric weight estimation techniques: a human factor … Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. … Comparative performance of pediatric weight estimation techniques: a human factor errors analysis.
-
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