-
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
-
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
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6.html
February 01, 2023 - 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
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiexh59-61.html
April 01, 2018 - Master Risk Factor List with Final Bolded
Appendix N. Surgeon Focus Group Guide
Appendix O. … 1.30
0.1965
Preop glucose *
0.00
-0.44
0.6643
* Additional Intermountain risk factor … glucose *
0.00
0.29
0.7724
@ No patients in this dataset with had the specific risk factor … * Additional Intermountain risk factor.
Return to Document
Exhibit 61. … 0.96
0.3446
Preop glucose *
0.00
-0.37
0.7127
* Additional Intermountain risk factor
-
psnet.ahrq.gov/issue/your-diagnosis-was-wrong-could-doctor-bias-have-been-factor
December 22, 2021 - Could doctor bias have been a factor?
Citation Text:
Your diagnosis was wrong. … Could doctor bias have been a factor? Glicksman E. Washington Post. November 17, 2019. … Could doctor bias have been a factor? Glicksman E. Washington Post. November 17, 2019.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/recombinant-factor-viia_disposition-comments.pdf
June 01, 2010 - Comparative Effectiveness of Recombinant Factor VIIa for Off-Label Indications vs. Usual Care. … Thromboembolic
adverse events after use of recombinant human coagulation
factor VIIa. … Treatment of
traumatic bleeding with recombinant factor VIIa. … Recombinant
activated coagulation factor VII and bleeding trauma patients. … " or "Factor IX" or "Factor VIII" as if they were proper nouns,
which they are not.
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/recombinant-factor-viia_executive.pdf
May 01, 2010 - currently available to support the
effectiveness and safety of using
recombinant activated coagulation factor … uses in hemophilia patients
who have developed antibody inhibitors
that compromise the use of standard factor … Comparative Effectiveness of In-Hospital Use
of Recombinant Factor VIIa for Off-Label
Indications vs … rFVIIa is a form of human factor VII produced by
recombinant technology. … VIII or factor IX, respectively.
-
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
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiapp.html
April 01, 2018 - Master Risk Factor List with Final Bolded
Appendix N. Surgeon Focus Group Guide
Appendix O. … JAMIA Draft Manuscript
Risk Factor
Importance
Feasibility
Immunosuppression
-
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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - Mark if each factor was a negative contributing factor or a positive contributing factor. … Negative Factor
Positive Factor
Patient
Factors
Example: Family preferred antibiotics. … Negative Factor
Positive Factor
Patient
Factors
Technical Factors … Negative Factor
Positive Factor
Patient
Factors
Technical Factors … Negative Factor
Positive Factor
Patient
Factors
Technical Factors
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - Mark if each factor was a negative contributing factor or a positive contributing factor. … Negative Factor
Positive Factor
Patient
Factors
Example: Family preferred antibiotics. … Negative Factor
Positive Factor
Patient
Factors
Technical Factors … Negative Factor
Positive Factor
Patient
Factors
Technical Factors … Negative Factor
Positive Factor
Patient
Factors
Technical Factors
-
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/research/findings/final-reports/ssi/ssiapi.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? … Transfer from another hospital
D
Tumor necrosis factor blockers
D
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar4_falls_usingriskassttools.pdf
January 01, 2013 - Women’s
Hospital in Boston
3
Today We Will Talk About
• Universal fall precautions
• Fall risk factor … of risk
factor assessment
• Using assessment
tools universally
• Basis for risk factor
assessment … 9
Features of Risk Factor Assessment
• Identifies patients at risk of falling
• Provides baseline … fall risk assessment tool
• Unit policy
• Clinical judgment
12
Risk Factor Assessment Tools
• … Assessment
Features of Risk Factor Assessment
Using Assessment Tools Universally
Basis for 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/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.
-
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/issue/inter-hospital-transfer-independent-risk-factor-hospital-associated-infection
August 26, 2011 - Study
Inter-hospital transfer is an independent risk factor for hospital-associated … Inter-hospital transfer is an independent risk factor for hospital-associated infection. … Inter-hospital transfer is an independent risk factor for hospital-associated infection.
-
psnet.ahrq.gov/issue/operating-room-traffic-modifiable-risk-factor-surgical-site-infection
April 24, 2018 - Study
Operating room traffic as a modifiable risk factor for surgical site infection … Operating Room Traffic as a Modifiable Risk Factor for Surgical Site Infection. … Operating Room Traffic as a Modifiable Risk Factor for Surgical Site Infection.