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  1. ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/mhs3/abstract.html
    March 01, 2020 - Objectives: To review and summarize the evidence for selected patient safety practices (PSPs) and factors … selecting PSPs to address specific harm areas, it became evident that several cross-cutting contextual factors … It is clear that a wide range of factors impact the effectiveness of PSPs with respect to their ability
  2. ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
    September 01, 2017 - How risk factors should be incorporated into care planning. … Standardized assessment of fall risk factors. … Add unit-level risk factors as needed. … Choose a tool for assessing risk factors. … Develop fall prevention care plan based on identified risk factors.
  3. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/vu_physician_patient_harms.pdf
    September 18, 2014 - of health issues, little is known about how physicians think about these screening services or the factors … For every patient, physicians must weigh different factors that influence a screening decision, including … Gaining insights about which factors physicians consider and how they handle conflicting information … Do physicians know about the harms of screening tests and consider them in relation to other factors … What factors are most important for physicians when making screening recommendations?
  4. ce.effectivehealthcare.ahrq.gov/chsp/about-chsp/centers/index.html
    July 01, 2019 - They are exploring how market and organizational factors influence the implementation of biomedical, … The survey asks leaders about the external environment, organizational characteristics, operational factors … systems and communities; and graphically depict key health system characteristics and other environmental factors … Health Care Systems are examining different aspects of the U.S. health system in order to understand factors
  5. Learndefects (doc file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
    August 08, 2012 - Negative contributing factors are those that harmed or increased the risk of harm for a patient. … Positive contributing factors limited the amount of harm. … Rate the most important contributing factors that relate to the incident. III. … Rate the most important negatively contributed and positively contributed factors that relate to this … Develop interventions to defend against the two to five most important contributing factors.
  6. ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh53-55.html
    April 01, 2018 - Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. … Final Risk Factors Appendix L. … Final data sheet submitted by each site that included the list of potential SSI risk factors and other … Focus Group Risk Factors Appendix Q. Surgeon Focus Group Content Analysis Appendix R.
  7. ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter4.html
    December 01, 2017 - Factors to Consider when Analyzing Data for Multiple Project Sites … Factors to Consider when Analyzing Data for Multiple Project Sites Previous Page Next Page … Factors to Consider when Analyzing Data for Multiple Project Sites Chapter 5. … Factors to Consider when Analyzing Data for Multiple Project Sites.
  8. ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/best-practices.html
    January 01, 2013 -   Identify key elements of a fall risk factor assessment   Choose a tool for assessing risk factors … results of fall risk factor assessment   Develop fall prevention care plan based on identified risk factors … approaches to documenting and communicating care plan   Develop system linking changes in fall risk factors
  9. ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/iomracereport/reldata1fig12txt.html
    April 01, 2018 - Macrosocial factors (historical conditions, economic structures, political order, legal codes, and social … Geographic origins & biological factors (morphological, physiological, biochemical, or genetic). … Risk factors & resources (health behaviors, stress, medical care, social ties, psychological, cultural … , or religious factors). … An arrow points down from Social statuses to Risk factors & resources ; an arrow "tree" also points
  10. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d8_combo_projectevaluation.pdf
    June 05, 2016 - The purpose of the project evaluation is to: • Identify factors that contributed to the team’s success … • Identify factors that hindered the team’s success. … List factors that helped and hindered the team’s success. 3. … EVALUATION What factors helped the team succeed? What factors hindered the team’s success?
  11. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
    July 25, 2023 - Clinical risk factors include patients who are under the influence of drugs or alcohol, those who are … Working extended shifts or under low staffing levels are also risk factors for workplace violence. … Worker-on-worker: Factors  Individual factors  Stressful and emotional work, fatigue  Inadequate … interpersonal, coping or conflict management skills  Systemic factors  Productivity demands, cost … Risk factors for patient-based violence Risk factors for patient-based violence Risk factors for patient-based
  12. ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/index.html?page=0
    June 01, 2023 - Medication Safety (73) Communication and Teamwork (29) Patient Safety Tools (18) Human Factors … These topics include human factors approaches to improve patient safety, patient safety measure development … Nursing Homes Publication Date: August 2022 Prescription Opioid Use Trajectories and Risk Factors … Grant Number: R03 HS 027231-A1 Topic(s): Discharge Planning, Human Factors Approaches To Improve Patient … Grant Number: P30 HS 024380 Topic(s): Healthcare Facility Design, Human Factors Approaches To Improve
  13. ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/index.html
    June 01, 2023 - Medication Safety (73) Communication and Teamwork (29) Patient Safety Tools (19) Human Factors … Implementation (7) Education and Training (6) Emergency Care (5) Human and Environmental Factors … These topics include human factors approaches to improve patient safety, patient safety measure development … Grant Number: R03 HS 027231-A1 Topic(s): Discharge Planning, Human Factors Approaches To Improve Patient … Grant Number: P30 HS 024380 Topic(s): Healthcare Facility Design, Human Factors Approaches To Improve
  14. Fallpxtool3P (doc file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3p.docx
    January 29, 2013 - pathway Identify key elements of a fall risk factor assessment Choose a tool for assessing risk factors … results of fall risk factor assessment Develop fall prevention care plan based on identified risk factors … approaches to documenting and communicating care plan Develop system linking changes in fall risk factors
  15. ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
    January 01, 2024 - Improve the assessment of risk factors for VTE upon admission and discharge. … , systems characteristics, and potentially other factors. … for VTE (no risks – 46.3%, 1-2 risk factors – 60.3%, ≥3 risk factors – 80.5%, p<.001). … , p=.013 patients with ≥3 risk factors). … Nine of 12 patients who had incomplete CT scans had one or more VTE risk factors.
  16. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
    January 01, 2004 - Human factors in a dynamic information society: where are we heading? … Using a human factors approach to quantify nursing activities. … Human factors barriers to the effective use of 10 HIV clinical reminders. … In: Annual conference of the human factors and ergonomics society. … New Orleans: The Human Factors and Ergonomics Society; 2004. 25.
  17. ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapb.html
    April 01, 2018 - Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. … Final Risk Factors Appendix L. … of risk factors: Focus on patient factors. … Breakdown modifiable vs. non-modifiable factors. Rank factors in order of importance. … other factors e.g., BMI will influence surgery duration High risk factors may influence surgeon
  18. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/modelchange.pdf
    March 01, 2006 - performed by American Institutes for Research Evaluation and Exploration Transformation Change Factors … * Leveraging lessons learned, a transformational change factors construct model was designed. … Cards Outcomes Pre- Training Post- Training Training Transfer Transformation Change Factors … Safety: Military Health System’s Approach to Change Evaluation and Exploration Transformation Change Factors
  19. ce.effectivehealthcare.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/choosing/index.html
    June 01, 2020 - Identifies several factors State users may wish to consider when choosing quality measures. … Reviews selected measures in terms of those factors. … Factors to Consider Many factors are involved in choosing which quality measures to use, whatever the … Factors such as your own staff resource base or the availability of other local expertise may affect … Reviewing Some Selected Measures The information in Factors for Selecting Quality Measures can help
  20. ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapm.html
    April 01, 2018 - Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. … Final Risk Factors Appendix L. … Focus Group Risk Factors Appendix Q. Surgeon Focus Group Content Analysis Appendix R. … JAMIA Draft Manuscript Factor included in the final list of risk factors are bolded … or NSQIP     Note: The following factors were included in the final list of risk factors for identification

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