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21. Factors Contributing to Sustainment Outcomes in Four States (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/factors-contributing-sustainment.pdf
    August 31, 2015 - Factors Contributing to Sustainment Outcomes in Four States 1 Factors Contributing to Sustainment … Outcomes in Four States This supplementary material contains brief case studies that examine key factors … the 18 demonstration states because they varied in the types of projects they implemented and the factors … Although somewhat different factors influenced the sustainment outcomes of the different elements, three … As a result, the same factors affected decision-making about all the elements.

22. Learning-From-Antibiotic-Adverse (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
    June 01, 2021 - Negative Factor Positive Factor Patient Factors Technical Factors … Health Care Worker Factors Team Factors Institutional Factors … Health Care Worker Factors Team Factors Institutional Factors … Health Care Worker Factors Team Factors Institutional Factors … Health Care Worker Factors Team Factors Institutional Factors

23. Improving Patient Safety in Healthcare | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
    December 01, 2023 - A trained safety scientist and human factors engineer, Rollin J. … He has dedicated his career to applying a human factors engineering approach to healthcare systems. … of safety science and human factors engineering principles in healthcare delivery. … Fairbanks and his colleagues have helped to develop future leaders in human factors engineering. … Fairbanks is Founding Director Emeritus for the National Center for Human Factors in Healthcare.

24. Chapter 5. Project Expansion | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssi5.html
    April 01, 2018 - Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. … Final Risk Factors Appendix L. … eight additional potential risk factors. … Thus, 41 potential risk factors were included. E3.5.1. … different in the list of significant risk factors.

25. Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
    April 01, 2021 - Proc Hum Factors Ergon Soc Annu Meet. 2019 Nov 20;63(1). Fareed N, et al. … Proc Int Symp Hum Factors Ergon Healthc. 2019;8:142-5. Sieck CJ, et al. … Hum Factors. 2018;60(3):281-92. Patterson ES, et al. … Proc Int Symp Hum Factors Ergon Healthc. 2018;7(1):123-8. Rayo MF, et al. … Proc Int Symp Hum Factors Ergon Healthc. 2018;7(1):1-7. Sarkhel R, et al.

26. Chapter 3. Designing and Testing Methods to Stratify Risk of Surgical Site Infections | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssi3.html
    April 01, 2018 - Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. … Final Risk Factors Appendix L. … used by his institution to identify potential risk factors. … That initial list consisted of 88 risk factors for SSI (go to Appendix I ). … Risk factors identified from any surgical site were included in the list.

27. Exhibit 23. Data sources for the SSI common risk factors | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh23.html
    April 01, 2018 - Data sources for the SSI common risk factors SHARE: … 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. … Data sources for the SSI common risk factors. Content last reviewed April 2018.

28. Appendix E. Moderating Factors Flowchart | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompape.html
    January 01, 2013 - Moderating Factors Flowchart SHARE: … Moderating Factors Flowchart Previous Page Next Page Table of Contents Eliminating … Moderating Factors Flowchart Appendix F. Team Checkup Tools Appendix G. … Readiness Assessment Moderating Factors Flowchart Note : Units with rates greater … Moderating Factors Flowchart. Content last reviewed January 2013.

29. Appendix A Tables from Matar (2010) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapamattabs.html
    April 01, 2018 - Risk Factors Associated with Prosthetic Joint Infection Following Total Joint Arthroplasty * Risk … Factors Barbari et al. 3    Postoperative surgical site infection    NNS risk index >1 … Risk Factors Associated with Prosthetic Joint Infection Following Total Hip Arthroplasty * Risk Factors … Risk Factors Associated with Prosthetic Joint Infection Following Total Knee Arthroplasty Risk Factors … shower       Chlorhexidine wipes/showers    Prophylactic antibiotics Intraoperative Surgical factors

30. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
    October 01, 2022 - Minor ambulatory surgery unless multiple strong risk factors. … The model includes a scoring system with several sets of risk factors. … They included risk factors that developed during the hospital stay as well as factors present on admission … or multiple other risk factors. 14 Note that several of these risk factors are also frequently listed … as risk factors for VTE.

31. Bringing Human Factors into Home Health Care | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/resources/designer-guide/index.html
    December 01, 2017 - Quality & Safety Review System (QSRS) Simulation Bringing Human Factors … of Science and AHRQ outline the impact of technology, environment, policy and regulation, and human factors … To read the report, Health Care Comes Home: The Human Factors , online or download the PDF file, visit … for consumer health IT, Consumer Health Information Technology in the Home: A Guide for Human Factors … December 2017 Page originally created August 2011 Internet Citation: Bringing Human Factors

32. Appendix I. Initial Risk Factors | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapi.html
    April 01, 2018 - Initial Risk Factors SHARE: … 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. … Initial Risk Factors. Content last reviewed April 2018.

33. Appendix L. Final data sheet submitted by each site that included the list of potential SSI risk factors and other pertinent variables | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapl.html
    April 01, 2018 - Final data sheet submitted by each site that included the list of potential SSI risk factors and other … Final data sheet submitted by each site that included the list of potential SSI risk factors and other … 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.

34. Factors That Influence Effectiveness of Checklists | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-4.html
    September 01, 2020 - Quality Resources Related to Diagnostic Safety and Quality Issue Briefs Factors … Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Factors … Reduction Introduction Rationale for Use Content-Specific Versus Process-Focused Checklists Factors … conducted in experimental settings. 7 , 8 , 10 , 13 , 14 , 16 In such settings, potentially confounding factors … last reviewed September 2020 Page originally created September 2020 Internet Citation: Factors

35. Learning-Antibiotic-Adverse-Events-Form (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/learning-antibiotic-adverse-events-form.docx
    November 01, 2019 - For more information about negative and positive contributing factors, see the presentation, “Making … Identify the negative and positive factors associated with the adverse event. … Negative contributing factors are those that harmed or increased the risk of harm for the patient. … Positive contributing factors are those that limit the impact of harm. … Focus on 3–5 of the negative contributing factors from above and discuss how you will prevent these factors

36. Making Effective Changes in Antibiotic Decision Making (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
    November 01, 2019 - , technical factors, healthcare worker factors, team factors, and institutional factors. … are factors you want to change. … Positive contributing factors are factors that limited the impact of harm. … , technical factors, health care worker factors, team factors, and institutional factors. … worker factors (potential lack of interest in guidelines or advice), and team factors (no daily review

37. Appendix S. Surgeons' Acceptance of Surgical Site Infection Risk Adjustment Models | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiaps.html
    April 01, 2018 - Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. … Final Risk Factors Appendix L. … , they agreed that many presumed risk factors may prove unimportant. … To determine what risk factors surgeons deem important for future model development. … the identification of evidence-based risk factors for SSI.

38. Appendix Q. Surgeon Focus Group Content Analysis | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapq.html
    April 01, 2018 - Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. … Final Risk Factors Appendix L. … A risk model should be based on patient factors as predictors. … Factors, Risks, and Rates The specific definition of a factor is important. … of rates based on end results (outcome factors).

39. Research Agenda | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.html
    September 01, 2021 - ]. 15 Cognitive and system errors are major contributing factors to diagnostic error. … diagnosis. 19 System errors are major contributing factors to diagnostic error. … Identify institutional factors that contribute to diagnostic error, including policies and cultural factors … Explore teamwork factors associated with prompt response to [maternal hemorrhage]. … Explore which factors promote real-time quantification and discussion of blood loss.

40. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
    August 01, 2022 - This information is the starting point in determining the contributing factors. … to build consensus around these factors. … The reviewer will then share the CANDOR tool which explores contributing factors. … These factors are the focus of the solutions meeting. … To determine which contributing factors are most critical, chart the factors evaluating impact and likelihood