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Showing results for "factors".

201. Understand-Facilitator-Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
     May 01, 2017 - Slide 5 SAY: As the illustration shows, at any given time, there are several system factors that … Task factors In addition to patient characteristics, task factors can shape the delivery of care and … Team factors Team factors may involve issues with teamwork, communication, inadequate supervision, and … Departmental factors When staffing issues, admission policies, and protocols prove to be insufficient … While these issues are the furthest removed from the patient in the diagram, these factors continually

202. A Conceptual Model for Disclosure of Medical Errors (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
     January 01, 2004 - This study aimed to construct a conceptual model of the factors that facilitate or hinder disclosure … Important influences on whether disclosure would occur fell into four categories: provider factors, … patient factors, error factors, and institutional culture. … The discussion then broadly explored factors associated with whether disclosure would occur. … , patient factors, error factors, and institutional culture.

203. Understand the Science of Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
     July 01, 2018 - System-Level Factors Affect Safety 9 Slide 8. Safety is a Property of the System Slide 9. … System-Level Factors Can Predict Performance Slide 10. … Task factors In addition to patient characteristics, task factors can shape the delivery of care and … Team factors Team factors may involve issues with teamwork, communication, inadequate supervision, … What work environment factors were identified in the video?

204. Fallspximpl-Handouts (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
     November 15, 2017 - Remember the Monthly Contextual Factors Report? … Facilitator: What’s most important is to pay attention to the major risk factors. … Nursing Assistant A: Shouldn’t we intervene on all risk factors? Facilitator: Yes. … Contextual Factors Report. … To be able to view these contextual factors in aggregate is going to be great.

205. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
     January 01, 2024 - An assessment of medication-related risk factors was performed on 428 patients. … No other potential risk factors for medication discrepancies were noted to be significant. … (4) To identify risk factors frequently responsible for inaccurate medication reconciliation. … An assessment of medication-related risk factors was performed on 428 patients (65.7%). … No other potential risk factors for medication discrepancies were noted to be significant.

206. Exhibits 8 to 10 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh8-10.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.

207. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
     January 01, 2003 - , Laurie Wolf, Clay Dunagan, Gary Sorock, Bradley Evanoff Abstract Objective: Organizational factors … Factors such as nurse-to-patient ratio, nurse education, and hospital procedures have been identified … as important risk factors for patient safety.1–3 Few attempts, however, have been made to identify … also thought to be risk factors for medical errors. … is well suited for a study of proximate work environment factors leading to medical error.

208. The Role of Patient Safety in the Device Purchasing Process (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Johnson.pdf
     January 01, 2004 - These three factors were found to interact in various ways and influenced one another. … The code “PR-FC,” for instance, stands for influencing factors in the purchasing process. … Do it by design: an introduction to human factors in medical devices. U.S. … Human factors implications of the new GMP rule. … Increasing the success of physician order entry through human factors engineering.

209. 2. Priority Questions and Recommendations | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap2.html
     July 01, 2013 - In fact, the relative influence of factors is generally expected to vary according to the particular … Little is definitively known, however, about how the relative influence or importance of the factors … Similar scenarios can be described for each of the six basic factors: Does the influence of certain … What are the factors that can motivate clinical and community organizations to form relationships for … Within each of these six basic factors, multiple measures could relate to numerous different domains.

210. Selected Best Practices and Suggestions for Improvement (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - $77,739 in additional charges.4 Recommended Practice Details of Recommended Practice Assess risk factors … Develop a set of risk factors for postoperative respiratory failure and screen all patients undergoing … Recommended Practice: Assess risk factors • Determine which pediatric patients are at increased risk … adverse events postoperatively, as well as improve allocation of resources after surgery.5 • Some risk factors … • Additional adult risk factors that are applicable to children are: o Smoking. o Obesity.

211. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
     December 01, 2017 - Seek out and record both types of factors. … Intervene to correct factors that contributed to the event. … Start by prioritizing the most important contributing factors. … In order to develop an action plan, you need to prioritize your list of factors. … Prioritize the contributing factors and your interventions.

212. Selected Best Practices and Suggestions for Improvement (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4h_combo_psi11-postoprespfailure-bestpractices.pdf
     May 20, 2016 - Recommended Practice Details of Recommended Practice Assess risk factors. … Develop a set of risk factors for postoperative respiratory failure and screen all patients undergoing … Recommended Practice: Assess Risk Factors • Determine which patients are at increased risk for postoperative … adverse events postoperatively, as well as improve allocation of resources after surgery.3 • Risk factors … Best Processes/Systems of Care Introduction: Essential First Steps Recommended Practice: Assess Risk Factors

213. Learn-From-Defects-Facilitator-Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
     May 01, 2017 - Visualize the factors that led to the event. Step 2. Identify the contributing factors. Step 3. … Prioritize the contributing factors. 3. What will you do to reduce the risk of recurrence? Step 1. … Develop interventions for two to five of the most important factors. Step 2. … look at the technical factors. … by human factors.

214. Fallpxtool5A (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool5a.docx
     January 29, 2013 - Include in Incident Reports Examples of Information Reason To Collect This Information Reporting factors … Environmental factors Buzzer/bell available within reach before fall Highlight whether there is an … Patient factors Mental state Identify those patients most vulnerable to falls because of sedation,

215. The Contribution of Diagnostic Error to Maternal Mortality and Severe Maternal Morbidity | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
     September 01, 2021 - Research Agenda Conclusions and Next Steps References Delays in recognition of risk factors … related to maternal hemorrhage, recognition of hemorrhage could be improved through awareness of risk factors … or inadequate treatment, and Inadequate documentation (poor charting or failure to chart) of risk factors … † Includes external factors affecting diagnostic performance and measurement, such as payment systems … , legal factors, national quality measurement initiatives, accreditation, and other policy and regulatory

216. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
     November 01, 2021 - ............................................................ 5 Descriptions of Other Contributing Factors … (typically categorized as Human Factors). … Analysis of 124 records for which “COVID-19” was referenced in the Contributing Factors unstructured … Paraphrased text describing other contributing factors for a limited number of records Type of Event … Additionally, when asked to indicate the factors contributing to the event or unsafe condition, the

217. Understand the Science of Safety for Perinatal Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
     May 01, 2017 - Task factors In addition to patient characteristics, task factors can shape the delivery of care and … Team factors Team factors may involve issues with teamwork, communication, inadequate supervision … While these issues are the furthest removed from the patient in the diagram, these factors continually … Analyzing what happened and why it happened helps the team understand the contributing factors and … Being aware of these factors will help units develop environments that facilitate communication and

218. Tool 5A: Information To Include in Incident Reports | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/incident-reports.html
     January 01, 2013 - Include in Incident Reports Examples of Information Reason To Collect This Information Reporting factors … Environmental factors Buzzer/bell available within reach before fall Highlight whether there is an … Patient factors Mental state Identify those patients most vulnerable to falls because of sedation

219. Safety Climate on Hospital Units: A New Measure (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
     January 01, 2004 - However, systems and climate factors can be extracted from existing work. … This final solution contained 28 items in six patient safety factors. … Factors contributing to medication errors: a literature review. … Workload and environmental factors in hospital medication errors. … Hum Factors 2003;45:173–85. 36. Singer SJ, Gaba DM, Geppert JJ, et al.

220. PowerPoint Presentation: Learn From Defects for Sustainability
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
     December 01, 2017 - Seek out and record both types of factors. … Intervene to correct factors that contributed to the event. … Start by prioritizing the most important contributing factors. … In order to develop an action plan, you need to prioritize your list of factors. … Prioritize the contributing factors and your interventions.