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Showing results for "factors".

2721. Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
      September 04, 2020 - We will discuss the evidence for the effectiveness of checklists for diagnostic error reduction and factors … Factors That Influence Effectiveness of Checklists Several factors seem to be associated with the effectiveness … were conducted in experimental settings.7,8,10,13,14,16 In such settings, potentially confounding factors … diagnostic safety is still in its infancy, more indepth evaluation, including a focus on implementation factors

2722. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
      January 01, 2017 - Steps of CUSP SAY: The first step of a CUSP program is to help teams develop lenses to focus on system factors … When we develop lenses that allow us to see those system factors and how they influence care, we can … By identifying how the defect happened, we get to the point where we can understand what system factors … Second, brainstorm with the team to determine factors which may have caused the failure of your project … Third, identify some specific actions you could take to avoid those factors and finally, review what

2723. An Overview of the CANDOR Process
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
      August 20, 2015 - Examine the critical success factors for sustaining the CANDOR process. … Examine the critical success factors for sustaining the CANDOR process. … However, there are several critical success factors for sustaining the processes and realizing the desired … The critical success factors include: Identify and develop program champions. … Organizations need to address external and internal factors that can benefit or impede sustainability

2724. Affinity-Group-Improving-Support-Women (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-group-improving-support-women.pdf
      May 01, 2021 - 11 Patient Factors • What are they? • How can they be addressed? … Clinician & Health System Factors • What are they? • How can they be addressed?

2725. Appendix C: The Health Care Safety Hotline: Operations Manual (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
      July 01, 2015 - o Summary and report of contributing factors (mistake type, type, location). … is, the factors that contributed to the event. … • Report by contributing factors. • Person reported for. … Cognitive factors c. Competence (qualifications, experience) d. … Interruptions (human)  Workflow/task factors a. Bed capacity b.

2726. Performing SSI Investigations: Slide Presentation
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation.pptx
      December 01, 2017 - infection rates, regardless of your current rates (already low or elevated). 4 Because a multitude of factors … “Because a multitude of factors influence outcome, it is not possible to know for certain, even after … SAY: The SSI Investigation Tool can support your local bundle intervention. 7 Patient or Provider Factors … Investigation ‹#› AHRQ Safety Program for Surgery – Onboarding SAY: This involves both patient or provider factors

2727. Appendix D. Hotline Site Visit Interview Protocol (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixd.pdf
      February 01, 2014 - Please tell us about the people involved and the factors that were considered. … Probe: What factors were considered in the decision process? … [Probe for both internal (e.g., reputation in the community) and external (pressures) factors. … What factors were considered in that decision process?

2728. Improving Patient Experience: Data Analysis Methods webcast - Wellstar (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-advancing-methods-4.pdf
      March 03, 2021 - Analysis Dissatisfaction People Education Communication Technology Policies Management Contributing Factors … Practice, Practice • Keep focus on process improvement and off of people failure • Recognize causal factors … What seems like a simple measure, such as listening, has a multitude of factors for each respondent

2729. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
      April 03, 2008 - information.9, 10, 11 However, acquiring reports from the microsystem level has been hindered by several factors … A study of nurses’ medication error reporting revealed four factors that explain why employees may not … of UTCCRS with instructions for entering data; and examples of advances in patient safety and human factors … Contributing Factors The contributing factors list in the UTCCRS was developed in an extensive consensus-building … The total count of factors identified in Figure 3 (29,273) is greater than the total number of reports

2730. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
      April 02, 2020 - Subspecialty and referral-specific factors; and 5. … Patient-related factors.24 Diagnostic performance is the outcome of these processes within a complex … affecting diagnostic performance and measurement, such as payment systems, legal factors, national … The pursuit of better diagnostic performance: a human factors perspective. … Factors associated with diagnostic error on admission to a PICU: a pilot study.

2731. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
      April 02, 2020 - Subspecialty and referral-specific factors; and 5. … Patient-related factors.24 Diagnostic performance is the outcome of these processes within a complex … affecting diagnostic performance and measurement, such as payment systems, legal factors, national … The pursuit of better diagnostic performance: a human factors perspective. … Factors associated with diagnostic error on admission to a PICU: a pilot study.

2732. Appendix B11: Fall Interventions Plan | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6.html
      February 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2733. Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
      January 01, 2002 - capable) Combat Care 3 68 L&D Research 6 35 MTM (Air Force) 30 266 The process for identifying factors … Throughout the Delivery Phases I, II, and III, facility- and department-level leaders evaluate factors … assessments combine process consultation and survey responses into a systematic approach for evaluating factors … Whether through the use of the self-administered survey or onsite observation for factors that affect … The change team identifies, plans for, and controls (to the extent possible) for factors that influence

2734. References (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-litreview.docx
      January 01, 2017 - Assessed risk factors for three types of organ failure (prolonged mechanical ventilation, hemodynamic … Found that tidal volumes of >10 mL/kg are risk factors for organ failure and prolonged ICU stay after … Independent risk factors for high tidal volumes were body mass index of 30 or more (OR 6.25; CI: 5.26 … In a multivariate analysis, the main risk factors associated with the development of ALI were the use … Recommends the use of a Vt of 6—8 ml/kg PBW in patients with risk factors for the development of lung

2735. TransforMN Study (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-solberg.pdf
      April 01, 2015 - completed the Change Process Capability Questionnaire, which assessed the presence of organizational factors … Seventy-nine percent of HCHs reported having nearly all of the necessary organizational factors, and

2736. Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation_facnotes.docx
      December 01, 2017 - “Because a multitude of factors influence outcome, it is not possible to know for certain, even after … Slide 7 Patient or Provider Factors SAY: This involves both patient or provider factors, and offers

2737. Fall Prevention Toolkit (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
      March 01, 2013 - to assess potential reasons for a specific instance of a fall and to remediate possible contributing factors … implied understanding that falls have a multifactorial etiology and that attention to multiple risk factors … Patient-specific risk factors include patient age (particularly age over 85, sometimes called the “oldest … Here we describe this infrastructure in terms of factors that may affect implementation of a patient … One study explicitly assessed the effect of some contextual factors on intervention success across 34

2738. Selected Best Practices and Suggestions for Improvement (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4e_combo_psi08-postophipfx-bestpractices.pdf
      May 20, 2016 - Recommended Practice Identification of Patients at Risk for Falls Clinical and environmental factors … Risk factors and risk assessment tools for falls in hospital inpatients: a systematic review. … Postoperative falls in the acute hospital setting: characteristics, risk factors, and outcomes in males … Polypharmacy and psychotropic drugs as risk factors for falls in long-term care setting for elderly patients

2739. PowerPoint Presentation
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
      January 01, 2014 - mitigate that event or even prevent it from occurring again. 19 Protected Interdisciplinary, human factors … The team is interdisciplinary and has human factors expertise. … of the CANDOR process of investigating the root cause of how an error occurred, including the human factors … The CANDOR process recommends that organizations take a systems approach with human factors integrated … Whether the organization has determined, based on the analysis of the event and other factors, that the

2740. Appendix C8: Fall Interventions Plan Sample | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt8.html
      December 01, 2017 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …