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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
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/algorithm.html
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/sustainability-tool.html
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/introduction-overview.html
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/hospital-survey.html
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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
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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
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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
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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
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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
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt8.html
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