-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
April 01, 2018 - Risk factors considered
Patient level: age, sex, presence of diabetes, cardiovascular disease, end … Infectious Risk Factors Related to Operating Rooms. Didier Pittet, Georges Ducel. … Factors Influencing the Incidence and Outcome of Infection Following Total Joint Arthroplasty. … Risk Infection Factors in the Total Hip Replacement - Arjona et al. … Risk Factors for Surgical Site Infection Following Orthopedic Spinal Operations – Olsen et al.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
November 01, 2019 - Making
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
1
Objectives
Identify relevant factors … factors – Factors that limited the impact of harm for the patient (want to keep these)
11
Changes … Associated With Adverse Events
Five categories of factors that contribute to adverse events
Patient factors … Associated With Adverse Events
Types of factors
Health care worker factors are related to individual … Negative Contributing Factors Positive Contributing Factors
Vancomycin unnecessarily started empirically
-
ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
February 01, 2024 - To address this overall issue, the lab used rigorous systems engineering and human factors methods to … methods to analyze the problem of diagnostic and therapeutic error and identify system and cognitive factors … Design and development using human factors methods and rapid, iterative prototyping of interventions … In this risk score, X n represents baseline risk factors and in-hospital clinical factors, as well as … include concurrent (e.g., cluster-randomized) trials to reduce confounding by temporal trends due to factors
-
ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/896.html
January 01, 2024 - Home
News
Newsletter
AHRQ News Now
Researchers Identify Risk Factors … Today's Headlines:
Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery . … Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery
AHRQ-funded researchers identified … nine factors that increased a patient’s risk for developing pneumonia following cardiac surgery, including … AHRQ Understanding and Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors
-
ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety …
Individual provider factors
Team factors
…
Work environment
Departmental factors
Hospital factors …
Institutional factors
III. … Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety
-
ce.effectivehealthcare.ahrq.gov/innovations/hub/quickstart-guide.html
March 01, 2021 - Quick Start guide complements Pathways Community HUB Manual: A Guide To Identify and Address Risk Factors … The HUB is a community care coordination approach focused on reducing modifiable risk factors for high-risk … identifying high-risk individuals; documenting their specific health, social, and behavioral health risk factors … Related Publications
Pathways Community HUB Manual: A Guide To Identify and Address Risk Factors
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
January 01, 2013 - Root cause analysis is a systematic process during which all factors contributing to an adverse event … For each patient, determine the patient's identified risk factors. … Determine whether each patient's unique fall risk factors are addressed in the care plans. … Repeat steps 1-5 for a sample of patients whose fall risk factors changed during the hospital stay. … Determine whether the care plan was updated when risk factors changed.
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapu.html
September 01, 2018 - Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. … Identifying Potential Risk Factors:
Surgeon PI used experience with SSIs and a list of risk factors … Risk factors were procedure-specific. … Probably should focus only on nonmodifiable risk factors (eg, obesity) and not surgeon factors (duration
-
ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
February 01, 2017 - Slide 16: System Factors Impact Safety 2
Image: Many system factors impact safety. … : institutional, hospital, departmental factors, work environment, team factors, individual provider, … task factors, and patient characteristics.
2. … Slide 18: LFD Tool Contributing Factors
Image: Screen capture of LFD tool highlighting team factors … environment as contributing factors.
-
ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
February 01, 2017 - Say:
The following are all factors that impact safety in the health care system:
Institutional factors … Here is an example of a contributing factors chart from the LFD tool. … Slide 18: LFD Tool Contributing Factors
Say:
Repeat this exercise and document any team factors … Ask:
What factors contributed to, minimized, or prevented harm? … Slide 19: LFD Tool Contributing Factors
Say:
Do the same with factors in your local environment
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/index.html
April 01, 2018 - Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. … Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. Final Risk Factors Appendix L. … Master Risk Factors Appendix M. Master Risk Factor List with Final Bolded Appendix N. … Focus Group Risk Factors Appendix Q. Surgeon Focus Group Content Analysis Appendix R.
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapk.html
April 01, 2018 - Final 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. … Final Risk Factors. Content last reviewed April 2018.
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapa.html
April 01, 2018 - Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. … SSI risk factors. … Task 3
The list of identified risk factors is to include all factors-including modifiable/non modifiable … Task 3
The list of identified risk factors is to include all factors—including modifiable/non modifiable
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
April 01, 2018 - , and human factors, in the risk model. … The process mapped by a ST-PRA model incorporates factors that are internal to the process and factors … Factors external to the process include the ability of policies and procedures to direct best practices … of factors that are related to institutions or to the system. … To ensure that ST-PRA captures all possible process factors, it is important to scour several sources
-
ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.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. … show the layered system-level factors that affect patient safety: institutional factors, hospital factors … , departmental factors, work environment factors, team factors, individual provider factors, and task … factors all have an effect on patient safety.
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssi6.html
April 01, 2018 - Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. … This study found that SSI risk factors are dependent on the type of surgical procedure. … We need to investigate risk factors as surgery specific. … Validate risk factors more broadly on a national scale.
-
ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/886.html
October 01, 2023 - News
Newsletter
AHRQ News Now
New Data Resource Provides Insights on Factors … Today's Headlines:
New Data Resource Provides Insights on Factors Related to Falls . … New Data Resource Provides Insights on Factors Related to Falls
A new Data Spotlight from AHRQ’s Network … use data from the resource to inform patient safety strategies based on increased understanding of factors … originally created October 2023
Internet Citation: New Data Resource Provides Insights on Factors
-
ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapc.html
February 01, 2014 - What are the factors that influence this? … What factors encourage or discourage the use of the process? … What factors encourage or discourage the use of the process? … What factors encourage or discourage the use of the process? … Factors promoting patient engagement
What organizational structural, cultural, and process factors
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraape.html
April 01, 2018 - This period will allow us to account for risk factors stemming from surgical center staff interaction … Patient factors considered include: (1) comorbid condition; (2) family/social situations; (3) insufficient … Patient factors considered include: (1) staff hygiene/cleanliness (e.g., colonized with MRSA); (2) institutional … breaks in sterile technique, and glucose control; and (7) post-operative care issues (e.g., patient factors … , environmental factors, directions and understanding-dressing changes).
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh50.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. … arrow from the SSI rate points rightward and downward to an oval labeled "ID (Infectious Disease) Risk Factors