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  1. 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.
  2. 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 factorsfactorsFactors 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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.
  8. 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
  9. 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.
  10. 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
  11. 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.
  12. 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.
  13. 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
  14. 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 factorsFactors 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
  15. 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.
  16. 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.
  17. 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
  18. 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
  19. 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).
  20. 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

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