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Showing results for "factors".

61. Model for Change (Text Description) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/reference/modelchange1txt.html
    March 01, 2014 - The Model for Change is a flowchart that begins with Transformational Change Factors. … Change factors are divided into three levels and two columns, A and B. … There is a bidirectional flow from Column B of Transformational Change Factors to post-training measurement … A third arrow flows down from Transformational Change Factors to Intervention. … An arrow leads from outcomes, through report card, back to Transformational Change Factors.

62. Characteristics of Frequent Users of Three Hospital Emergency Departments | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/emergency-dept/frequent-use.html
    July 01, 2017 - Return to Contents Study Overview The ultimate goal of this study was to identify the factors that … From the factors identified in the scan, the JHU team selected six “modifiable” factors associated with … Modifiable risk factors were those the research team judged could be alleviated or addressed through … They also created a sample User's Guide listing interventions targeting the risk factors. i Between … Screening for the first five risk factors was achieved through a combination of patient interviews and

63. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
    December 01, 2017 - Slide 17: System Factors Impact Safety 3 Image: Funnel of factors that impact patient safety: Institutional … Departmental factors. Work environment. Team factors. Individual provider. Task factors. … As you identify contributing factors, try to go deeper. … Other Factors Hospital environment : Transfer across units. … Identify the top three contributing factors. Share those factors with your staff.

64. Executive Summary | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexecsum.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. … The approach for screening additional risk factors, analytic results, and recommendations are presented

65. Learn From Defects Tool (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
    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 … Focus your efforts on the most important contributing factors. … Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety

66. Fallpxtool3H-Update (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3h-update.docx
    March 04, 2021 - 3H: Morse Fall Scale for Identifying Fall Risk Factors Background: This tool can be used to identify … risk factors for falls in hospitalized patients. … The total score may be used to predict future falls, but it is more important to identify risk factors … using the scale and then plan care to address those risk factors. … Note that this scale may not capture the risk factors that are most important on your hospital ward,

67. Improving the Measurement of Surgical Site Infection Risk Stratification and Outcome Detection
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
    September 18, 2011 - potential risk factors. … That initial list consisted of 88 risk factors for SSI. … used by his institution to identify potential risk factors. … That initial list consisted of 88 risk factors for SSI. … Risk factors identified from any surgical site were included in the list.

68. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - Your institution, hospital factors, departmental factors, work environment, and team factors all contribute … Slide 19: LFD Tool Contributing Factors Say: For example, what team factors contributed to or minimized … Slide 20: LFD Tool Contributing Factors Say: Do the same with factors in your local environment … Identify the top contributing factors. … The goal is to tease out systemic factors that contribute to errors and improve upon those factors.

69. Tool 3A: Master Clinical Pathway for Inpatient Falls | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/clinical-pathway.html
    January 01, 2013 - Text Description: The flowchart starts with patient newly admitted to ward; next is Assess fall risk factors … Next is to identify risk factors. … If not a new fall, go back to assess fall risk factors. … If risk factors are not identified, implement universal fall precautions and determine if it is time

70. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
    February 01, 2017 - Say: The following are all factors that impact safety in the health care system: Institutional factors … Departmental factors, such as staffing levels and managerial support. … Team factors, such as team structure and quality of verbal communication. … Individual provider factors, such as knowledge, skills, and motivations. … Task factors, such as clarity of structure and accuracy of test results.

71. Final Progress Report: Improving Patient Safety by Reducing Medication Errors (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
    January 01, 2024 - Briefly, the four projects studied patient and system factors that are predictive of hospitalizations … and technical system factors. … Metlay, MD, PhD, Project Leader Purpose: To identify predisposing factors for hospitalizations due … factors. … Risk Factors for Nonadherence to Warfarin: Results from the IN-RANGE Study. In preparation.

72. Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning (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-woods_79.pdf
    May 30, 2008 - Step 3.2: Criteria – Performance-shaping factors. … The performance-shaping factors follow the framework presented by Charles Vincent as “factors that influence … Step 3.3: Criteria – Child-specific risk factors. … demonstrated how these factors contribute to patient safety risk. … Performance-shaping factors in health care 1.

73. PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
    October 01, 2017 - Falls Prevention Electronic Reports Electronic Reports Falls High-Risk Report Summary of Fall Risk Factors … (by Unit or Facility) Contextual Factors Report (by Unit or Facility) Postfall Assessment Report (by … What are the most common risk factors? Which acute change was seen most often? Least often? … Report can be used to monitor overall prevalence and trends of risk factors associated with falls on … -MEH 36 Check Your Understanding: Contextual Factors Report Quiz For the Contextual Factors Report

74. Taxonomic Guidance for Remedial Actions (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
    December 23, 2004 - Most often, removing any one of the factors might prevent the event. … such as organizational factors or environmental-shaping factors that contributed to the event. … Other shaping factors include external factors, environmental factors, and organizational factors. … Two of these factors are expanded in the fourth tier (see Figure 3). … The table lists fixing environmental factors first.

75. Module 3: Best Practices in Fall Prevention (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_fall-prevention.docx
    January 01, 2013 - individual patient risk factors. … Add unit-level risk factors as needed. … Additional factors may be added. … Slide 36 SAY: It’s critical to document fall risk factors and interventions to address those risk factors … Choose a tool for assessing risk factors.

76. Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
    May 19, 2003 - Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis 323 … Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis … The HERW asked human factors consultants to conduct a human factors process analysis of the nursing … This paper describes the human factors process analysis that was done. … Human factors process analysis The human factors process analysis began with a two-phase information

77. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
    November 09, 2017 -  Contextual Factors Report (by Unit or Facility). … Report Slide 25: Summary of Falls Risk Factors Report Slide 26: Summary of Falls Risk Factors Report … Factors Report Quiz Slide 31: Contextual Factors Report Slide 32: Contextual Factors Report Slide … 33: Sample Facility-Level Contextual Factors Report by Month Slide 34: Contextual Factors Report Calculation … Details Slide 35: Sample Contextual Factors Graph Slide 36: Check Your Understanding: Contextual Factors

78. PowerPoint Presentation: Learn From Defects Through Sensemaking
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
    December 01, 2017 - Hospital Departmental Factors Work Environment Team Factors Individual Provider Task Factors … Your institution, hospital factors, departmental factors, work environment, and team factors all contribute … SAY: Keep track of these key factors. 18 LFD Tool Contributing Factors Learning From Defects 19 … Identify the top contributing factors. … The goal is to tease out systemic factors that contribute to errors and improve upon those factors.

79. Understand the Science of Safety for Perinatal Safety | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
    July 01, 2023 - Slide 6: System-Level Factors Affect Safety 6 Image: Concentric circles show the layered impact of … Institutional factors, hospital factors, departmental factors, work environment factors, team factors … , individual provider factors and task factors all have an impact on patient safety. … Slide 7: System-Level Factors Can Predict Performance Examples of Impact of System-Level Factors … Communication failure: basic components, contributing factors, and the call for structure.

80. Tool 3F: Orthostatic Vital Sign Measurement | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/orthostatic-vital-sign.html
    January 01, 2013 - When a patient is on a medication that may cause orthostasis and has other risk factors for falls. … Use this tool in conjunction with clinical assessment and a standard assessment of fall risk factors … (e.g., Tool 3H, "Morse Fall Scale for Identifying Fall Risk Factors," or Tool 3G, "STRATIFY Scale … for Identifying Fall Risk Factors" ) to determine a patient's risk factors for falls, and then plan care