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monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/morse-fall-scale.html
July 01, 2023 - Preventing Falls in Hospitals
Tool 3H: Morse Fall Scale for Identifying Fall Risk Factors … Word Version [ - 30.6 KB]
Background: This tool can be used to identify risk factors … 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,
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monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
August 01, 2022 - Senior Scientific Director
National Center for Human Factors in Healthcare
MedStar Health, Washington … She is the senior scientific director of the National Center for Human Factors in Healthcare at MedStar … Applying a human factors perspective to patient safety, while a complex undertaking, gives Dr. … “How does that account for cardiovascular risk factors in young, Black female patients?” she asks. … A broader, systems-based approach to addressing CVD risk factors also might include assessing whether
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monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
December 01, 2022 - “Human factors engineering in clinical settings is still relatively rare. … Kenneth Catchpole, Ph.D., Professor of Human Factors in the Department of Anesthesiology and Perioperative … “A human factors approach helps address human error by examining systemic causes rather than blaming … An endowed chair in clinical practice and human factors at MUSC, he was inspired by problems identified … Catchpole credits AHRQ funding with helping him share the value of human factors engineering through
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monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
January 01, 2013 - risk factors. … How is the assessment of risk factors performed? … other factors that may increase risk of falls. … How often is the assessment of fall risk factors done? … Document fall risk factors, and interventions to address those risk factors, in the care plan.
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monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
December 01, 2023 - A trained safety scientist and human factors engineer, Rollin J. … He has dedicated his career to applying a human factors engineering approach to healthcare systems. … of safety science and human factors engineering principles in healthcare delivery. … Fairbanks and his colleagues have helped to develop future leaders in human factors engineering. … Fairbanks is Founding Director Emeritus for the National Center for Human Factors in Healthcare.
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monahrq.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
April 01, 2021 - Proc Hum Factors Ergon Soc Annu Meet. 2019 Nov 20;63(1).
Fareed N, et al. … Proc Int Symp Hum Factors Ergon Healthc. 2019;8:142-5.
Sieck CJ, et al. … Hum Factors. 2018;60(3):281-92.
Patterson ES, et al. … Proc Int Symp Hum Factors Ergon Healthc. 2018;7(1):123-8.
Rayo MF, et al. … Proc Int Symp Hum Factors Ergon Healthc. 2018;7(1):1-7.
Sarkhel R, et al.
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monahrq.ahrq.gov/patient-safety/resources/designer-guide/index.html
December 01, 2017 - Quality & Safety Review System (QSRS)
Simulation
Bringing Human Factors … of Science and AHRQ outline the impact of technology, environment, policy and regulation, and human factors … To read the report, Health Care Comes Home: The Human Factors , online or download the PDF file, visit … for consumer health IT, Consumer Health Information Technology in the Home: A Guide for Human Factors … December 2017
Page originally created August 2011
Internet Citation: Bringing Human Factors
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monahrq.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
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monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - This information is the starting point in determining the contributing factors. … to build consensus around these factors. … The reviewer will then share the CANDOR tool which explores contributing factors. … These factors are the focus of the solutions meeting. … To determine which contributing factors are most critical, chart the factors evaluating impact and likelihood
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monahrq.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
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monahrq.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
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monahrq.ahrq.gov/sites/default/files/wysiwyg/chsp/chsp-fact-sheet-0717.pdf
October 01, 2016 - AHRQ’s goal is to understand the factors that
affect health systems’ use of patient-centered outcomes … However, little
is known about the characteristics
of high-performing health systems
and the factors … Promote broad dissemination of
findings on the characteristics of
high-performing health systems
and factors … Focus Areas of the Centers of Excellence
Market and organizational factors that influence implementation … These factors include:
• Financial and nonfinancial incentives.
• Health information technology.
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monahrq.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.
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monahrq.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
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monahrq.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.
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monahrq.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
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monahrq.ahrq.gov/research/findings/final-reports/index.html?page=0
June 01, 2023 - Medication Safety
(72)
Communication and Teamwork
(29)
Patient Safety Tools
(16)
Human Factors … These topics include human factors approaches to improve patient safety, patient safety measure development … Nursing Homes Publication Date: August 2022
Prescription Opioid Use Trajectories and Risk Factors … Grant Number: R03 HS 027231-A1 Topic(s): Discharge Planning, Human Factors Approaches To Improve Patient … Grant Number: P30 HS 024380 Topic(s): Healthcare Facility Design, Human Factors Approaches To Improve
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monahrq.ahrq.gov/talkingquality/explain/support/help.html
November 01, 2018 - Identify the factors they need to consider in making a choice. … that consumers’ decisions about health plans and providers need to take factors beyond quality into … This is one reason to offer information on other factors, such as location, hours, languages spoken, … You can address this point in a discussion of factors to consider. … important to them, but the factors that are most important—what one might call the “deal breakers.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
June 16, 2017 - How a standardized assessment of fall risk factors should be conducted. … How risk factors should be incorporated into care planning. … Add unit-level risk factors as needed. … Choose a tool for assessing risk factors. … Develop fall prevention care plan based on identified risk factors.
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monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
September 01, 2017 - How a standardized assessment of fall risk factors should be conducted
How risk factors should be used … individual patient risk factors. … Add unit-level risk factors as needed. … Additional factors may be added. … risk factors in the care plan.