-
monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
August 01, 2022 - Examine the critical success factors for sustaining the CANDOR process. … However, there are several critical success factors for sustaining the processes and realizing the desired … The critical success factors include:
Identify and develop program champions. … Organizations need to address external and internal factors that can benefit or impede sustainability
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-3-slides.pptx
February 28, 2022 - goals.
7
7
Situation Awareness Small
Group Discussion
Situation Monitoring
Goal:
Identify factors … Process:
In your group, compile a list of factors that affect situation awareness in your team.
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - focus of the event investigation
is process improvement and conducting the investigation with a 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 … Slide 24
Say:
Human factors engineering is about redesigning the system within which
humans work,
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
May 20, 2016 - Manage Prevention Strategies
for Postoperative Patients
Avoid risk factors for acute renal failure … dietary self-management skills.5
• Carefully monitor and set up protocols to address the following risk factors … Risk factors for acute postoperative renal failure in
thoracic or thoracoabdominal aortic surgery: A
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
May 01, 2023 - nomenclature
• Drug standardization, storage, and distribution
• Use of devices
• Environmental factors … Distractions and Interruptions
https://safetyiq.academy/reducing-distractions-and-interruptions/human-factors … describes eight ways to reduce interruptions or improve lines of defense in
pharmacies using human factors … /#_ftnref1
https://safetyiq.academy/reducing-distractions-and-interruptions/human-factors-engineering … The primer also identifies known risk factors for ADEs, including health literacy, patient
characteristics
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - Identify the risk factors that are most common among neonates
for bloodstream infection and screen … Recommended Practice: Assess neonatal patients for risk factors
• Assess all neonatal NICU patients … Risk factors for neonatal BSI include2-5:
○ Gestational age at birth <32 weeks or birth weight <1,500 … to best practices
specific to the age of the child, type of central line, and other patient-related factors … Care
Introduction: Essential First Steps
Recommended Practice: Assess neonatal patients for risk factors
-
monahrq.ahrq.gov/news/newsroom/case-studies/202201.html
January 01, 2022 - The group set out to identify what factors influenced patients with IDD to seek care outside of primary … Based on this and other factors uncovered during the PSO analysis, the group started a dialogue with
-
monahrq.ahrq.gov/news/blog/ahrqviews/boost-health-services-research.html
June 01, 2022 - These contextual factors, collectively known as social determinants of health , profoundly impact care … in which it is delivered—dynamics such as access, cost, patient and clinician behavior, and social factors
-
monahrq.ahrq.gov/evidencenow/projects/heart-health/research-results/research/methods/index.html
March 01, 2021 - These factors were largely captured in the practice survey, with some information collected in the practice … Context
In addition to organization and infrastructure, the surveys included questions about contextual factors … ESCALATES, to capture in a structured manner the context, such as cooperative structure and external factors
-
monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - CONTRIBUTING FACTORS
SOLUTIONS TO CONTRIBUTING FACTORS
RESPONSIBLE POSITION / TITLE
IMPLEMENTATION
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
April 27, 2022 - Diagnosis also involves uncertainty and evolves over
time.8 All of these factors make diagnostic errors … The missed
opportunity may result from cognitive and/or system factors or may be attributable to more … blatant factors, such as lapses
in accountability or clear evidence of liability or negligence.
2. … Factors and impact of physicians’
diagnostic errors in malpractice claims in Japan. … Contributing factors for pediatric
ambulatory diagnostic process errors: project RedDE.
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - In the assessment of the factors involved in pregnancy-associated and pregnancy-related deaths,
the … top three individual factors identified were chronic medical conditions, substance abuse, and
delay … retaining of old prescriptions,
and problems with access to medications) and health system factors … In the assessment of the factors involved in pregnancy-associated and pregnancy-related deaths,
the … top three individual factors identified were chronic medical conditions, substance abuse, and
A-25
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - Slide 40
SAY: For a risk factor assessment to make a difference, all the risk factors identified in … on the part of staff and a tailored approach to each patient based on the individual patient’s risk factors
-
monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
October 01, 2023 - Walsh received a 3-year AHRQ grant in 2015 to identify the factors that contribute to medication error … She determined that interventions should be based on human-factors engineering, which focuses on how
-
monahrq.ahrq.gov/hai/quality/tools/cauti-ltc/sustainability.html
July 01, 2018 - explains the importance of planning for sustainability from the beginning and provides an overview of factors
-
monahrq.ahrq.gov/healthsystemsresearch/hspc-research-study/summary.html
July 01, 2021 - Synthesis; CMS on Cost and Utilization and on Financing of Care; CDC on Prevention; and ACL on Social Factors … Social Factors
Role of health care systems in addressing social determinants of health. a
Effect … of social factors on demand for health care services. a
Personal Preferences and Behaviors
Integrating … outcomes. a
Effects of health care payment models on different patient populations. a
Social Factors … Role of health care systems in addressing social determinants of health. a
Effect of social factors
-
monahrq.ahrq.gov/talkingquality/plan/quality-measures.html
November 01, 2018 - If you are developing a report for consumers, consider the following factors when weighing your options
-
monahrq.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - patient safety infrastructure, the Agency began its work to gain a better understanding of the systemic factors … Researchers studied the best ways to identify and report on these factors and examined the impact that … Investigate clinical informatics along with costs, feasibility, and usability factors. … topics including analyzing root causes, analyzing health care failure modes and effects, applying human factors … Determine scope, risk factors, and control measures for hospital-acquired, community-onset MRSA infections
-
monahrq.ahrq.gov/cahps/news-and-events/podcasts/cahps-surveys-podcast.html
March 01, 2016 - And it does seem like there are factors beyond their control – like say, the age or education of their … Rebecca Anhang-Price: It's true that factors like how old or how sick patients are can affect CAHPS … likelihood that providers will avoid taking patients who they think will report poor experiences because of factors
-
monahrq.ahrq.gov/patient-safety/resources/learning-lab/optimizing-safety-long-desc.html
June 01, 2020 - heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors … heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors