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monahrq.ahrq.gov/research/publications/search.html?page=18
November 01, 2007 - Patient Self-Management Support Programs: An Evaluation
This report identifies and examines the factors
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monahrq.ahrq.gov/programs/index.html
January 01, 2016 - AHRQ’s goal is to understand the factors that affect health systems’ use of patient-centered outcomes
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monahrq.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - commonly occurring care and disease specific adverse events and associated systemic and contextual factors … Models of Care Delivery, and Interventions
Summary of Evidence
Update
(Not reviewed)
Human Factors
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/learnbench.pdf
February 28, 2014 - B-7 The following are human factors problems that research has identified as contributing to medical … Need to have the same understanding of
the plan and situation
• Shared mental model
B-7 D • Human factors
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monahrq.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6gtraining.html
March 01, 2020 - satisfaction is not yet clear: One study found that the program had no impact, but noted that other factors
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monahrq.ahrq.gov/news/newsroom/press-releases/guiding-principles.html
December 01, 2023 - diverse patient data, including representation across race, ethnicity, gender, and age, among other factors
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monahrq.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
April 01, 2024 - research is growing, spanning across more healthcare settings, and considers a wide array of contextual factors
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monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - importance of optimizing communication as a priority for improving diagnostic
quality.5,21-24 In the ED, factors … Several factors create barriers to effective communication but two are especially relevant
when viewed … Communication failure: basic components, contributing factors, and the call
for structure. … Exploring the complex interactions of baseline patient factors to improve nursing triage of
acute coronary … Factors influencing
physician responsiveness to nurse-initiated communication: a qualitative study.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/igmeasure.pdf
January 01, 2004 - What are
the critical success factors for team training in health care? … Two important environmental
factors for producing transfer are:
1. … • What other factors can you think of that are important for
ensuring that skills learned in TeamSTEPPS
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monahrq.ahrq.gov/teamstepps/events/webinars/feb-2017.html
February 01, 2017 - Election to leadership is often based factors such as longevity/seniority . … Collaboration--what makes it work: a review of research literature on factors influencing successful
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monahrq.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
February 01, 2015 - By taking advantage of human factors engineering
methods, usability testing, and analytic tools, these … preparedness specialists, simulation researchers and vendors, health care educators, systems and human factors … Human Factors Advisor for Patient Safety
Center for Quality Improvement and Patient Safety
Agency for
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/leadership-brief/ts-leadershipbrief.pptx
January 01, 2013 - Human factors research has shown that even highly skilled, motivated professionals are vulnerable to
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-learning-benchmarks.pdf
May 31, 2023 - Need to have the same understanding of the plan and situation
• Shared mental model
B-7 D • Human factors
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monahrq.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
January 01, 2004 - To isolate the impact of regimen concordance on anticoagulant
outcomes from factors due to inexperience … one medication, permitted us to eliminate
much of the influence that system– and provider–related factors … Risk factors
for complications of chronic anticoagulation. A
multicenter study. … Factors related to
errors in medication prescribing. JAMA 1997
277(4):312–7.
9.
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monahrq.ahrq.gov/research/findings/studies/index.html?page=3
January 01, 2024 - Rural/Inner-City Residents
(23)
Rural Health
(133)
Screening
(456)
Sepsis
(140)
Sex Factors … The authors concluded that understanding the factors that influence perceptions of risk are important … COVID-19 deliveries had an excess of each outcome, by factors of 1.07-1.46 for outcomes except SMM at … for the majority of subsets were reported to be not within a 95% confidence interval, attributed to factors
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monahrq.ahrq.gov/cahps/bibliography/index.html?page=3
January 01, 2024 - Patient experience and process measures of quality of care at home health agencies: Factors associated
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pptx
January 01, 2011 - medical errors, improve the capacity of patient safety systems to capture key root causes and risk factors … result in serious harm compared to English-speaking patients
Failure to address language and cultural factors
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pdf
January 01, 2011 - medical errors,
improve the capacity of patient safety systems to
capture key root causes and risk factors … in serious harm compared
to English-speaking patients
Failure to address language and cultural factors
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
September 04, 2012 - Transparency is also vital in addressing system factors that may contribute to harm. … module will build a foundational knowledge base in systems thinking and the behavioral and environmental factors
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - on optimizing effectiveness of interventions by:
Tailoring interventions to address individual risk factors … CRITICAL SUCCESS FACTORS
GOAL: Decrease the overall rate of hospital-acquired pressure ulcers Stage