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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
August 31, 2017 - have electronic records, questions to consider include:
· What information about pressure injury risk factors … place in the record to collect, organize, and assess information about patient pressure injury risk factors
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/igsitmonitor.pdf
February 12, 2014 - • What are the factors that inhibit you from doing so or that
contribute to your inability to do so? … ASK:
• What are the factors that undermine situation awareness?
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monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
September 01, 2017 - What happens if a patient is found to have risk factors or experiences a fall? … Due to turnover, differences in training, and other factors, staff members will vary in their knowledge
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monahrq.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/burnout-in-primary-care.pdf
February 01, 2023 - burnout.22 For
example, the Mayo Institute found that by engaging staff to help identify
the local factors … The AMA has a toolkit for preventing physician suicide that can be used to
identify risk factors and … Factors Affecting Burnout Among Medical Assistants.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
May 01, 2017 - Factors to consider:
Organizational culture regarding use of EFM suggesting need for a unit-based approach
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-july2015.pptx
January 01, 2015 - agents of loss” in surgical lawsuits
Failure to rescue in postop patients
Inadequate recognition of risk factors
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monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
July 01, 2023 - Consider these factors:
Unit data suggesting adverse events or near misses that may have been minimized
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monahrq.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - and their skilled providers find themselves in systems that do not always take into account the
factors … among different HACs and patient comorbidities, degree to which various analyses
have addressed these factors … 14
The number of deaths averted for any individual HAC is the product of three factors … Relative impact of risk factors for deep vein thrombosis and pulmonary
embolism: a population-based
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - Risk factors for retained instruments and sponges
after surgery. N Engl J Med 2003;348:229-35.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
October 01, 2017 - versus BPAP versus CPAP is complex and relies on several important
patient level and device level factors
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
September 02, 2022 - System-Related Competency: Identify and understand the systems factors that facilitate and contribute … S-1.Discuss how human factors
contribute to diagnostic safety
and error by identifying how
the work … Take
steps to mitigate common
systems factors that detract from
diagnostic quality and safety.
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-091317.pptx
January 01, 2017 - Team Perception Questionnaire
TEAMSTEPPS 05.2
Slide ‹#›
September TeamSTEPPS Monthly Webinar
Key Factors … Buy-in
38
TEAMSTEPPS 05.2
Slide ‹#›
September TeamSTEPPS Monthly Webinar
Key Factors in Implementation
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monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-hypertension.pdf
January 01, 2020 - AHRQ Data Spotlight: Hypertension Control in Health Resources and Services Administration Health Centers
1
AHRQ Data Spotlight:
Hypertension Control in
Health Resources and
Services Administration
Health Centers
Hypertension in the United States
Hypertension, defined as abnormally high blood pressure, affects 1…
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monahrq.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/use-roll-ups-20111001-transcript.pdf
July 10, 2011 - Use of "Roll-ups" to Report CAHPS Survey Results and Other Quality Measures
Transcript release date 10/1/11 www.talkingquality.ahrq.gov
Use of “Roll-ups” to Report CAHPS
Survey Results and Other Quality Measures
Moderator: Lise Rybowski, Consultant, TalkingQuality; President, The Severyn Group
Speakers: …
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monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
October 12, 2022 - whether certain requirements may be waived based upon the technology, evidentiary gap/endpoint, or other factors … whether certain requirements may be waived based upon the technology, evidentiary gap/endpoint, or other factors
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - decision tree when analyzing
an error or adverse event in an organization to help identify how human factors … organizations prevent system failures by using
root cause analysis to:
• Identify causes and contributing factors … The primer also identifies known risk factors for ADEs, including health literacy, patient
characteristics
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/igmutualsupp.pdf
February 19, 2014 - TeamSTEPPS 2.0 | Mutual Support
Slide
TASK ASSISTANCE (Continued)
SAY:
Several factors … Never
attribute a team member's poor performance to internal factors,
because such destructive feedback
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
September 20, 2016 - Tool 1: Readmission Data Analysis and Interpretation
Instructions
Tool 1. Readmission Data Analysis and Interpretation
Brief Description: A quantitative readmission analysis tool.
Purpose: Analyze hospital administrative data to evaluate readmission patterns. Understanding readmission patterns is critical to design…
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
May 01, 2017 - Factors to consider:
· Organizational culture regarding use of EFM suggesting need for a unit-based approach
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.docx
April 08, 2016 - dressing
No dressing
Other
Additional Treatments:
Growth factors