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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_tools.docx
August 03, 2017 - Roles
RN
Conducts or supervises accurate assessment and documentation of assessment of fall risk factors … Educates patient/family about fall risk factors. … LPN
Conducts accurate assessment and documents assessment of fall risk factors on admission, daily, … training on documentation methods related to falls (e.g., circumstances of fall if applicable, risk factors … for falls, how those risk factors have been addressed)?
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
November 20, 2014 - perform a comprehensive skin assessment
How to conduct a standardized assessment of pressure injury risk factors … How to incorporate risk factors into care planning
Note: At various points during the module, we’ll … Scales
Only one part of risk assessment
Meant to be used in conjunction with a review of other risk factors … and clinical judgment
More factors to consider
Especially helpful in identifying patients at mild to … Best Practices
Need to be customized:
Each patient has a different set of pressure injury risk factors
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patientregistry.ahrq.gov/research/findings/final-reports/index.html?page=2
September 01, 2018 - Medication Safety
(72)
Communication and Teamwork
(29)
Patient Safety Tools
(16)
Human Factors … Information Technology
(6)
Education and Training
(5)
Emergency Care
(4)
Human and Environmental Factors … These topics include human factors approaches to improve patient safety, patient safety measure development … Grant Number: R03 HS 21558 Topic(s): Healthcare Facility Design, Human Factors Approaches To Improve … Grant Number: K01 HS 018987 Topic(s): Human Factors Approaches To Improve Patient Safety Publication
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patientregistry.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
December 01, 2017 - 899
Human Factors 614
Human Factors 699
Leadership 815
Leadership 557
Communication 661 (82% … Health Literacy
Barriers to health literacy are multifactorial:
Complex healthcare system
Patient factors … Describe factors that influence patient and family participation in healthcare. … Risk for developing CAUTI increases 5% for every day the catheter remains in place
Slide 45
Factors … that Influence Patient Participation 3
Modifiable Factors
Fixed Factors
Acceptance of patient
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - Background: This tool can be used to identify risk factors for falls in hospitalized patients. … using the scale and then plan care to address those risk factors. … Background: This tool can be used to identify risk factors for falls in hospitalized patients. … using the scale and then plan care to address those risk factors. … Your hospital unit may use these factors alone or in combination with additional factors to trigger use
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patientregistry.ahrq.gov/research/findings/studies/index.html?page=2
January 01, 2024 - using the Human Factors Analysis and Classification System-Healthcare. … Results showed that among 35 near misses/errors, incident reports described contributing factors (mean … This study investigated factors affecting child protective services (CPS) referrals before consultation … The researchers concluded that policies addressing this disparity should consider factors beyond MELD … Hum Factors 2024 Jan; 66(1):271-93. doi: 10.1177/00187208221086342..
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 12, 2018 - a comprehensive skin assessment
· How to conduct a standardized assessment of pressure injury risk factors … · How to incorporate risk factors into individualized care planning
Timing
This module will take 80 … Assessment Tools in Care Planning — AHRQ Pressure Injury Prevention Program Training Webinar
· Risk Factors … .
· How to incorporate risk factors into care planning. … They are meant to be used in conjunction with a review of other risk factors and clinical judgment.
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patientregistry.ahrq.gov/research/findings/studies/index.html?page=1
January 01, 2024 - using the Human Factors Analysis and Classification System-Healthcare. … Results showed that among 35 near misses/errors, incident reports described contributing factors (mean … The researchers concluded that policies addressing this disparity should consider factors beyond MELD … Keywords: Disparities, Access to Care, Sex Factors, Transplantation
Wooldridge AR , Carayon … Hum Factors 2024 Jan; 66(1):271-93. doi: 10.1177/00187208221086342..
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar03/logic_models.pptx
July 15, 2013 - through which it produces those outcomes
Interrelationships among intervention components
Contextual factors … What contextual factors are likely to affect the process? … more preventive care, better planned care)
Improved patient experience
Contextual and External Factors … to understand variation in implementation of FSPs
Using a logic model to explore how implementation factors … Service array / team structure
Service array
Team structure
Qualitative Analysis Reveal Implementation Factors
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patientregistry.ahrq.gov/sites/default/files/2024-01/mosaly-report.pdf
January 01, 2024 - a) Purpose
To assess the impact of modifications to
workflows, workspace design, and
environment factors … Further, psychosocial
and individual factors are also recognized threats for musculoskeletal disorders … In CHI'04 extended abstracts on Human factors in
computing systems (pp. 1477-1480). … Human Factors in Engineering and Design, 7.
9. List of Publications
We reported results in:
1. … Abstract: Suboptimal design of workflows, workspaces, and environmental factors likely hinders
safety
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - will vary based on the
patient population, practice resources, current operations, and other local factors … In addition,
primary care teams should consider individual patients’ risk factors for developing postdischarge … If left
unaddressed, behavioral health and social needs are key risk factors for postdischarge adverse … previously, primary care teams should be encouraged to adjust these principles as
needed based on patient factors
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
July 02, 2008 - Ensure the known risk factors for pressure injuries are assessed. … Tool 5D
39
Assessment of Care Planning
All the risk factors identified in the pressure injury risk … Tailor your approach to each patient, based on the patient’s risk factors.
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patientregistry.ahrq.gov/news/newsletters/e-newsletter/781.html
September 01, 2021 - Environmental and Design Factors Impact Patient, Staff Outcomes . … Environmental and Design Factors Impact Patient, Staff Outcomes
Noise, lighting and hazardous or poorly … Articles featured this week include:
Factors related to serious safety events in a children's hospital … AHRQ in the Professional Literature
Personal and professional factors associated with work-life integration
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patientregistry.ahrq.gov/research/findings/final-reports/index.html?page=8
September 01, 2005 - Medication Safety
(73)
Communication and Teamwork
(29)
Patient Safety Tools
(19)
Human Factors … Implementation
(7)
Education and Training
(6)
Emergency Care
(5)
Human and Environmental Factors … These topics include human factors approaches to improve patient safety, patient safety measure development … 3
4
5
6
7
8
9
Real-Time Assessment of Risk Factors
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patientregistry.ahrq.gov/practiceimprovement/delivery-initiative/mccannon/index.html
December 01, 2020 - Slide 11
A Framework
A graphic depiction of the framework showing the six factors that influence … The six factors are: current environment, foundation, framing, nature, structural context and method. … Slide 20
A Framework
A graphic depiction of the framework showing the six factors that influence … The six factors are: current environment, foundation, framing, nature, structural context and method.
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
December 29, 2022 - Diagnostic Decision-Making JGIM
Accordingly, we use these strategies to propose specific re- Other Factors … There are other factors that disrupt decision-making that are
not included in our model such as cognitive … We also do
not account for interactions between interruptions and these
factors, such as when trying … For example, one review concluded that
there are three main disruptive factors: duration of the inter … It is challenging to disentangle all the factors
involved in diagnostic decision-making because it is
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_slides_fallprev.pptx
December 03, 2012 - Ensure that known risk factors for falls are assessed. … Page 78
‹#›
Care Planning Assessment
All risk factors identified on the fall risk factor assessment … Critical thinking by staff
Tailored approach to each patient, based on the patient’s risk factors
Ensure
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patientregistry.ahrq.gov/patient-safety/resources/learning-lab/acute-care-threats-long-desc.html
February 01, 2024 - Engage stakeholders using mixed methods and systems engineering approaches to identify factors that contribute … which individual clinicians operate and the contributions of systems, processes, and institutional factors … Four types of factors interact in complex ways to impede diagnostic performance:
Organizational (e.g … ICU operational factors, such as admission rates and patient severity of illness, may affect the critical
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patientregistry.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - Ensure that known risk factors for falls are assessed. … Slide 41: Care Planning Assessment
All risk factors identified on the fall risk factor assessment … Tailored approach to each patient, based on the patient’s risk factors.
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patientregistry.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
January 01, 2024 - Video Observations and Coding
Using a human factors framework (Systems Engineering Initiative for Patient … Human Factors. 2018 November; 60(7): 992-1007.
https://doi.org/10.1177%2F0018720818780544
10)Mousavi … The influence of traffic, area location, and other factors on operating room
microbial load. … Proceedings of the 62nd
Annual Meeting of the Human Factors and Ergonomics Society. 2018; Philadelphia … Proceedings of the Human Factors
and Ergonomics Society Annual Meeting. 2016; 60(1):608-612.
https://