-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
June 30, 2017 - For example, you may consider adding specific fields for contributing factors to falls (such as high-risk … Instructor’s Note: The hospital may have agreed to use another scale or a simple checklist of risk factors … Slide 41
SAY: For risk factor assessment to make a difference, all risk factors identified on the risk … on the part of staff and a tailored approach to each patient based on the individual patient’s risk factors
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Coordination_of_Care_2012_05_01_Transcript.pdf
January 01, 2012 - Coordination
Understanding the Factors that Affect Care Coordination
May 2012 Podcast
Speaker … https://www.cahps.ahrq.gov/News-and-Events/Podcasts.aspx
Understanding the Factors that Affect Care … It looked
http://www.cahps.ahrq.gov/
Understanding the Factors that Affect Care Coordination … http://www.cahps.ahrq.gov/
Understanding the Factors that Affect Care Coordination
May 2012 … http://www.cahps.ahrq.gov/
Understanding the Factors that Affect Care Coordination
May 2012
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
August 03, 2017 - Include in Incident Reports
Examples of Information
Reason To Collect This Information
Reporting factors … Environmental factors
Buzzer/bell available within reach before fall
Highlight whether there is an … Patient factors
Mental state
Identify those patients most vulnerable to falls because of sedation,
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
November 16, 2011 - *
Staff nurses
3G – STRATIFY Scale for Identifying Fall Risk Factors*
Staff nurses
3I – Medication … If a process does not exist (for example, there is no process to assess fall risk factors upon admission … All patients should be assessed for fall risk factors at admission, at a change in status, after a fall … Risk factors for falls include:
Parkinson’s disease
Incontinence
Previous history of falls
Delirium
11 … Education programs for staff should include the importance of fall prevention, risk factors for falls
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - further review and prepare
selected cases for committee presentation and identify
potential causative factors … review results quarterly or biannually as
appropriate to determine if there are trends in causative factors … How To Improve Hospital Quality and Safety
6 Tool D.4n
o Discussion is focused on causative factors … and preventability3:
Causative factors:
Underlying disease
Treatments and procedures, including … Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate
• Using an individualized assessment of risk factors
-
patientregistry.ahrq.gov/hai/cusp/videos/index.html
September 01, 2019 - Identifying Contributing Factors What Will You Do to Reduce the Risk of Recurrence? … Nurse Manager as a Mentor and Coach Encourage Professional Development of Staff Work Alignment Spread Factors
-
patientregistry.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - and unsafe conditions, then further examines incidents and near misses along with their contributing factors … analyses by age, deeper explorations of common activities prior to fall, and enhanced analyses of risk factors … It also features new incident-specific near misses-specific analyses that examine their contributing factors
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
March 08, 2019 - • Contributions of human factors to errors that have led to harm. … • AHRQ is interested in multidisciplinary research on the topic (with a
heavy emphasis on human factors
-
patientregistry.ahrq.gov/evidencenow/projects/heart-health/research-results/research/collection.html
March 01, 2021 - Southwest cooperative conducted interviews with practices to understand the internal and external factors … Internal factors included: practice structure, staffing, priorities, change processes, and methods of … External factors included: concurrent/competing QI projects and health IT infrastructure. … practices’ motivations and expectations, cooperative organization, and technological and/or geographic factors
-
patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - Continuous organizational learning as a result of identification of contributing factors that might help … 30-45 business days after the event, the investigation should allow for the determination of causal factors … By focusing on system processes and factors that facilitated the event, adjustments can be made to minimize … Continuous organizational learning—this allows for identification of contributing factors that led to … Create solutions—once contributing factors and unrelated hazards are identified, sustainable and effective
-
patientregistry.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar03/logicmodelsl.html
July 01, 2013 - Contextual factors that may influence the intervention’s ability to produce results. … What contextual factors are likely to affect the process? … Using a logic model to explore how implementation factors related to fidelity relate to fidelity domains … Slide 25 Qualitative Analysis Reveal Implementation Factors
Individuals: Program director knowledge
-
patientregistry.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/environ-equip-slides.html
March 01, 2017 - Risk factors
Use of common measuring device between residents with indwelling urinary catheters. … Nursing home facility risk factors for infection and hospitalization: importance of registered nurse … turnover, administration, and social factors. … Nursing home facility risk factors for infection and hospitalization: importance of registered nurse … turnover, administration, and social factors.
-
patientregistry.ahrq.gov/research/findings/studies/index.html?page=480
January 01, 2024 - Rural/Inner-City Residents
(23)
Rural Health
(133)
Screening
(456)
Sepsis
(140)
Sex Factors … A study of 264,401 patients admitted to 155 U.S. intensive care units (ICUs) found several factors associated … Brady J AHRQ Author: Henriksen K, Brady J The pursuit of better diagnostic performance: a human factors … The pursuit of better diagnostic performance: a human factors perspective. … Factors affecting adoption and implementation of AHRQ health literacy tools in pharmacies.
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/ebsitmonitor.pdf
January 01, 2013 - Hum Factors
1995;37(1):20-31.
11. Flin R, Yule S, Paterson-Brown S, et al. … Hum Factors 1995;37(1):123-36.
16. Mohammed S, Ferzandi L, Hamilton K. … Hum Factors 1999;41(1):61-71.
-
patientregistry.ahrq.gov/evidencenow/projects/heart-health/research-results/research/cooperative-context.html
March 01, 2021 - This form was used by the national evaluation team to collect data from each cooperative on what factors
-
patientregistry.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
September 01, 2017 - For example, you may consider adding specific fields for contributing factors to falls (such as high-risk … Instructor’s Note: The hospital may have agreed to use another scale or a simple checklist of risk factors … Slide 41
Say: For risk factor assessment to make a difference, all risk factors identified … on the part of staff and a tailored approach to each patient based on the individual patient’s risk factors
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicare-Outpatient-Weighted.pdf
September 26, 2023 - 89.26
V00-Y99: External causes of morbidity and mortality 215,764 0.13 153,966,979 89.38
Z00-Z99: Factors … 92.32
V00-Y99: External causes of morbidity and mortality 198,141 0.12 159,214,964 92.43
Z00-Z99: Factors … 93.55
V00-Y99: External causes of morbidity and mortality 145,936 0.08 161,283,443 93.63
Z00-Z99: Factors … 94.31
V00-Y99: External causes of morbidity and mortality 103,320 0.06 162,549,004 94.37
Z00-Z99: Factors … 94.96
V00-Y99: External causes of morbidity and mortality 66,611 0.04 163,639,938 95.00
Z00-Z99: Factors
-
patientregistry.ahrq.gov/news/newsletters/e-newsletter/897.html
January 01, 2024 - Nurses' perception of medication administration errors and factors associated with their reporting in … Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff … Hum Factors 2024 Jan;66(1):271-93. Epub 2022 Jun 5. Access the abstract on PubMed®.
-
patientregistry.ahrq.gov/patient-safety/patients-families/engagingfamilies/index.html
March 01, 2023 - A description of factors that influence patient and family engagement, including characteristics and … perspectives of patients, families, health care professionals, and hospital organizational and cultural factors
-
patientregistry.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysets_slides.html
July 01, 2013 - same outcome Conjunctural causation: impact of one factor contingent on presence or absence of other factors … 21 Level 3 PCMH clinics, low preventive service use (PSUTD) was found to be related to a variety of factors … Slide 18 Truth Table Analysis Results
Another example: factors associated with low performance on Optimal … Identifies interactions between contextual and instrumental factors. … Supports linkage between implementation and impact factors.