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pbrn.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://
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pbrn.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
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pbrn.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,
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pbrn.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
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pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module5/ebsitmonitor.html
March 01, 2014 - Hum Factors 1995;37(1):20-31.
Flin R, Yule S, Paterson-Brown S, et al. … Hum Factors 1995;37(1):123-36.
Mohammed S, Ferzandi L, Hamilton K. … Hum Factors 1999;41(1):61-71.
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pbrn.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
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pbrn.ahrq.gov/policymakers/hrqa99a.html
October 01, 2014 - health care services are organized, delivered, and financed and the interaction and impact of these factors … Congress a report regarding prevailing disparities in health care delivery as it relates to racial factors … and socioeconomic factors in priority populations.
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pbrn.ahrq.gov/teamstepps/officebasedcare/handouts/readiness.html
December 01, 2015 - The questions are meant to help you to think through critical factors that can affect your success in … (see Question 3), a practical strategy for addressing the timing of implementation as it relates to factors … such as staff stability and busy times of the year is to identify the anticipated timing of these factors … In addition, determine which staff members are affected by these factors. … Then answer the questions again to determine if any of the factors have changed.
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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - Once risk assessment has helped identify patient risk factors, it is important to match care planning … such as nutrition, activity, mobility, moisture, and friction/shear, as well as any additional risk factors … This means addressing at-risk scores on each subscale, as well as other risk factors not quantified on … It takes into account multiple factors that pertain to the patient's problems, some of which may be obvious … Sometimes, putting together all the discrete parts of the patient risk factors can be akin to putting
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pbrn.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
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pbrn.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
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pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-TN-profile.pdf
September 01, 2021 - , sixth for diabetes, 12th for obesity rates, and fourth for physical
inactivity — all potent risk factors … Largely as a
consequence of these risk factors, Tennessee ranks third highest in the nation in
rates … health with a focus on hypertension control and smoking cessation — two
of the most prevalent CVD risk factors
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pbrn.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
September 01, 2016 - Carayon’s research belongs to the discipline of human factors engineering, in particular macroergonomics … She has developed human factors and systems engineering methods and the SEIPS model to improve patient … Lauer Safety Award from the Human Factors and Ergonomics Society for contributions to the human factors … She is the editor of the Handbook of Human Factors and Ergonomics in Health Care and Patient Safety … Return to Summit Agenda
Kerm Henriksen, PhD Senior Advisor, Human Factors and Patient Safety Agency
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pbrn.ahrq.gov/tools-and-resources/pbrn-literature/clinical-inquiries-how-should-we-follow-athletes-after
January 10, 2022 - Female, history, Humans, Neuropsychological Tests, Recovery of Function, rehabilitation, review, Time Factors
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pbrn.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
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pbrn.ahrq.gov/evidencenow/projects/heart-health/research-results/research/national.html
March 01, 2021 - Identify the practice, organization, and contextual factors associated with higher and lower levels of … improving the delivery of ABCS services over time in relation to practice, organization, and contextual factors … The national evaluation team has used qualitative methods to identify contextual factors in each region
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pbrn.ahrq.gov/news/research-funding-opportunities.html
April 01, 2024 - Understanding and Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors
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pbrn.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
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pbrn.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
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html
February 01, 2021 - evidence-based fall prevention intervention that uses bedside tools to communicate patient-specific risk factors … modalities provided access to real-time safety plans at the bedside, including patient-specific fall risk factors