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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - The team is interdisciplinary and has human factors expertise. … of the CANDOR process of investigating the root cause of how an error occurred, including the human factors … The CANDOR process recommends that organizations take a systems approach with human factors integrated … Slide 24
Say:
Human factors engineering is about redesigning the system within which humans … Whether the organization has determined, based on the analysis of the event and other factors, that
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pbrn.ahrq.gov/research/findings/factsheets/translating/action4/index.html
February 01, 2021 - Implementation oriented , to examine the process of implementing innovations and the contextual factors … Task orders grow out of staff consideration of a broad range of factors, including but not limited to
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - CONTRIBUTING FACTORS
SOLUTIONS TO CONTRIBUTING FACTORS
RESPONSIBLE POSITION / TITLE
IMPLEMENTATION
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pbrn.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.
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pbrn.ahrq.gov/evidencenow/projects/heart-health/research-results/research/methods/index.html
March 01, 2021 - These factors were largely captured in the practice survey, with some information collected in the practice … Context
In addition to organization and infrastructure, the surveys included questions about contextual factors … ESCALATES, to capture in a structured manner the context, such as cooperative structure and external factors
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pbrn.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.
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
October 01, 2023 - Walsh received a 3-year AHRQ grant in 2015 to identify the factors that contribute to medication error … She determined that interventions should be based on human-factors engineering, which focuses on how
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pbrn.ahrq.gov/cpi/about/otherwebsites/epss.ahrq.gov/index.html
September 01, 2021 - can be searched by specific patient characteristics, such as age, sex, and selected behavioral risk factors
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pbrn.ahrq.gov/cpi/about/nac/naa-snac-recommendations.html
February 01, 2024 - safety must be based on evidence-based practices and acknowledge and reflect patients' social risk factors … HHS will convene human factors engineers, safety science experts, bedside clinicians, and technology
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.html
April 01, 2024 - Hernandez-Boussard also examined factors that could contribute to adverse events such as hospital surgical … the process of algorithm development and ensuring that race is not used as a proxy for actual risk factors
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
August 01, 2022 - Examine the critical success factors for sustaining the CANDOR process. … However, there are several critical success factors for sustaining the processes and realizing the desired … The critical success factors include:
Identify and develop program champions. … Organizations need to address external and internal factors that can benefit or impede sustainability
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pbrn.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
June 01, 2020 - Social Factors
Role of health care systems in addressing social determinants of health. a
Effect … One participant called for more reporting of contextual factors irrespective of the setting in which … Study participants emphasized the importance of social and community factors in affecting the health … Effects of social factors on demand for health care services, especially in primary care. … Study participants also pointed to gaps in understanding the effects of social factors on the demand
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pbrn.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
June 01, 2023 - drug event, such as overdosing, underdosing, or missing medications, or other important contextual factors
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pbrn.ahrq.gov/npsd/quality-patient-safety/index.html
August 01, 2020 - problems using this robust national data resource can help identify underlying causes and contributing factors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/readiness.pdf
August 01, 2005 - The questions are meant to help you to
think through critical factors that can affect your success in … Have other factors, such as anticipated busy times of the year or known staffing fluctuations,
been … see Question 3), a practical
strategy for addressing the timing of implementation as it relates to 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/resources/learning-lab/optimizing-safety-long-desc.html
June 01, 2020 - heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors … heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors
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pbrn.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
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar01/sl_fuzzyset.ppt
May 14, 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 … with (complements) statistical methods
Identifies interactions between contextual and instrumental factors … Supports linkage between implementation and impact factors
blueshieldca.com
Limitations of fsQCA … eligible and solid denominator for targeted
Quantitative result of “Patient Clinical Outcome”
Many factors
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pbrn.ahrq.gov/innovations/index.html
August 01, 2021 - Community Care Coordination Pathways
Pathways Community HUB Manual: A Guide to Identify and Address Risk Factors
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pbrn.ahrq.gov/research/findings/factsheets/translating/action3/index.html
February 01, 2021 - Implementation Oriented , to examine the process of implementing innovations and the contextual factors … Task orders grow out of staff consideration of a broad range of factors, including but not limited to