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pbrn.ahrq.gov/sites/default/files/docs/page/RuralHealth.pdf
March 01, 2016 - Technologies & Practices to Engage Rural Populations
Rural Americans experience a number of unique risk factors … Factors contributing to substance abuse in
rural areas include poverty, unemployment, lower levels of
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - decision tree when analyzing
an error or adverse event in an organization to help identify how human factors … resources for trainees,
practitioners, and educators on clinical reasoning, critical thinking, and system factors … The primer also identifies known risk factors for ADEs, including health literacy, patient
characteristics … These efforts have identified and characterized factors that influence safety in office practice,
the
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
October 01, 2017 - Consider these factors:
Unit data suggesting adverse events or near misses that may have been minimized
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
May 01, 2017 - relevant team members,
introduce some redundancy into the perioperative process, and
ensure critical factors … Factors to consider:
Unit and malpractice claims data suggesting adverse events or near misses related
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
August 01, 2022 - SHARE:
More topics in this section
Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered Rounds …
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pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
July 01, 2023 - The contrast suggests that, before the COVID-19 PHE, community-level factors
(including public policy … sum, the patterns highlighted in this data spotlight suggest that public policy and community-level
factors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
May 01, 2017 - use of routine and standardized
hemorrhage risk assessment on
admission.18-21
o Individual risk factors … Factors to consider—
o Unit and malpractice claims data
suggesting adverse events or near
misses
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
February 09, 2006 - could be actively given and offered whenever there's a concern for patient safety.
11
Task Assistance Factors … Factors that influence task assistance include:
The type of situation
Attitudes and beliefs
Style of … communication
Module 6: Mutual Support
‹#› of 45
Several factors influence task assistance … Never attribute a team member's poor performance to internal factors, because such destructive feedback
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pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-southwest.pdf
November 01, 2017 - Identify key practice characteristics and other contextual factors that affect
the response of practices
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-feb2015.pptx
January 01, 2015 - executive staff
Discuss the engagement of physicians and other staff
Discuss how buy-in and other factors
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pbrn.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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pbrn.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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pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-midwest.pdf
November 01, 2017 - EvidenceNow Executive Summary - Midwest Cooperative
Midwest Cooperative
Wisconsin
Illinois
Indiana
EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare
Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure
to help s…
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pbrn.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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pbrn.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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pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
July 01, 2023 - Factors to consider:
Organizational culture regarding use of EFM suggesting need for a unit-based approach
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pbrn.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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pbrn.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
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
September 01, 2017 - optimizing the effectiveness of interventions by:
Tailoring interventions to address individual risk factors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol.pdf
February 02, 2018 - BPAP versus CPAP is complex and may
differ based on several important patient level and device level factors … To further explore
heterogeneity, we plan to conduct subgroup analyses based on factors listed in Section