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pbrn.ahrq.gov/talkingquality/measures/types.html
July 01, 2015 - seem to represent the “gold standard” in measuring quality, but an outcome is the result of numerous factors … differing characteristics within a population, such as patient health status—can help account for these factors
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pbrn.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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pbrn.ahrq.gov/teamstepps-program/curriculum/situation/tools/safe.html
June 01, 2023 - Attempting to “fix” behaviors of others without an awareness of the factors that may be causing them … What factors inhibit you or others from saying you are not safe or contribute to an inability to do so
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pbrn.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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pbrn.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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pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/sustainability.html
July 01, 2018 - explains the importance of planning for sustainability from the beginning and provides an overview of factors
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pbrn.ahrq.gov/npsd/data/dashboard/falls.html
September 01, 2023 - at-a-glance (by age), commonly reported patient activities prior to fall, and commonly reported risk factors
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pbrn.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
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pbrn.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®.
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pbrn.ahrq.gov/news/newsletters/e-newsletter/901.html
February 01, 2024 - AHRQ Views: 20 Years of Innovation From the Digital Healthcare Research Program
Study Highlights Factors … Study Highlights Factors Influencing Provider Burnout in Federally Qualified Health Centers
Pressures … Prevalence, contributing factors, and interventions to reduce medication errors in outpatient and ambulatory
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pbrn.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
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pbrn.ahrq.gov/news/newsroom/case-studies/202301.html
March 01, 2023 - Approach training, they adopted an electronic tool that allows the healthcare team to monitor risk factors … When risk factors are identified, patients have a conversation with VA healthcare providers, particularly
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pbrn.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
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pbrn.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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pbrn.ahrq.gov/ncepcr/funding/index.html
April 01, 2024 - Funding Available for Incidence and Contributing Factors to Understanding and Improving Diagnostic Safety … AHRQ is interested in learning about the incidence and contributory factors of diagnostic error within
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pbrn.ahrq.gov/news/newsletters/e-newsletter/index.html
April 30, 2024 - Training for Learning Health Systems Scientists
January 16, 2024
Researchers Identify Risk Factors … Improve Mortality Surveillance
October 24, 2023
New Data Resource Provides Insights on Factors
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pbrn.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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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/implementation.html
January 01, 2013 - fall risk:
Developing mechanisms for the emergency department to communicate a patient's risk factors … Are data already in the system that can be used as part of a new process to assess fall risk factors? … the most logical place in the record to collect/organize/assess information about patient fall risk factors … Fall risk factor report that summarizes which patients on the unit have specific risk factors. … Strategies for dealing with such reluctance will depend on a number of factors, including the stage of
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pbrn.ahrq.gov/hai/tools/ambulatory-care/cap-toolkit/index.html
January 01, 2018 - that assesses CAP severity and recommends site of care (e.g., hospital or home) based on five clinical factors … departments that have ready laboratory access, but primary care practices use only the four other risk factors
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pbrn.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