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pcmh.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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pcmh.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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pcmh.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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pcmh.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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pcmh.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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pcmh.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
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pcmh.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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pcmh.ahrq.gov/page/expanding-toolbox-methods-study-and-refine-patient-centered-medical-home-models
March 01, 2013 - facilitators to implementation, (3) accounting for the practice- and health care system-level contextual factors … impact evaluations, and (8) analyzing the findings to determine whether an intervention worked and what factors
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pcmh.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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pcmh.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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pcmh.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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pcmh.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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pcmh.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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pcmh.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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pcmh.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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pcmh.ahrq.gov/sites/default/files/attachments/ExpandingtheToolkit_031513comp.pdf
March 01, 2013 - facilitators to implementation, (3) accounting for the practice- and health care system-level contextual
factors … evaluations, and (8) analyzing the findings to determine whether an intervention worked and what
factors … It distills
different constellations of factors associated with suc-
cessful and unsuccessful outcomes
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pcmh.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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pcmh.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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pcmh.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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pcmh.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