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pcmh.ahrq.gov/opioids/data/analyses.html
November 01, 2022 - Patient Factors That Affect Opioid Use Among Adults With and Without Chronic Pain .
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pcmh.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/mcc.html
July 01, 2023 - use the term multimorbidity as synonymous with MCC, while others define MCC as including additional factors … severity, functional impairments and disabilities, syndromes such as frailty, and sometimes social factors
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pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-schlesinger.pdf
December 14, 2021 - Efficiency/timing
• Hospital environment
► Physical surroundings
► Meals/food
• Parent and child factors … Efficiency/timing
• Hospital environment
► Physical surroundings
► Meals/food
• Parent and child factors
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
March 01, 2013 - to assess potential reasons for a specific instance of a fall and to remediate possible contributing factors … implied understanding that falls have a multifactorial etiology and that attention to multiple risk factors … Patient-specific risk factors include patient age (particularly age over 85, sometimes called the “oldest … Here we describe this infrastructure in terms of factors that may affect implementation of a patient … One study explicitly assessed the effect of some contextual factors on intervention success across 34
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pcmh.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/index.html
September 01, 2018 - and safety of treatments to prevent fractures in persons with low bone density or osteoporosis and factors
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
August 01, 2022 - 9
Say:
When implementing the CANDOR process, the organization should consider the following factors … These factors should be considered when analyzing the strengths and weaknesses of a case should it ultimately … , economist, actuaries, and financial planners can help the organization understand other potential factors
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - mitigate that event or even prevent it from occurring again.
19
Protected
Interdisciplinary, human factors … 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 … Whether the organization has determined, based on the analysis of the event and other factors, that the
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pcmh.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety.html
April 01, 2019 - Organizational Factors— Chapter 6: Organizational Characteristics, the Physical Environment, and the
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pcmh.ahrq.gov/npsd/resources/index.html
June 01, 2019 - culture of safety is an essential task for health care organizations as they strive to eliminate the factors
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pcmh.ahrq.gov/news/newsletters/e-newsletter/891.html
November 01, 2023 - include:
Understanding and Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors … Generalizability and portability of natural language processing system to extract individual social risk factors
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pcmh.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6j-support-self-care.html
March 01, 2020 - Reduce the need for hospitalizations
These studies did not detect short-term improvement in other factors … such as pain and psychological well-being, but there is evidence of significant improvements of these factors
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pcmh.ahrq.gov/research/findings/nhqrdr/index.html
March 01, 2024 - and programs aiming to reduce health disparities by exploring the relationship between socioeconomic factors
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pcmh.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - patient safety infrastructure, the Agency began its work to gain a better understanding of the systemic factors … Researchers studied the best ways to identify and report on these factors and examined the impact that … Investigate clinical informatics along with costs, feasibility, and usability factors. … topics including analyzing root causes, analyzing health care failure modes and effects, applying human factors … Determine scope, risk factors, and control measures for hospital-acquired, community-onset MRSA infections
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-3-slides.pptx
February 28, 2022 - goals.
7
7
Situation Awareness Small
Group Discussion
Situation Monitoring
Goal:
Identify factors … Process:
In your group, compile a list of factors that affect situation awareness in your team.
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pcmh.ahrq.gov/topics/central-line-associated-bloodstream-infections-clabsi.html
with participants in AHRQ's CUSP national implementation project, describes practices and "success factors
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pcmh.ahrq.gov/healthsystemsresearch/hspc-research-study/summary.html
July 01, 2021 - Synthesis; CMS on Cost and Utilization and on Financing of Care; CDC on Prevention; and ACL on Social Factors … Social Factors
Role of health care systems in addressing social determinants of health. a
Effect … of social factors on demand for health care services. a
Personal Preferences and Behaviors
Integrating … outcomes. a
Effects of health care payment models on different patient populations. a
Social Factors … Role of health care systems in addressing social determinants of health. a
Effect of social factors
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - focus of the event investigation
is process improvement and conducting the investigation with a human factors … ■ 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 work,
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
May 20, 2016 - Manage Prevention Strategies
for Postoperative Patients
Avoid risk factors for acute renal failure … dietary self-management skills.5
• Carefully monitor and set up protocols to address the following risk factors … Risk factors for acute postoperative renal failure in
thoracic or thoracoabdominal aortic surgery: A
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - Identify the risk factors that are most common among neonates
for bloodstream infection and screen … Recommended Practice: Assess neonatal patients for risk factors
• Assess all neonatal NICU patients … Risk factors for neonatal BSI include2-5:
○ Gestational age at birth <32 weeks or birth weight <1,500 … to best practices
specific to the age of the child, type of central line, and other patient-related factors … Care
Introduction: Essential First Steps
Recommended Practice: Assess neonatal patients for risk factors
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pcmh.ahrq.gov/page/fuzzy-set-qualitative-comparative-analysis-configurational-comparative-method-identify-multiple
March 01, 2013 - Contextual factors, such as the sociodemographic characteristics of the patient population, were strongly … The relevance of these contextual factors was not discussed in prior analyses because they were treated … identifying important causal and constitutive relationships between PCMH components and contextual factors … Bridges implementation and impact findings to identify factors associated with improved outcomes. … A Qualitative Comparative Analysis of factors associated with trends in narrowing health inequalities