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  1. talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
    August 01, 2022 - CONTRIBUTING FACTORS SOLUTIONS TO CONTRIBUTING FACTORS RESPONSIBLE POSITION / TITLE IMPLEMENTATION
  2. talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
    April 27, 2022 - Diagnosis also involves uncertainty and evolves over time.8 All of these factors make diagnostic errors … The missed opportunity may result from cognitive and/or system factors or may be attributable to more … blatant factors, such as lapses in accountability or clear evidence of liability or negligence. 2. … Factors and impact of physicians’ diagnostic errors in malpractice claims in Japan. … Contributing factors for pediatric ambulatory diagnostic process errors: project RedDE.
  3. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
    May 01, 2016 - In the assessment of the factors involved in pregnancy-associated and pregnancy-related deaths, the … top three individual factors identified were chronic medical conditions, substance abuse, and delay … retaining of old prescriptions, and problems with access to medications) and health system factors … In the assessment of the factors involved in pregnancy-associated and pregnancy-related deaths, the … top three individual factors identified were chronic medical conditions, substance abuse, and A-25
  4. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
    January 01, 2016 - Slide 40 SAY: For a risk factor assessment to make a difference, all the risk factors identified in … on the part of staff and a tailored approach to each patient based on the individual patient’s risk factors
  5. talkingquality.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
  6. talkingquality.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
  7. talkingquality.ahrq.gov/talkingquality/plan/quality-measures.html
    November 01, 2018 - If you are developing a report for consumers, consider the following factors when weighing your options
  8. talkingquality.ahrq.gov/cahps/news-and-events/podcasts/cahps-surveys-podcast.html
    March 01, 2016 - And it does seem like there are factors beyond their control – like say, the age or education of their … Rebecca Anhang-Price: It's true that factors like how old or how sick patients are can affect CAHPS … likelihood that providers will avoid taking patients who they think will report poor experiences because of factors
  9. talkingquality.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
  10. talkingquality.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
  11. talkingquality.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
  12. talkingquality.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
    September 01, 2016 - culture of safety is an essential task for health care organizations as they strive to eliminate the factors … been discussed during Safe Table events: ■ Failure to inform patients of abnormal test results ■ Factors
  13. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_slides_best-practices.pptx
    November 20, 2014 - assistance with toileting) Page 58 ‹#› Electronic Health Record What information about fall risk factors … most logical place in the record to collect, organize, and assess information about patient fall risk factors
  14. talkingquality.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
  15. talkingquality.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
  16. talkingquality.ahrq.gov/research/findings/studies/index.html?page=481
    January 01, 2024 - Rural/Inner-City Residents (23) Rural Health (133) Screening (457) Sepsis (140) Sex Factors … A study of 264,401 patients admitted to 155 U.S. intensive care units (ICUs) found several factors associated … conceptual framework was created to clarify the perspective of the decision makers as well as the range of factors … Brady J AHRQ Author: Henriksen K, Brady J The pursuit of better diagnostic performance: a human factors … The pursuit of better diagnostic performance: a human factors perspective.
  17. talkingquality.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
  18. talkingquality.ahrq.gov/patient-safety/resources/learning-lab/caregiver-nicu-long-desc.html
    April 01, 2022 - diagrams and a simulation model to help identify various individual-, team-, and unit/organizational-level factors … This model showed how policies designed to affect those factors resulted in changes to outcomes. 1 The
  19. talkingquality.ahrq.gov/talkingquality/measures/measure-questions.html
    November 01, 2018 - Comparability : If appropriate, the results are adjusted for external factors that could make a health … care organization’s performance appear better or worse than it really is; such factors include age,
  20. talkingquality.ahrq.gov/news/blog/ahrqviews/high-quality-behavioral-healthcare.html
    December 01, 2022 - Contributing factors include continued stigma associated with behavioral health diagnoses, diagnostic … prioritize patient-centered outcomes and patient experience of care measurement, and evaluate economic factors

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