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talkingquality.ahrq.gov/patient-safety/reports/national-academy-medicine.html
February 01, 2018 - Health Care Comes Home: The Human Factors is a 2011 report that outlines the impact of technology, environment … , policy and regulation, and human factors on the growing field of home health care. … companion to the report, the National Academy of Sciences and AHRQ published a designer's guide to human factors … for consumer health IT, Consumer Health Information Technology in the Home: A Guide for Human Factors … Read the Institute of Medicine Report and Designer's Guide on Bringing Human Factors into Home Health
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
November 17, 2020 - one mental health diagnosis, or both
• Others use the term multi-morbidity to include additional
factors … ► disease severity
► functional impairments and disabilities
► syndromes such as frailty
► social factors … Risk
• Prevention interventions targeted at reducing the
prevalence of common chronic disease risk factors
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
January 01, 2021 - The goal was to
understand the factors that affect health systems’ use of patient-centered outcomes … • Develop measures of integration and identify how environmental factors influence the
adoption of … • Identify factors that influence the successful deployment of effective biomedical
innovations, factors … The first two
projects focused on understanding internal and external factors that drive the use of … Understanding systems’ patient factors, patient engagement, and PCOR; and
6.
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - Though many risk factors are non-modifiable, there are factors that can be
addressed by hospitals, such … Determine risk factors for postoperative wound dehiscence
and identify patients at risk.1-3,7
Reduce … Recommended Practice: Wound Dehiscence Risk Assessment
• Complete a preoperative assessment to identify factors … of surgery (clean vs. contaminated)
Surgical error
• When possible, eliminate or mitigate risk factors … • Educate patient about risk factors of noncompliance with postoperative instructions.
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nyc.pdf
November 01, 2017 - disease is the primary cause of
death in the city, and prevalence of cardiovascular disease (CVD) risk factors … Use qualitative methods to assess factors that help and hinder practices in
implementing change and … ABCS-driven
care
• Three expert webinars on topics related to evidence-
based management of CVD risk factors … practices [AcademyHealth,
2017]
• Using Practice Facilitation in primary care settings to
reduce risk factors … Conference, 2016]
• Using Practice Facilitation in primary care settings to
reduce risk factors for
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_tools.docx
August 03, 2017 - Roles
RN
Conducts or supervises accurate assessment and documentation of assessment of fall risk factors … Educates patient/family about fall risk factors. … LPN
Conducts accurate assessment and documents assessment of fall risk factors on admission, daily, … training on documentation methods related to falls (e.g., circumstances of fall if applicable, risk factors … for falls, how those risk factors have been addressed)?
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
November 20, 2014 - perform a comprehensive skin assessment
How to conduct a standardized assessment of pressure injury risk factors … How to incorporate risk factors into care planning
Note: At various points during the module, we’ll … Scales
Only one part of risk assessment
Meant to be used in conjunction with a review of other risk factors … and clinical judgment
More factors to consider
Especially helpful in identifying patients at mild to … Best Practices
Need to be customized:
Each patient has a different set of pressure injury risk factors
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talkingquality.ahrq.gov/research/findings/final-reports/index.html?page=2
September 01, 2018 - Medication Safety
(72)
Communication and Teamwork
(29)
Patient Safety Tools
(16)
Human Factors … Information Technology
(6)
Education and Training
(5)
Emergency Care
(4)
Human and Environmental Factors … These topics include human factors approaches to improve patient safety, patient safety measure development … Grant Number: R03 HS 21558 Topic(s): Healthcare Facility Design, Human Factors Approaches To Improve … Grant Number: K01 HS 018987 Topic(s): Human Factors Approaches To Improve Patient Safety Publication
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talkingquality.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
December 01, 2017 - 899
Human Factors 614
Human Factors 699
Leadership 815
Leadership 557
Communication 661 (82% … Health Literacy
Barriers to health literacy are multifactorial:
Complex healthcare system
Patient factors … Describe factors that influence patient and family participation in healthcare. … Risk for developing CAUTI increases 5% for every day the catheter remains in place
Slide 45
Factors … that Influence Patient Participation 3
Modifiable Factors
Fixed Factors
Acceptance of patient
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - Background: This tool can be used to identify risk factors for falls in hospitalized patients. … using the scale and then plan care to address those risk factors. … Background: This tool can be used to identify risk factors for falls in hospitalized patients. … using the scale and then plan care to address those risk factors. … Your hospital unit may use these factors alone or in combination with additional factors to trigger use
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talkingquality.ahrq.gov/research/findings/studies/index.html?page=2
January 01, 2024 - using the Human Factors Analysis and Classification System-Healthcare. … Results showed that among 35 near misses/errors, incident reports described contributing factors (mean … This study investigated factors affecting child protective services (CPS) referrals before consultation … The researchers concluded that policies addressing this disparity should consider factors beyond MELD … Hum Factors 2024 Jan; 66(1):271-93. doi: 10.1177/00187208221086342..
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
August 28, 2012 - module we will:
· Define spread and its role within an organization,
· Examine external and internal factors … Slide 5
SAY:
Several external and internal factors can influence spread success. … ASK:
What are some of the external factors within your organization that can affect spread? … Slide 6
SAY:
Internal factors include:
· Leadership: Does the process align with the organization … ASK:
What are some internal factors within your organization that can affect spread?
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 12, 2018 - a comprehensive skin assessment
· How to conduct a standardized assessment of pressure injury risk factors … · How to incorporate risk factors into individualized care planning
Timing
This module will take 80 … Assessment Tools in Care Planning — AHRQ Pressure Injury Prevention Program Training Webinar
· Risk Factors … .
· How to incorporate risk factors into care planning. … They are meant to be used in conjunction with a review of other risk factors and clinical judgment.
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talkingquality.ahrq.gov/topics/racial-ethnic-minorities.html
March 23, 2023 - The poorer outcomes among minority populations may be attributable to such healthcare-related risk factors … inequities in the determinants of health, including social, environmental, healthcare, and genetic factors … sexual orientation, gender identity, socioeconomic status, geography, preferred language, or other factors … that affect access to care and health outcomes. 5
Social determinants of health are the nonmedical factors
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talkingquality.ahrq.gov/research/findings/studies/index.html?page=1
January 01, 2024 - using the Human Factors Analysis and Classification System-Healthcare. … Results showed that among 35 near misses/errors, incident reports described contributing factors (mean … The researchers concluded that policies addressing this disparity should consider factors beyond MELD … Keywords: Disparities, Access to Care, Sex Factors, Transplantation
Wooldridge AR , Carayon … Hum Factors 2024 Jan; 66(1):271-93. doi: 10.1177/00187208221086342..
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar03/logic_models.pptx
July 15, 2013 - through which it produces those outcomes
Interrelationships among intervention components
Contextual factors … What contextual factors are likely to affect the process? … more preventive care, better planned care)
Improved patient experience
Contextual and External Factors … to understand variation in implementation of FSPs
Using a logic model to explore how implementation factors … Service array / team structure
Service array
Team structure
Qualitative Analysis Reveal Implementation Factors
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talkingquality.ahrq.gov/sites/default/files/2024-01/mosaly-report.pdf
January 01, 2024 - a) Purpose
To assess the impact of modifications to
workflows, workspace design, and
environment factors … Further, psychosocial
and individual factors are also recognized threats for musculoskeletal disorders … In CHI'04 extended abstracts on Human factors in
computing systems (pp. 1477-1480). … Human Factors in Engineering and Design, 7.
9. List of Publications
We reported results in:
1. … Abstract: Suboptimal design of workflows, workspaces, and environmental factors likely hinders
safety
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talkingquality.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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talkingquality.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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talkingquality.ahrq.gov/news/newsletters/e-newsletter/781.html
September 01, 2021 - Environmental and Design Factors Impact Patient, Staff Outcomes . … Environmental and Design Factors Impact Patient, Staff Outcomes
Noise, lighting and hazardous or poorly … Articles featured this week include:
Factors related to serious safety events in a children's hospital … AHRQ in the Professional Literature
Personal and professional factors associated with work-life integration