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teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
August 01, 2022 - Senior Scientific Director
National Center for Human Factors in Healthcare
MedStar Health, Washington … She is the senior scientific director of the National Center for Human Factors in Healthcare at MedStar … Applying a human factors perspective to patient safety, while a complex undertaking, gives Dr. … “How does that account for cardiovascular risk factors in young, Black female patients?” she asks. … A broader, systems-based approach to addressing CVD risk factors also might include assessing whether
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teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
December 01, 2022 - “Human factors engineering in clinical settings is still relatively rare. … Kenneth Catchpole, Ph.D., Professor of Human Factors in the Department of Anesthesiology and Perioperative … “A human factors approach helps address human error by examining systemic causes rather than blaming … An endowed chair in clinical practice and human factors at MUSC, he was inspired by problems identified … Catchpole credits AHRQ funding with helping him share the value of human factors engineering through
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teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
December 01, 2023 - A trained safety scientist and human factors engineer, Rollin J. … He has dedicated his career to applying a human factors engineering approach to healthcare systems. … of safety science and human factors engineering principles in healthcare delivery. … Fairbanks and his colleagues have helped to develop future leaders in human factors engineering. … Fairbanks is Founding Director Emeritus for the National Center for Human Factors in Healthcare.
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teamstepps.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
April 01, 2021 - Proc Hum Factors Ergon Soc Annu Meet. 2019 Nov 20;63(1).
Fareed N, et al. … Proc Int Symp Hum Factors Ergon Healthc. 2019;8:142-5.
Sieck CJ, et al. … Hum Factors. 2018;60(3):281-92.
Patterson ES, et al. … Proc Int Symp Hum Factors Ergon Healthc. 2018;7(1):123-8.
Rayo MF, et al. … Proc Int Symp Hum Factors Ergon Healthc. 2018;7(1):1-7.
Sarkhel R, et al.
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teamstepps.ahrq.gov/patient-safety/resources/designer-guide/index.html
December 01, 2017 - Quality & Safety Review System (QSRS)
Simulation
Bringing Human Factors … of Science and AHRQ outline the impact of technology, environment, policy and regulation, and human factors … To read the report, Health Care Comes Home: The Human Factors , online or download the PDF file, visit … for consumer health IT, Consumer Health Information Technology in the Home: A Guide for Human Factors … December 2017
Page originally created August 2011
Internet Citation: Bringing Human Factors
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teamstepps.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
February 01, 2024 - To address this overall issue, the lab used rigorous systems engineering and human factors methods to … methods to analyze the problem of diagnostic and therapeutic error and identify system and cognitive factors … Design and development using human factors methods and rapid, iterative prototyping of interventions … In this risk score, X n represents baseline risk factors and in-hospital clinical factors, as well as … include concurrent (e.g., cluster-randomized) trials to reduce confounding by temporal trends due to factors
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teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - This information is the starting point in determining the contributing factors. … to build consensus around these factors. … The reviewer will then share the CANDOR tool which explores contributing factors. … These factors are the focus of the solutions meeting. … To determine which contributing factors are most critical, chart the factors evaluating impact and likelihood
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/896.html
January 01, 2024 - Home
News
Newsletter
AHRQ News Now
Researchers Identify Risk Factors … Today's Headlines:
Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery . … Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery
AHRQ-funded researchers identified … nine factors that increased a patient’s risk for developing pneumonia following cardiac surgery, including … AHRQ Understanding and Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/886.html
October 01, 2023 - News
Newsletter
AHRQ News Now
New Data Resource Provides Insights on Factors … Today's Headlines:
New Data Resource Provides Insights on Factors Related to Falls . … New Data Resource Provides Insights on Factors Related to Falls
A new Data Spotlight from AHRQ’s Network … use data from the resource to inform patient safety strategies based on increased understanding of factors … originally created October 2023
Internet Citation: New Data Resource Provides Insights on Factors
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - Falls Prevention
Electronic Reports
Electronic Reports
Falls High-Risk Report
Summary of Fall Risk Factors … (by Unit or Facility)
Contextual Factors Report (by Unit or Facility)
Postfall Assessment Report (by … What are the most common risk factors?
Which acute change was seen most often? Least often? … Report can be used to monitor overall prevalence and trends of risk factors associated with falls on … -MEH
36
Check Your Understanding:
Contextual Factors Report Quiz
For the Contextual Factors Report
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teamstepps.ahrq.gov/talkingquality/explain/support/help.html
November 01, 2018 - Identify the factors they need to consider in making a choice. … that consumers’ decisions about health plans and providers need to take factors beyond quality into … This is one reason to offer information on other factors, such as location, hours, languages spoken, … You can address this point in a discussion of factors to consider. … important to them, but the factors that are most important—what one might call the “deal breakers.
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teamstepps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
September 01, 2017 - How a standardized assessment of fall risk factors should be conducted
How risk factors should be used … individual patient risk factors. … Add unit-level risk factors as needed. … Additional factors may be added. … risk factors in the care plan.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d8_combo_projectevaluation.docx
May 25, 2016 - The purpose of the project evaluation is to:
Identify factors that contributed to the team’s success. … Identify factors that hindered the team’s success. … List factors that helped and hindered the team’s success. … EVALUATION
What factors helped the team succeed? What factors hindered the team’s success?
a. a.
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teamstepps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
September 01, 2017 - How risk factors should be incorporated into care planning. … Standardized assessment of fall risk factors. … Add unit-level risk factors as needed. … Choose a tool for assessing risk factors. … Develop fall prevention care plan based on identified risk factors.
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teamstepps.ahrq.gov/chsp/about-chsp/centers/index.html
July 01, 2019 - They are exploring how market and organizational factors influence the implementation of biomedical, … The survey asks leaders about the external environment, organizational characteristics, operational factors … systems and communities; and graphically depict key health system characteristics and other environmental factors … Health Care Systems are examining different aspects of the U.S. health system in order to understand factors
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teamstepps.ahrq.gov/research/findings/final-reports/index.html
June 01, 2023 - Medication Safety
(73)
Communication and Teamwork
(29)
Patient Safety Tools
(19)
Human Factors … Implementation
(7)
Education and Training
(6)
Emergency Care
(5)
Human and Environmental Factors … These topics include human factors approaches to improve patient safety, patient safety measure development … Grant Number: R03 HS 027231-A1 Topic(s): Discharge Planning, Human Factors Approaches To Improve Patient … Grant Number: P30 HS 024380 Topic(s): Healthcare Facility Design, Human Factors Approaches To Improve
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teamstepps.ahrq.gov/patient-safety/resources/learning-lab/index.html
February 01, 2024 - This approach can involve evaluating the physical (built) environment, technological factors such as … Medication transitions: vulnerable periods of change in need of human factors and ergonomics . … This model showed how policies designed to affect those factors resulted in changes to outcomes. … IISE Trans Occup Ergon Hum Factors 2018;6(3-4):200-8.
Das P, et al. … In this risk score, X n represents baseline risk factors and in-hospital clinical factors, as well as
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teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
November 01, 2022 - Xiao, a human factors engineer, has studied and identified strategies to improve medication safety during … care transitions by using a human factors approach. … Using a human factors approach, Dr. … He is a member of the editorial board for the journal, Human Factors , and was named a Fellow of the … Human Factors and Ergonomics Society in 2021.
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teamstepps.ahrq.gov/patient-safety/resources/learning-lab/ripchdor-long-desc.html
April 01, 2022 - Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating … Hum Factors 2018;60(7):992-1007.
Jurewicz K, et al. … Proceedings of the Human Factors and Ergonomics Society Annual Meeting. 2018;62(1):469-73. https://journals.sagepub.com … The influence of traffic, area location, and other factors on operating room microbial load . … Proceedings of the Human Factors and Ergonomics Society Annual Meeting. 2017;61(1):696-700.
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teamstepps.ahrq.gov/chsp/about-chsp/index.html
May 01, 2021 - AHRQ’s goal is to understand the factors that affect health systems' use of patient-centered outcomes … However, little is known about the characteristics of high-performing health systems and the factors … Promote broad dissemination of findings on the characteristics of high-performing health systems and factors … Focus Areas of the Centers of Excellence
Market and Organizational Factors That Influence Implementation … Study how market and organizational factors influence the implementation of biomedical, health system