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teamstepps.ahrq.gov/news/newsletters/e-newsletter/894.html
December 01, 2023 - Grantee Applies Human Factors Approach to Healthcare Systems To Improve Safety . … Grantee Applies Human Factors Approach to Healthcare Systems To Improve Safety
AHRQ grantee Rollin … Used in safety-critical industries like aviation, a human factors approach seeks to understand the factors … also a professor of emergency medicine at Georgetown University School of Medicine, has used human factors … JMIR Hum Factors 2023 Sep 12;10:e45957. Access the abstract on PubMed®.
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teamstepps.ahrq.gov/funding/grantee-profiles/index.html
April 01, 2024 - Founding Director, Johns Hopkins Center for Health Care Human Factors
Armstrong Institute for Patient … More >>
Human Factors in Surgery: Shifting the Paradigm on Patient Safety
Kenneth Catchpole, Ph.D … Medicine
Medical University of South Carolina “Human factors engineering in clinical settings is still … More >>
Applying Human Factors to Make it Easier for Clinicians to Do Their Jobs
Kristen E. … Senior Scientific Director
National Center for Human Factors in Healthcare
MedStar Health, Washington
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teamstepps.ahrq.gov/research/findings/final-reports/index.html?page=7
December 01, 2007 - 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 … Safety Publication Date: December 2006
Medication Error Reduction, Technologies, and Human Factors … Grant Number: UC1 HS 014253 Topic(s): Human Factors Approaches To Improve Patient Safety, Medication
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - $77,739 in additional charges.4
Recommended Practice Details of Recommended Practice
Assess risk factors … Develop a set of risk factors for postoperative respiratory
failure and screen all patients undergoing … Recommended Practice: Assess risk factors
• Determine which pediatric patients are at increased risk … adverse events postoperatively, as well as improve
allocation of resources after surgery.5
• Some risk factors … • Additional adult risk factors that are applicable to children are:
o Smoking.
o Obesity.
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teamstepps.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/nyc.html
March 01, 2021 - 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 achieving … 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 … Population Health Summit, 2016]
Using Practice Facilitation in primary care settings to reduce risk factors
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-OH-profile.pdf
September 01, 2021 - The state
has a high burden of cardiovascular disease (CVD) and substantial disparities in
CVD risk factors … Smoking rates are higher in Ohio’s geographic regions with lower
socioeconomic factors mirroring the … Determine patient, provider, clinic, and other contextual factors associated
with greater improvements … implementation,
maintenance, and efectiveness of the heart healthy QIP overall
and by subgroup; and (3) factors
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teamstepps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html
February 01, 2024 - Fall prevention involves managing a patient's underlying fall risk factors and optimizing the hospital's … What is a standardized assessment of risk factors for falls, and how should this assessment be conducted … How should identified risk factors be used for fall prevention care planning?
3.5.
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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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