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teamstepps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
September 01, 2017 - For example, you may consider adding specific fields for contributing factors to falls (such as high-risk … Instructor’s Note: The hospital may have agreed to use another scale or a simple checklist of risk factors … Slide 41
Say: For risk factor assessment to make a difference, all risk factors identified … on the part of staff and a tailored approach to each patient based on the individual patient’s risk factors
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/897.html
January 01, 2024 - Nurses' perception of medication administration errors and factors associated with their reporting in … Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff … Hum Factors 2024 Jan;66(1):271-93. Epub 2022 Jun 5. Access the abstract on PubMed®.
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teamstepps.ahrq.gov/patient-safety/patients-families/engagingfamilies/index.html
March 01, 2023 - A description of factors that influence patient and family engagement, including characteristics and … perspectives of patients, families, health care professionals, and hospital organizational and cultural factors
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teamstepps.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysets_slides.html
July 01, 2013 - same outcome Conjunctural causation: impact of one factor contingent on presence or absence of other factors … 21 Level 3 PCMH clinics, low preventive service use (PSUTD) was found to be related to a variety of factors … Slide 18 Truth Table Analysis Results
Another example: factors associated with low performance on Optimal … Identifies interactions between contextual and instrumental factors. … Supports linkage between implementation and impact factors.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar01/sl_fuzzyset.ppt
May 14, 2013 - same outcome
Conjunctural causation: impact of one factor contingent on presence or absence of other factors … 21 Level 3 PCMH clinics, low preventive service use (PSUTD) was found to be related to a variety of factors … with (complements) statistical methods
Identifies interactions between contextual and instrumental factors … Supports linkage between implementation and impact factors
blueshieldca.com
Limitations of fsQCA … eligible and solid denominator for targeted
Quantitative result of “Patient Clinical Outcome”
Many factors
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teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
August 01, 2022 - The boxes represent different categories of contributing factors. … The major contributing factors are the focus of the solutions meeting.
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teamstepps.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
September 01, 2016 - Carayon’s research belongs to the discipline of human factors engineering, in particular macroergonomics … She has developed human factors and systems engineering methods and the SEIPS model to improve patient … Lauer Safety Award from the Human Factors and Ergonomics Society for contributions to the human factors … She is the editor of the Handbook of Human Factors and Ergonomics in Health Care and Patient Safety … Return to Summit Agenda
Kerm Henriksen, PhD Senior Advisor, Human Factors and Patient Safety Agency
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teamstepps.ahrq.gov/research/findings/studies/index.html?page=484
January 01, 2024 - Rural/Inner-City Residents
(23)
Rural Health
(133)
Screening
(457)
Sepsis
(140)
Sex Factors … The authors investigated factors related to variation in hospital-level emergency department (ED) admission … The researchers determined those factors that are associated with nursing homes' success in implementing … They concluded that the learning from On-Time QI offers several lessons associated with facility factors … Exploratory study of nursing home factors associated with successful implementation of clinical decision
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/901.html
February 01, 2024 - AHRQ Views: 20 Years of Innovation From the Digital Healthcare Research Program
Study Highlights Factors … Study Highlights Factors Influencing Provider Burnout in Federally Qualified Health Centers
Pressures … Prevalence, contributing factors, and interventions to reduce medication errors in outpatient and ambulatory
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teamstepps.ahrq.gov/teamstepps/instructor/fundamentals/module5/ebsitmonitor.html
March 01, 2014 - Hum Factors 1995;37(1):20-31.
Flin R, Yule S, Paterson-Brown S, et al. … Hum Factors 1995;37(1):123-36.
Mohammed S, Ferzandi L, Hamilton K. … Hum Factors 1999;41(1):61-71.
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teamstepps.ahrq.gov/teamstepps-program/curriculum/situation/tools/safe.html
June 01, 2023 - Attempting to “fix” behaviors of others without an awareness of the factors that may be causing them … What factors inhibit you or others from saying you are not safe or contribute to an inability to do so
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - Subspecialty and referral-specific factors; and
5. … Patient-related factors.24
Diagnostic performance is the outcome of these processes within a complex … affecting diagnostic performance and measurement, such as payment systems, legal factors, national … The pursuit of better diagnostic performance: a human factors perspective. … Factors associated with
diagnostic error on admission to a PICU: a pilot study.
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/828.html
August 01, 2022 - alert overrides highlights the need for decision support systems that take user, drug and institutional factors … Association of social risk factors with home dialysis and kidney transplant rates in dialysis facilities … Factors associated with telemedicine use for chronic disease specialty care in the Alaska Tribal Health
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teamstepps.ahrq.gov/policymakers/hrqa99a.html
October 01, 2014 - health care services are organized, delivered, and financed and the interaction and impact of these factors … Congress a report regarding prevailing disparities in health care delivery as it relates to racial factors … and socioeconomic factors in priority populations.
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teamstepps.ahrq.gov/talkingquality/measures/types.html
July 01, 2015 - seem to represent the “gold standard” in measuring quality, but an outcome is the result of numerous factors … differing characteristics within a population, such as patient health status—can help account for these factors
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teamstepps.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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teamstepps.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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teamstepps.ahrq.gov/news/newsroom/case-studies/202301.html
March 01, 2023 - Approach training, they adopted an electronic tool that allows the healthcare team to monitor risk factors … When risk factors are identified, patients have a conversation with VA healthcare providers, particularly
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teamstepps.ahrq.gov/evidencenow/projects/heart-health/research-results/research/national.html
March 01, 2021 - Identify the practice, organization, and contextual factors associated with higher and lower levels of … improving the delivery of ABCS services over time in relation to practice, organization, and contextual factors … The national evaluation team has used qualitative methods to identify contextual factors in each region
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teamstepps.ahrq.gov/ncepcr/funding/index.html
April 01, 2024 - Funding Available for Incidence and Contributing Factors to Understanding and Improving Diagnostic Safety … AHRQ is interested in learning about the incidence and contributory factors of diagnostic error within