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Showing results for "factors".

101. Final Progress Report: Patient Safety and the Primary Care Testing Process (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/elder-report.pdf
     January 01, 2025 - Learn human factors engineering theory, methods, and application 2. … Factors, WSU  Independent readings in patient safety and human factors  Phone consultation with human … factors experts o Dr. … Communication factors in the follow-up of abnormal mammograms. … Working memory and the design of health materials: a cognitive factors perspective.

102. Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/anesthesia-medication-long-desc.html
     January 01, 2025 - Hum Factors Health  2023 Dec 1;4:100049. 2022 Alfred MC, et al. … Hum Factors Health 2022 Dec 1;2:100026. Biro J, et al. … Proc Hum Factors Ergon Soc Annu Meet  2020 Dec;64(1):653-657.  Biro JM. … Hum Factors Health 2022 Dec 1;2:100026. Biro JM.  … Hum Factors Health 2023 Dec 1;4:100049. Sims H, et al. 

103. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
     November 01, 2017 - Quarterly Summary of Falls Risk Factors by Unit or Facility . … Sample Quarterly Summary of Falls Risk Factors by Unit On-Time Quarterly Summary of Falls Risk Factors … Identify resident risk factors that may have caused a fall. … Report Description The Quarterly Summary of Fall Risk Factors Report is a count of risk factors … Sample Monthly Contextual Factors Report by Facility Monthly Contextual Factors Report                                          

104. Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) | Agency for Healthcare Research and Quality
     www.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.

105. Learn From Defects Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
     December 01, 2017 - Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety … Individual provider factors Team factors Work environment … Departmental factors Hospital factors Institutional factors … Focus your efforts on the most important contributing factors. … Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety

106. Appendix U. Improving the Measurement of Surgical Site Infection (SSI) Risk Stratification and Outcome Detection | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiapu.html
     September 01, 2018 - Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. … Final Risk Factors Appendix L. … Identifying Potential Risk Factors: Surgeon PI used experience with SSIs and a list of risk factors … Risk factors were procedure-specific. … Probably should focus only on nonmodifiable risk factors (eg, obesity) and not surgeon factors (duration

107. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
     February 01, 2017 - Departmental factors, such as staffing levels and managerial support. … Here is an example of a contributing factors chart from the LFD tool. … Slide 18: LFD Tool Contributing Factors Say: Repeat this exercise and document any team factors … Ask: What factors contributed to, minimized, or prevented harm? … Slide 19: LFD Tool Contributing Factors Say: Do the same with factors in your local environment

108. Exhibit 50. Model for continuous quality improvement in reducing surgical site infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiexh50.html
     April 01, 2018 - Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. … Final Risk Factors Appendix L. … Final data sheet submitted by each site that included the list of potential SSI risk factors and other … Focus Group Risk Factors Appendix Q. Surgeon Focus Group Content Analysis Appendix R. … arrow from the SSI rate points rightward and downward to an oval labeled "ID (Infectious Disease) Risk Factors

109. Final Progress Report: Determinants of Intrapartum Quality of Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/bailit-aron-love-report.pdf
     January 01, 2024 - Lastly, we added structural factors and process factors to the final risk-adjustment model to look for … only 0.764 (0.763, 0.765) 0.1141 80.58 85.16 Maternal factors + all hospital structural factors … 0.768 (0.766,0.770) 0.1194 79.47 84.77 Maternal factors + modifiable hospital structural factors … only 0.764 (0.763, 0.765) 0.1141 80.58 85.16 Maternal Factors + all process and structural factors … Process factors are more difficult to interpret.

110. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=0
     December 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Grant Number: R01 HS 025752 Topic(s): Diagnostic Safety, Emergency Care, Human and Environmental Factors … Investigators: Evans Grant Number: R01 HS 028340 Topic(s): Emergency Care, Human and Environmental Factors … et al, Grant Number: R18 HS 027259 Topic(s): Care Coordination, Communication and Teamwork, Human Factors … Grant Number: R18 HS 026625 Topic(s): Human Factors Approaches To Improve Patient Safety, Medication

111. Engineering Safe Care Journeys for Vulnerable Older Adults | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/safe-care-journeys-long-desc.html
     January 01, 2025 - Hum Factors 2024;66(3):701-713.  2023 Barton HJ, et al. … JMIR Hum Factors 2023 Mar 9;10(1):e43729. Hoonakker PL, et al. … Hum Factors Health  2023 Dec;4:100059. Wust McBroom K. … Proc Hum Factors Ergon Soc Annu Meet  2020 Dec;64(1):648-652. Werner NE. … Proc Hum Factors Ergon Soc Annu Meet  2022 Sep;66(1):848-852.

112. Research Agenda | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.html
     September 01, 2021 - ]. 15 Cognitive and system errors are major contributing factors to diagnostic error. … diagnosis. 19 System errors are major contributing factors to diagnostic error. … Identify institutional factors that contribute to diagnostic error, including policies and cultural factors … Explore teamwork factors associated with prompt response to [maternal hemorrhage]. … Explore which factors promote real-time quantification and discussion of blood loss.

113. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
     January 01, 2017 - SAY: The following are all factors that impact safety in the health care system: · Institutional factors … support · Work environment factors, such as shift patterns and equipment maintenance · Team factors, … Slide 17 LFD Tool Contributing Factors SAY: Repeat this exercise and document any team factors that … ASK: What factors contributed to, minimized, or prevented harm? … Slide 18 LFD Tool Contributing Factors SAY: Do the same with factors in your local environment.

114. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/002-cusp-learning-defects.pptx
     October 01, 2024 - There are numerous contributing factors behind each defect. … Ask “why” five times to drill down to the root of understanding each cause and the relevant factors. … outcomes.2-4 Capture all contributing factors before considering any interventions or solutions … factors, related to devices, procedures, and information technology Healthcare personnel factors, related … to members of the healthcare team Team factors, related to teamwork and communication Institutional

115. 129-Ss-Blank-Lfd (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
     April 01, 2025 - Negative contributing factors are those that harmed or increased the risk of harm for a patient. … Positive contributing factors limited the amount of harm. … Rate the most important contributing factors that relate to the incident. III. … Contributing Factors Domain Contributing Factors Negatively Contributed Positively Contributed … Protocol for determining risk factors for MRSA colonization in electronic health record.)

116. Learning From Defects
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
     April 01, 2025 - There are numerous contributing factors behind each defect. … outcomes.2-4 Capture all contributing factors before considering any interventions or solutions. … Ask “why” five times to drill down to the root of understanding each cause and the relevant factors. … factors, related to devices, procedures, and information technology Healthcare personnel factors, related … to members of the healthcare team Team factors, related to teamwork and communication Institutional

117. Improving the Measurement of Surgical Site Infection Risk Stratification and Outcome Detection
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
     September 18, 2011 - potential risk factors. … That initial list consisted of 88 risk factors for SSI. … used by his institution to identify potential risk factors. … That initial list consisted of 88 risk factors for SSI. … Risk factors identified from any surgical site were included in the list.

118. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=8
     January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Grant Number: K08 HS 019005 Topic(s): Emergency Care, Human and Environmental Factors, Risk Assessment … Grant Number: K01 HS 018987 Topic(s): Human Factors Approaches To Improve Patient Safety, Teamwork … Coordination, Health Information Technology and Health Information Exchange, Human and Environmental Factors … ) Principal Investigators: Halpern Grant Number: K08 HS 18406 Topic(s): Human and Environmental Factors

119. Final Progress Report: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infectious diseases (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf
     January 01, 2025 - We also investigated potential risk factors associated with diagnostic delays. … Risk factors for delay included urinary tract infection history and morbid obesity. … We also studied the frequency and risk factors for diagnostic delays of Dengue fever. … “Frequency, Duration of, and Risk Factors for Diagnostic Delays Associated with Sepsis.” … Frequency, Duration of, and Risk Factors for Diagnostic Delays Associated with Sepsis.

120. Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/schuur-report.pdf
     January 01, 2025 - aimed to address infection prevention in the emergency department, through 4 main domains: 1) human factors … to other settings and these factors directly affects the use of infection control practices. … Human Factors and Quality Improvement Prior to the conference, the workgroup focused on human factors … Attendees participated in exercises where they could apply the factors to the emergency department. … Other factors included: HIT processes are not always productive, consistency of cleaning processes,