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Showing results for "factors".

121. 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

122. Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/neonatal-interfacility-transfers-long-desc.html
     January 01, 2025 - Patient factors:  Age, weight, gestation,  Vital signs (temperature, heart rate, respiratory rate),  … Proc Hum Factors Ergon Soc Annu Meet  2023;67(1):79-85. Fang JL, et al. … Neonatal vital sign trajectories and risk factors during transport within a regional care network . … Proc Hum Factors Ergon Soc Annu Meet  2023;67(1):79-85. Greene ND, et al.  … Neonatal vital sign trajectories and risk factors during transport within a regional care network .

123. Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
     January 01, 2024 - Key words: patient safety, medical error, medical malpractice, litigation, human factors 2 2. … To assess how the errors and contributing factors identified in claims file analysis compare to those … For the rest, reviewers considered the potential contributory role of 17 “human factors” in causing … We found that systems factors played a critical role in the occurrence of errors. … setting was 3; 59% had >3 contributing factors, 27% had >4, and 13% had >5

124. Learning and Performance Objectives | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3obj.html
     October 01, 2014 - Risk factors for falls. Which residents are at high risk of falling. … Use particular interventions for particular risk factors.

125. Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality
     www.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

126. 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.

127. 110-Ss-Lfd-Sample (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
     April 01, 2025 - 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. … N/A Other: N/A Prioritizing Factors Review the list of contributing factors above and identify

128. 5. How do you measure fall rates and fall prevention practices? | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
     January 01, 2013 - per 1,000 occupied bed days), (2) at least one or two care processes (e.g., assessment of fall risk factors … For each patient, determine the patient's identified risk factors. … Determine whether each patient's unique fall risk factors are addressed in the care plans. … Repeat steps 1-5 for a sample of patients whose fall risk factors changed during the hospital stay. … Determine whether the care plan was updated when risk factors changed.

129. 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

130. Appendix B: Risk Assessment Models, Protocols, and Order Sets | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/vtguide/appb.html
     May 01, 2016 - /link for more risk factors). … years without medical risk factors UFH. … Absence of medical risk factors listed above. … Major surgery, age 16-40 years with no other risk factors. … Factors Prophylaxis High Acute diseases with/without VTE risk factors.

131. 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.

132. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiexecsum.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. … The approach for screening additional risk factors, analytic results, and recommendations are presented

133. 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 … ) Principal Investigators: Halpern Grant Number: K08 HS 18406 Topic(s): Human and Environmental Factors … Number: K08 HS 18465 Topic(s): Medication Safety Publication Date: July 2014 Contextual Factors … Measure Development, Measure Implementation, Medication Safety Publication Date: July 2014 Factors … Grant Number: R03 HS 021332 Topic(s): Diagnostic Safety, Human and Environmental Factors, Simulation

134. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=19
     January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Investigators: Linzer and Schwartz Grant Number: R01 HS 11955 Topic(s): Human and Environmental Factors … Grant Number: R01 HS 012032 Topic(s): Human and Environmental Factors Publication Date: September … Grant Number: R03 HS 013464 Topic(s): Emergency Care, Human and Environmental Factors Publication Date … Grant Number: UC1 HS 014259 Topic(s): Human Factors Approaches To Improve Patient Safety, Medication

135. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=16
     January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Investigators: Hanchate, Ash, and Stukel Grant Number: R03 HS 015617 Topic(s): Human and Environmental Factors … Grant Number: P01 HS 011530 Topic(s): Human and Environmental Factors, Human Factors Approaches To … 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

136. Figure 1-2: Williams, Lavizzo-Mourey, and Warren's framework for under | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1fig12txt.html
     April 01, 2018 - Macrosocial factors (historical conditions, economic structures, political order, legal codes, and social … Geographic origins & biological factors (morphological, physiological, biochemical, or genetic). … Risk factors & resources (health behaviors, stress, medical care, social ties, psychological, cultural … , or religious factors). … An arrow points down from Social statuses to Risk factors & resources ; an arrow "tree" also points

137. Help People Use Health Care Quality Information To Make Decisions | Agency for Healthcare Research and Quality
     www.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.

138. Final Progress Report: The Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/mcalearney-report.pdf
     September 29, 2020 - Hum Factors. 60(3):281-92. PMID:29533682 20. … Human Factors in Healthcare Symposium, Chicago, IL, Mar 24, 2019. 72. … Human Factors in Healthcare Symposium, Chicago, IL, Mar 24, 2019. 73. … Human Factors in Healthcare Symposium, Chicago, IL, Mar 24, 2019. 74. … Human Factors in Healthcare Symposium, Chicago, IL, Mar 24, 2018. 76.

139. Appendix C: "Long List" of Delivery System Research Areas | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapc.html
     February 01, 2014 - What are the factors that influence this? … What factors encourage or discourage the use of the process? … What factors encourage or discourage the use of the process? … What factors encourage or discourage the use of the process? … Factors promoting patient engagement What organizational structural, cultural, and process factors

140. Fallpxtool3H-Update (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3h-update.docx
     March 04, 2021 - 3H: Morse Fall Scale for Identifying Fall Risk Factors Background: This tool can be used to identify … risk factors for falls in hospitalized patients. … The total score may be used to predict future falls, but it is more important to identify risk factors … using the scale and then plan care to address those risk factors. … Note that this scale may not capture the risk factors that are most important on your hospital ward,