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Showing results for "factors".

121. 004-Cusp-Learning-From-Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
     October 01, 2024 - There are usually numerous contributing factors behind each defect. … To truly understand the cause and the factors, ask “why” five times to drill down to the root. … Slide 13 Contributing Factors SAY: Contributing factors often include the following: · Patient factors … Team factors, related to teamwork and communication · Institutional factors, related to the institution … contributing factors, the CUSP team sorted them using the cause-frequency grid.

122. 023-Ss-Cusp-Learning-From-Defects-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
     April 01, 2025 - There are usually numerous contributing factors behind each defect. … To truly understand the cause and the factors, ask “Why” five times to drill down to the root. … Slide 13 Contributing Factors SAY: Contributing factors often include the following: · Patient factors … Team factors, related to teamwork and communication · Institutional factors, related to the institution … contributing factors, the CUSP team sorted them using the cause-frequency grid.

123. On-Time Falls Prevention: Electronic Reports (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
     June 02, 2025 - • Quarterly Summary of Falls Risk Factors by Unit or Facility. … • Monthly Contextual Factors Report. • Postfall Assessment Summary Report. … Sample Quarterly Summary of Falls Risk Factors by Unit On-Time Quarterly Summary of Falls Risk Factors … Report Description The Quarterly Summary of Fall Risk Factors Report is a count of risk factors associated … Sample Monthly Contextual Factors Report by Facility Monthly Contextual Factors Report Date: ___/__

124. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/131-ss-swiss-cheese.pptx
     April 01, 2025 - Surgical Services The Swiss Cheese Model Systems Impact Safety2 Institutional Hospital Departmental Factors … Work Environment Team Factors Individual Provider Task Factors Patient Characteristics | 7 AHRQ Safety … | 9 AHRQ Safety Program for MRSA Prevention | Surgical Services The Swiss Cheese Model System Factors … | 10 AHRQ Safety Program for MRSA Prevention | Surgical Services The Swiss Cheese Model System Factors … Multiple factors contribute to patient outcomes.

125. Choosing Quality Measures (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/choosing/choosing.doc
     June 02, 2025 - Think Long Term · Consider All Available Measurement Tools · Think Fewer Measures · Develop a Plan Factors … · Identifies several factors State users may wish to consider when choosing quality measures. … · Reviews selected measures in terms of those factors. … Return to Contents Factors to Consider Many factors are involved in choosing which quality measures … The same factors can be used to assess any of these other measures.

126. Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
     May 30, 2008 - Step 3.2: Criteria – Performance-shaping factors. … The performance-shaping factors follow the framework presented by Charles Vincent as “factors that influence … Step 3.3: Criteria – Child-specific risk factors. … demonstrated how these factors contribute to patient safety risk. … Performance-shaping factors in health care 1.

127. 170-Cusp-Science-Safety-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
     October 01, 2024 - to recognize and address the underlying factors that can cause safety problems. … ) Task Factors (e.g., task is unclear, equipment not available) Provider Factors (e.g., insufficient … Slide 21 What System Factors Did You Identify? … These are just some of the system factors at play. … Some of these system factors were local, part of the microsystem providers worked in.

128. 124-Cusp-Science-Safety-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
     April 01, 2025 - to recognize and address the underlying factors that can cause safety problems. … ) Task Factors (e.g., task is unclear, equipment not available) Provider Factors (e.g., insufficient … factors that contributed to Marta’s rehospitalization and SSI? … These are just some of the system factors at play. … Some of these system factors were local, part of the microsystem providers worked in.

129. 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

130. Understand the Science of Safety for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
     July 01, 2023 - Slide 6: System-Level Factors Affect Safety 6 Image: Concentric circles show the layered impact of … Institutional factors, hospital factors, departmental factors, work environment factors, team factors … , individual provider factors and task factors all have an impact on patient safety. … Slide 7: System-Level Factors Can Predict Performance Examples of Impact of System-Level Factors … Communication failure: basic components, contributing factors, and the call for structure.

131. 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

132. PowerPoint Presentation
     www.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

133. Taxonomic Guidance for Remedial Actions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
     December 23, 2004 - Most often, removing any one of the factors might prevent the event. … such as organizational factors or environmental-shaping factors that contributed to the event. … Other shaping factors include external factors, environmental factors, and organizational factors. … Two of these factors are expanded in the fourth tier (see Figure 3). … The table lists fixing environmental factors first.

134. 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

135. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=1
     January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Grant Number: R01 HS 026134 Topic(s): Human and Environmental Factors Publication Date: April 2023 … Grant Number: R18 HS 026609 Topic(s): Diagnostic Safety, Human Factors Approaches To Improve Patient … Investigators: Weinger and France Grant Number: R18 HS 026616 Topic(s): Human and Environmental Factors … Grant Number: R03 HS 027231 Topic(s): Discharge Planning, Human Factors Approaches To Improve Patient

136. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=20
     January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … 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 … Grant Number: U18 HS 11279 Topic(s): Human Factors Approaches To Improve Patient Safety, Patient Safety

137. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
     July 01, 2018 - System-Level Factors Affect Safety 9 Slide 8. Safety is a Property of the System Slide 9. … System-Level Factors Can Predict Performance Slide 10. … show the layered system-level factors that affect patient safety: institutional factors, hospital factors … , departmental factors, work environment factors, team factors, individual provider factors, and task … factors all have an effect on patient safety.

138. Chapter 6. Conclusions and Recommendations | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssi6.html
     April 01, 2018 - Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. … Final Risk Factors Appendix L. … Focus Group Risk Factors Appendix Q. Surgeon Focus Group Content Analysis Appendix R. … We need to investigate risk factors as surgery specific. … Validate risk factors more broadly on a national scale.

139. TO (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d8_combo_projectevaluation.docx
     June 02, 2025 - 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.

140. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
     August 01, 2022 - Redesign of system factors. … This information is the starting point in determining the contributing factors. … to build consensus around these 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