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www.ahrq.gov/pcor/strategic-framework/investments.html
July 01, 2023 - An equity lens provides a deliberate focus on understanding and addressing factors at multiple levels … of influence (policies, systems, and environmental factors; institutional and organizational factors … ; community-level factors; and individual factors) that can advance fair and just opportunities to attain
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
August 01, 2022 - Causal factor: the suspected or confirmed factors that caused the adverse event. … Often, multiple factors must intersect for an adverse event to reach the patient. … Labeling one or even several of these factors as "causes" may place undue emphasis on a single specific … The purpose of the event review and analysis is to help clarify the causal factors. … Event review: the overall process of assessing an adverse safety event to determine contributing factors
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
December 01, 2017 - Hospital
Departmental Factors
Work Environment
Team Factors
Individual Provider
Task Factors … Your institution, hospital factors, departmental factors, work environment, and team factors all contribute … SAY:
Keep track of these key factors.
18
LFD Tool Contributing Factors
Learning From Defects 19 … Identify the top contributing factors. … The goal is to tease out systemic factors that contribute to errors and improve upon those factors.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/vu_physician_patient_harms.pdf
June 02, 2025 - of health issues, little is
known about how physicians think about these screening services or the
factors … For every patient, physicians must weigh different factors that influence a
screening decision, including … Gaining insights about which
factors physicians consider and how they handle conflicting information … Do physicians know about the harms of screening tests and consider
them in relation to other factors … What factors are most important for physicians when making screening
recommendations?
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www.ahrq.gov/research/findings/final-reports/index.html?page=3
January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … 9
… More pages
next ›
››
last »
Last »
Analysis of Factors … Principal Investigators: Sarcevic Grant Number: R03 HS 026057 Topic(s): Human and Environmental Factors … : Communication and Teamwork, Health Information Technology and Health Information Exchange, Human Factors … Grant Number: R03 HS 25548 Topic(s): Human and Environmental Factors, Measure Development, Measure
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www.ahrq.gov/research/findings/final-reports/index.html?page=4
January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Grant Number: P30 HS 023506 Topic(s): Human Factors Approaches To Improve Patient Safety, Patient Safety … Grant Number: R18 HS 024679 Topic(s): Healthcare Facility Design, Human Factors Approaches To Improve … , Human Factors Approaches To Improve Patient Safety, Patient Safety Learning Laboratory Publication … Grant Number: R18 HS 024887 Topic(s): Healthcare Facility Design, Human Factors Approaches To Improve
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www.ahrq.gov/research/findings/final-reports/index.html?page=14
January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … pdf 955307 ) Principal Investigators: Karsh, et al Grant Number: P20 HS 017115 Topic(s): Human Factors … Grant Number: P20 HS 017139 Topic(s): Human and Environmental Factors, Measure Development, Measure … Grant Number: U18 HS 015906 Topic(s): Human and Environmental Factors, Human Factors Approaches To … Grant Number: R03 HS 015732 Topic(s): Healthcare Facility Design, Human Factors Approaches To Improve
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide4.html
October 01, 2022 - Minor ambulatory surgery unless multiple strong risk factors. … The model includes a scoring system with several sets of risk factors. … They included risk factors that developed during the hospital stay as well as factors present on admission … or multiple other risk factors. 14 Note that several of these risk factors are also frequently listed … as risk factors for VTE.
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
October 01, 2022 - Minor ambulatory surgery unless multiple strong risk factors. … The model includes a scoring system with several sets of risk factors. … They included risk factors that developed during the hospital stay as well as factors present on admission … or multiple other risk factors. 14 Note that several of these risk factors are also frequently listed … as risk factors for VTE.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d8_pdi_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.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess3.html
October 01, 2014 - What are his risk factors for falling? … P
What are his risk factors for falling? … of risk factors. … The second group of risk factors has to do with the environment.
… Risk Factors Related to the Resident
The most important risk factors for falls having to do with the
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
November 01, 2017 - Contextual Factors Report (by Unit or Facility) . … of Falls Risk Factors report. … Slide 31: Contextual Factors Report
Say:
Now let’s begin by going over the Contextual Factors Report … Slide 32: Contextual Factors Report
Say:
The Contextual Factors Report displays information for … Contextual Factors Report by Month handout.
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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 .
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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
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapa.html
April 01, 2018 - Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. … listing SSI risk factors. … Task 3
The list of identified risk factors is to include all factors-including modifiable/non modifiable … Task 3
The list of identified risk factors is to include all factors—including modifiable/non modifiable
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d8_pdi_projectevaluation.pdf
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.
3. … EVALUATION
What factors helped the team succeed? What factors hindered the team’s success?
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh47.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.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh51.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.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/148-investigating-defect-lfd-worksheet.docx
June 02, 2025 - Safety Program for MRSA Prevention
Investigating A Defect Worksheet
ICU & Non-ICUTop Contributing Factors … What Are the Top Contributing Factors? … Enter contributing factors
Key Metric(s): How Do We Identify and Measure the Defect?