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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-5.html
September 01, 2021 - Although, many factors that contribute to diagnostic error in maternal health are unknown, there are … More research is needed to identify related factors that contribute to diagnostic error and to determine
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
June 01, 2021 - List factors that may compromise patient safety. … Review list of factors that contributed to the incident. … Check off factors that negatively contributed and positively contributed to the incident. … factors limited the impact
of harm
14
Changing the System
14
What Could You Do To Reduce the … Human factors and behavioral safety. Butterworth-Heinemann. 2007; 130–1.
Kamoun G, Nicho M.
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - Slide 17: System Factors Impact Safety 3
Image: Funnel of factors that impact patient safety: … Departmental factors.
Work environment.
Team factors.
Individual provider.
Task factors. … As you identify contributing factors, try to go deeper. … Other Factors
Hospital environment : Transfer across units. … Identify the top three contributing factors.
Share those factors with your staff.
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www.ahrq.gov/patient-safety/resources/vtguide/guide4.html
May 01, 2016 - 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/fallpxtoolkit/fallpxtool3g.docx
January 29, 2013 - 3G: STRATIFY 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,
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh15.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/ssiexh27.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/ssiexh21.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/ssiexh20.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/ssiexh4.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/ssiexh25.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/ssiexh26.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/ssiexh7.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/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
January 01, 2017 - Slide 5
System Factors Impact Safety
SAY:
Each level of the health care delivery system matters. … SAY:
The following are all factors that impact safety in the health care system:
· Institutional factors … , such as the economic and regulatory state of your organization
· Hospital factors, such as financial … support
· Work environment factors, such as shift patterns and equipment maintenance
· Team factors, … , skills, and motivations
· Task factors, such as clarity of structure and accuracy of test results
·
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/chsp-fact-sheet-0717.pdf
October 01, 2016 - AHRQ’s goal is to understand the factors that
affect health systems’ use of patient-centered outcomes … However, little
is known about the characteristics
of high-performing health systems
and the factors … Promote broad dissemination of
findings on the characteristics of
high-performing health systems
and factors … Focus Areas of the Centers of Excellence
Market and organizational factors that influence implementation … These factors include:
• Financial and nonfinancial incentives.
• Health information technology.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapt.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. … We hypothesize that improved risk adjustment is due to consideration of these extra risk factors.
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www.ahrq.gov/news/newsletters/e-newsletter/896.html
January 01, 2024 - Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery
Issue Number
896
AHRQ … Today's Headlines:
Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery . … Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery
AHRQ-funded researchers identified … nine factors that increased a patient’s risk for developing pneumonia following cardiac surgery, including … AHRQ Understanding and Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh59-61.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/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
June 16, 2017 - How a standardized assessment of fall risk factors should be conducted. … How risk factors should be incorporated into care planning. … Add unit-level risk factors as needed. … Choose a tool for assessing risk factors. … Develop fall prevention care plan based on identified risk factors.
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
June 01, 2012 - What are his risk factors for falling? … Risk Factors Related to the Resident
The most important risk factors for falls having to do with the … , environmental factors, and factors in care or equipment. … Risk factors are always present. We all have risk factors for falls. … tailored to those risk factors.