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www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
January 01, 2024 - Final Progress Report: Real-time assessment of risk factors for medication errors
Title of Project … Real-time assessment of risk factors for medication errors
Principle Investigator and Team Members … effects on or interaction with the intrinsic factors. … Lacking, however, are data specifically correlating
these factors with medication errors. … Real-time assessment of risk factors for medication errors.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-falls-rev.pdf
March 01, 2023 - NPSD Data Spotlight - Falls: Associated Factors and Clinical Outcomes
Falls: Associated
Factors and … Falls: Associated Factors and Clinical Outcomes Page | ii
Falls: Associated Factors and Clinical … , as well as extrinsic factors
like environmental factors.5 As such, this Spotlight seeks to examine … risk factors. … Figure 6 – Risk Factors Prior to Fall by Age and Sex
Falls: Associated Factors and Clinical Outcomes
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapamattabs.html
April 01, 2018 - Risk Factors Associated with Prosthetic Joint Infection Following Total Joint Arthroplasty * … Risk Factors
Barbari et al. 3
Postoperative surgical site infection
NNS risk … Risk Factors Associated with Prosthetic Joint Infection Following Total Hip Arthroplasty * … Risk Factors
Urquhart et al. 12
Longer duration of surgery †
Illness severity … Risk Factors Associated with Prosthetic Joint Infection Following Total Knee Arthroplasty
Risk
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapp.html
April 01, 2018 - Focus Group Risk Factors
Previous Page Next Page
Table of Contents
Improving the Measurement … 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/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3.html
November 01, 2014 - Case Selection Factors for Included Organizations
Previous Page Next Page
Table of Contents … Hospital
Grand Hospital Center
Heights Hospital
Central Hospital
Lakeview Healthcare (LHC)
Factors
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
April 01, 2018 - Multiple studies have shown both surgical and anesthesia durations as risk factors. … Most institutions stratify patients according to risk factors based on the NNIS-Index. … Risk factors were identified for SSI by case-control analysis. … However, these factors closely approached but did not reach statistical significance. … Risk Factors for Prosthetic Joint Infection: Case-Control Study – Berbari et al.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapj.html
April 01, 2018 - Additional Risk Factors
Previous Page Next Page
Table of Contents
Improving the Measurement … 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/ncepcr/tools/PCMH/contextual-factors.pdf
June 01, 2013 - Below we describe three steps in assessing and reporting contextual factors. … Step 1: Identifying Relevant Contextual Factors
Trying to understand the relevant contextual factors … Factors within microsystems and the QI
team are hypothesized to directly shape QI success; factors within … recently completed work related to
tracking and reporting contextual factors. … Uses of Contextual Factors in Research
III. Advantages
IV. Limitations
V.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2.html
November 01, 2014 - Factors Considered in Organization Selection
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Table of Contents … Horizon Hospital—Lakeview Healthcare
Factors
Categories
Organizational
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www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
January 01, 2024 - Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related … in Older Adults
AHRQ Grant Final Progress Report
Prescription Opioid Use Trajectories and Risk Factors … Key Words: trajectories of prescription opioid dose, predisposing factors, prognostic
factors, opioid-related … Table 2: Summary of measures for prognostic factors
Factors Claims-based algorithm for identifying … : The team prioritized two predisposing factors: clinical conditions
and medication use.
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www.ahrq.gov/research/findings/final-reports/stpra/stpraaparef.html
September 01, 2018 - Risk infection factors in the total hip replacement. … Incidence and risk factors for surgical infection after total knee replacement. … Risk factors for prosthetic joint infection: case-control study. … Infectious risk factors related to operating rooms. … Risk factors for postoperative infection.
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www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
January 01, 2025 - Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting
Project … Scope
Background - Systems Factors
System factors that affect patient safety in diagnostic imaging … These sources provide insight into factors that impact patient safety. … Some of these factors are related to task
complexity and internal environment. … Other Factors Contributing to Diagnostic Errors (Unscheduled Exams)
17.
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www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article7.html
June 01, 2014 - to realign those factors and effectively reduce variance. … Table 5 lists the risk factors and recommended interventions.
Table 5. … Lewis, Ph.D., National Center for Human Factors in Healthcare, 3007 Tilden St. … Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. … .: National Center for Human Factors Engineering in Healthcare; 2012.
7.
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www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article7.html
June 01, 2014 - to realign those factors and effectively reduce variance. … Table 5 lists the risk factors and recommended interventions.
Table 5. … Lewis, Ph.D., National Center for Human Factors in Healthcare, 3007 Tilden St. … Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. … .: National Center for Human Factors Engineering in Healthcare; 2012.
7.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14283-Dresselhaus-draft-1.pdf
September 29, 2005 - Final Progress Report: Real-time assessment of risk factors for medication errors
Title of Project … Real-time assessment of risk factors for medication errors
Principle Investigator and Team Members … effects on or interaction with the intrinsic factors. … Lacking, however, are data specifically correlating
these factors with medication errors. … Real-time assessment of risk factors for medication errors.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - Negative Factor
Positive Factor
Patient
Factors
Technical Factors … Health Care Worker
Factors
Team
Factors
Institutional Factors … Health Care Worker Factors
Team
Factors
Institutional Factors … Health Care Worker
Factors
Team
Factors
Institutional Factors … Health Care Worker
Factors
Team
Factors
Institutional Factors
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
October 01, 2024 - Negative contributing factors are factors that harmed or increased the risk of harm for patients. … Positive contributing factors are factors that limited the impact of harm for patients. … Factors
Negative Contributing Factors
Positive Contributing Factors
Patient Factors (related to clinical … factors
Enter interventions
Enter leader
Enter dates
Enter contributing factors
Enter interventions … Enter contributing factors
Enter interventions
Enter leader
Enter dates
Enter contributing factors
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/quarterlysum.html
November 01, 2017 - Sample Quarterly Summary of Falls Risk Factors by Unit
On-Time Quarterly Summary of Falls Risk Factors … Sample Quarterly Summary of Falls Risk Factors by Unit (continued)
High-Risk Change in Condition … Sample Quarterly Summary of Falls Risk Factors by Unit (continued)
New Contributing Risk … Sample Quarterly Summary of Falls Risk Factors by Unit (continued)
Injury
Totals
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/faclevel.html
November 01, 2017 - Sample Quarterly Summary of Falls Risk Factors by Facility
On-Time Facility-Level Quarterly Summary … of Falls Risk Factors
Date: ___/___/___
High-Risk Existing Conditions
Mental … Sample Quarterly Summary of Falls Risk Factors by Facility (continued)
High-Risk Change in … Sample Quarterly Summary of Falls Risk Factors by Facility (continued)
New Contributing Risk … Sample Quarterly Summary of Falls Risk Factors by Facility (continued)
Injury
Totals
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapi.html
April 01, 2018 - Initial Risk Factors
Previous Page Next Page
Table of Contents
Improving the Measurement … 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.