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www.ahrq.gov/research/findings/final-reports/ssi/ssiapf.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/2024-03/strom2-report.pdf
January 01, 2024 - Briefly, the four projects studied patient and system factors that are predictive of
hospitalizations … and technical system factors. … Metlay, MD, PhD, Project Leader
Purpose: To identify predisposing factors for hospitalizations due … factors. … Risk
Factors for Nonadherence to Warfarin: Results from the IN-RANGE Study. In preparation.
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www.ahrq.gov/chsp/about-chsp/index.html
May 01, 2021 - 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 … Study how market and organizational factors influence the implementation of biomedical, health system
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar5_pu_riskassesst-tools.pdf
January 01, 2012 - Braden Scale Risk Factors
1. Sensory/perception
2. Moisture
3. Activity
4. Mobility
5. … Friction/shear
10
Braden Scale
11
Begins on
Page 134
How To Score Risk Factors
• Score risk … factors from 1 to 4 except—
– Score friction/shear from 1 to 3 … – Instead, use a comprehensive approach to risk
assessment to identify pressure ulcer risk factors … • To identify a patient’s risk factors
• To plan care that addresses these factors
– Prevention strategies
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
July 01, 2023 - Slide 6: System-Level Factors Affect Safety
Say:
As the illustration shows, at any given time, … there are several system factors that simultaneously influence unit culture and patient safety. … Task factors
In addition to patient characteristics, task factors can shape the delivery of care and … Team factors
Team factors may involve issues with teamwork, communication, inadequate supervision, and … Slide 7: System-Level Factors Can Predict Performance
Say:
When nurse-to-patient ratios exceed
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www.ahrq.gov/research/findings/final-reports/index.html?page=5
January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Principal Investigators: Li and Chang Grant Number: R03 HS 024633 Topic(s): Human and Environmental Factors … application/pdf 524873 ) Principal Investigators: Blocker Grant Number: R13 HS 025876 Topic(s): Human Factors … /pdf 1331932 ) Principal Investigators: Sapirstein Grant Number: P30 HS 023553 Topic(s): Human Factors … Number: R18 HS 022860 Topic(s): Health Information Technology and Health Information Exchange, Human Factors
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www.ahrq.gov/research/findings/final-reports/index.html?page=12
January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Principal Investigators: Landrigan Grant Number: R03 HS 17357 Topic(s): Human and Environmental Factors … ) Principal Investigators: Secola Grant Number: R36 HS 019103 Topic(s): Human and Environmental Factors … Grant Number: R03 HS 017554 Topic(s): Human and Environmental Factors Publication Date: March 2011 … Grant Number: R03 HS 016418 Topic(s): Emergency Care, Human and Environmental Factors, Pediatrics Publication
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www.ahrq.gov/research/findings/final-reports/index.html?page=17
January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Principal Investigators: Zimring Grant Number: R13 HS 015962 Topic(s): Healthcare Facility Design, Human Factors … 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 … Grant Number: UC1 HS 014376 Topic(s): Human and Environmental Factors, Human Factors Approaches To
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh53-55.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/ssiexh62-64.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/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
January 01, 2004 - Human factors in a dynamic information
society: where are we heading? … Using a human
factors approach to quantify nursing activities. … Human
factors barriers to the effective use of 10 HIV clinical
reminders. … In: Annual
conference of the human factors and ergonomics
society. … New Orleans: The Human Factors and
Ergonomics Society; 2004.
25.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapn.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. … What would you consider the importance and feasibility to access the data for the factors listed here
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
June 02, 2025 - Remember the Monthly Contextual Factors Report? … Facilitator: What’s most important is to pay attention to the major risk factors. … Nursing Assistant A: Shouldn’t we intervene on all risk factors?
Facilitator: Yes. … Contextual Factors Report. … To be able to view these contextual factors in aggregate is going to be great.
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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/research/findings/final-reports/ssi/ssiexh56-58.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/ssiexh29-31.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/ssiexh8-10.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/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
April 08, 2004 - • Becoming familiar with human factors engineering and continuous
quality improvement techniques … Industrial Engineering 549: Advanced Human Factors Engineering
b. … Importance of human factors engineering
in error-and-medicine education. … Human factors engineering is the basis
for a practical error-in-medicine curriculum. … Human factors engineering and patient
safety. Qual Saf Health Care 2002 Dec;11(4):352–4.
12.
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www.ahrq.gov/research/findings/final-reports/index.html?page=2
January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Grant Number: P30 HS 024380 Topic(s): Healthcare Facility Design, Human Factors Approaches To Improve … Grant Number: R18 HS 023754 Topic(s): Medication Safety Publication Date: June 2021
Factors … Principal Investigators: James, et al Grant Number: R01 HS 25965 Topic(s): Human and Environmental Factors … Grant Number: P30 HS 023558 Topic(s): Human Factors Approaches To Improve Patient Safety, Patient Safety
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapb.html
April 01, 2018 - Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. … of risk factors:
Focus on patient factors. … Breakdown modifiable vs. non-modifiable factors.
Rank factors in order of importance. … other factors
e.g., BMI will influence surgery duration
High risk factors may influence surgeon