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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/choosing/index.html
June 01, 2020 - Identifies several factors State users may wish to consider when choosing quality measures. … Reviews selected measures in terms of those factors. … Factors to Consider
Many factors are involved in choosing which quality measures to use, whatever the … Factors such as your own staff resource base or the availability of other local expertise may affect … Reviewing Some Selected Measures
The information in Factors for Selecting Quality Measures can help
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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/research/findings/final-reports/ssi/ssiexh2.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/ssiexh68-70.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/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/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/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/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=11
January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Kutney-Lee Grant Number: K08 HS 018534 Topic(s): Education and Training, Human and Environmental Factors … 017902 Topic(s): Emergency Care, Health Information Technology and Health Information Exchange, Human Factors … Etchegaray Grant Number: K02 HS 017145 Topic(s): Communication and Teamwork, Human and Environmental Factors … Number: K08 HS 014739 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 … Grant Number: R03 HS 19074 Topic(s): Healthcare Facility Design, Human Factors Approaches To Improve … 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
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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/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/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/sites/default/files/wysiwyg/npsd/Pressure_Injury_Dashboard_Data_2025.xlsx
January 01, 2025 - PI_RESIDUAL_HARM
Extent of Harm by Most Advanced Stage HARM_BY_ADVANCED_STAGE
Contributing Factors … Percentage
Communication 485 2.2%
Data 814 3.8%
Environment 71 0.3%
Human Factors … Data 591 72.7%
Harm Environment 44 74.6%
No Harm Environment 15 25.4%
Harm Human Factors … 6500 93.4%
No Harm Human Factors 458 6.6%
Harm Multiple 1091 91.9%
No Harm Multiple
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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/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/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/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.