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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d8_pdi_projectevaluation.pdf
    June 05, 2016 - 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?
  2. www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/ihs-specific-plan_nqs2013.pdf
    July 01, 2013 - Healthy Heart Initiative, which assists individuals already diagnosed with diabetes to treat the risk factors … • Employ an intensive clinical, team- based case management approach to treat risk factors for cardiovascular … The initiatives track the risk factors associated with the conditions they are combating, including … They also track the incidence of diabetes and changes in cardiovascular disease risk factors. … health through community interventions that result in improvement of social, economic, and environmental factors
  3. 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
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d8_combo_projectevaluation.pdf
    June 05, 2016 - 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?
  5. 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.
  6. 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.
  7. www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/clinical-pathway.html
    January 01, 2013 - Text Description: The flowchart starts with patient newly admitted to ward; next is Assess fall risk factors … Next is to identify risk factors. … If not a new fall, go back to assess fall risk factors. … If risk factors are not identified, implement universal fall precautions and determine if it is time
  8. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/defects.html
    May 01, 2017 - (what factors contributed) positive factors What prevented it from being worse?   … negative factors What happened to cause the defect?   3.
  9. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.html
    March 01, 2017 - This form is designed to identify contributing factors to and the root cause of a CAUTI that meets the … applicable: _________________ Antibiotic(s): __________________ Sensitive: Y – N Contributing Factors … Using the responses to contributing factors above, what contributed to the resident developing a CAUTI
  10. Fallpxtool3P (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3p.docx
    January 29, 2013 - pathway Identify key elements of a fall risk factor assessment Choose a tool for assessing risk factors … results of fall risk factor assessment Develop fall prevention care plan based on identified risk factors … approaches to documenting and communicating care plan Develop system linking changes in fall risk factors
  11. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/learn.html
    April 01, 2017 - (what factors contributed) positive factors What prevented it from being worse?   … negative factors What happened to cause the defect?   3.
  12. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.html
    March 01, 2017 - (what factors contributed)   positive factors What prevented it from being worse?   … negative factors What happened to cause the defect?   3.
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/modelchange.pdf
    March 01, 2006 - performed by American Institutes for Research Evaluation and Exploration Transformation Change Factors … * Leveraging lessons learned, a transformational change factors construct model was designed. … Cards Outcomes Pre- Training Post- Training Training Transfer Transformation Change Factors … Safety: Military Health System’s Approach to Change Evaluation and Exploration Transformation Change Factors
  14. www.ahrq.gov/hai/cusp/clabsi-final-companion/index.html
    January 01, 2013 - Pediatric Units Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate Moderating Factors … Moderating Factors Flowchart Appendix F. Team Checkup Tools Appendix G. … Review—Methods         Literature Review—Results         Estimation Method         Results Moderating Factors … Moderating Factors Flowchart Appendix F.
  15. 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.
  16. www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
    May 01, 2017 - 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
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxpresentation.pptx
    October 01, 2008 - federal regulations and accrediting standards for falls prevention Identify intrinsic and extrinsic factors … Multiple factors combine to create risk for falling. … Intrinsic factors are related to the patient’s physical, mental, and cognitive condition. … Extrinsic factors are related to the patient’s environment. ‹#› © 2012 ECRI Institute. … Explain general risk factors. Explain the patient’s specific risk factors.
  18. www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
    April 01, 2013 - Slide 22 System-Level Factors Impact Safety 5 Institutional Hospital Departmental Factors … Work Environment Team Factors Individual Provider Task Factors Patient Characteristics … Concentric circles show the layered factors of patient safety. … Institutional factors, hospital factors, departmental factors, work environment factors, team factors … , individual provider factors, task factors, and patient characteristics all have an effect on patient
  19. 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.
  20. 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

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