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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?
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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
-
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
-
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?
-
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.
-
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/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
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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.
-
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
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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
-
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.
-
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.
-
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
-
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.
-
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.
-
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
-
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.
-
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
-
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.
-
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