-
www.ahrq.gov/patient-safety/resources/learning-lab/brain-health-long-desc.html
April 01, 2021 - Abebe E, Medication transitions: vulnerable periods of change in need of human factors and ergonomics … Proc Int Symp Hum Factors Ergon Healthc. 2020;9(1):180-2. Andrews PS, et al. … Human factors in pharmacy . … Proc Hum Factors Ergon Soc Annu Meet. 2017;61(1):666-70. 2016 Clark DO, et al. … Proc Int Symp Hum Factors Ergon Healthc. 2020;9(1):180-2.
-
www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp4.html
August 01, 2015 - Our findings provide insight about both the management practices and factors associated with more successful … The success factors emphasized by the higher performing sites included (1) a belief that a rate of zero … In contrast, several factors created challenges to CLABSI reduction efforts: (1) resource constraints … While it is difficult to eliminate other explanations for why success factors were more likely found … those from a study of five collaborative regional HAI programs, which identified the following success factors
-
www.ahrq.gov/patient-safety/reports/national-academy-medicine.html
February 01, 2018 - Health Care Comes Home: The Human Factors is a 2011 report that outlines the impact of technology, environment … , policy and regulation, and human factors on the growing field of home health care. … companion to the report, the National Academy of Sciences and AHRQ published a designer's guide to human factors … for consumer health IT, Consumer Health Information Technology in the Home: A Guide for Human Factors … Read the Institute of Medicine Report and Designer's Guide on Bringing Human Factors into Home Health
-
www.ahrq.gov/hai/cusp/modules/spread/notes.html
December 01, 2012 - External Factors Affecting Spread 3
Slide 7. Internal Factors Affecting Spread 3
Slide 8. … Factors That Affect Spread
Slide 9. What Facilitates Spread Success? 4
Slide 10. … External Factors Affecting Spread 3
Say:
Several external and internal factors can influence spread … Internal Factors Affecting Spread 3
Say:
Internal factors include:
Leadership: Does the process … Factors That Affect Spread
Do:
Play the video.
-
www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp1.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. … This document is broken into four primary sections: Methods, Participation, Outcomes, and Moderating Factors … Finally, the Moderating Factors section examines variation in CLABSI rates found in the project.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.docx
March 01, 2017 - (what factors contributed)
positive factors
What prevented it from being worse? … negative factors
What happened to cause the defect?
3. What did we do to manage it?
4.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/defects.docx
May 01, 2017 - (what factors contributed)
positive factors
What prevented it from being worse? … negative factors
What happened to cause the defect?
3. What did we do to manage it?
4.
-
www.ahrq.gov/research/findings/studies/index.html
January 01, 2025 - Ranawat Award: Factors that predict outcome five years following total knee arthroplasty. … The purpose of this study was to identify factors that predict pain and functional outcomes five years … For functional outcomes, similar factors were significant, with additional influence from body mass index … Ranawat Award: Factors that predict outcome five years following total knee arthroplasty. … Factors associated with repeat pediatric influenza vaccination among inconsistent vaccinators.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
May 17, 2016 - Although many risk factors are nonmodifiable (e.g., emergency surgery), some
factors can be addressed … Determine risk factors for postoperative wound dehiscence
and identify pediatric patients at risk.2- … Hospital Quality and Safety
2 Tool D.4i
o Malnutrition
• When possible, eliminate or mitigate risk factors … o Reported pain (if old enough to verbalize) or increased heart rate not accounted for by
other factors … Risk factors for abdominal wound dehiscence in
children: a case-control study.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf
May 17, 2016 - Although many risk factors are nonmodifiable (e.g., emergency surgery), some
factors can be addressed … Determine risk factors for postoperative wound dehiscence
and identify pediatric patients at risk.2- … Hospital Quality and Safety
2 Tool D.4w
o Malnutrition
• When possible, eliminate or mitigate risk factors … o Reported pain (if old enough to verbalize) or increased heart rate not accounted for by
other factors … Risk factors for abdominal wound dehiscence in
children: a case-control study.
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
January 01, 2024 - ■ Human contributing factors such as fatigue, stress, inattention, cognitive factors, and/or
health … Overall, patients of all age groups experienced similar rates of contributing factors
for the event … Human Factors can include
fatigue, stress, inattention, cognitive factors, and/or health issues experienced … for Near Miss Incorrect Actions
The figure below examines contributing factors for Incorrect actions … Only the five most commonly reported contributing factors are displayed for brevity.
-
www.ahrq.gov/patient-safety/resources/learning-lab/ripchdor-long-desc.html
April 01, 2022 - Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating … Hum Factors 2018;60(7):992-1007.
Jurewicz K, et al. … Proceedings of the Human Factors and Ergonomics Society Annual Meeting. 2018;62(1):469-73. https://journals.sagepub.com … The influence of traffic, area location, and other factors on operating room microbial load . … Proceedings of the Human Factors and Ergonomics Society Annual Meeting. 2017;61(1):696-700.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverviewmaterialspacket.pdf
June 02, 2025 - • Quarterly Summary of Falls Risk Factors by Unit or Facility. … • Monthly Contextual Factors Report.
• Postfall Assessment Summary Report. … O
n-Tim
e Falls P
revention: E
lectronic R
eports
3
Quarterly Summary of Falls Risk Factors by … Report
Sample Monthly Contextual Factors Report by Facility
Monthly Contextual Factors Report Date … by Unit or Facility
Monthly Contextual Factors Report
Postfall Assessment Summary Report
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/index.html
November 01, 2014 - Lean
Intermediate Outcomes
Ultimate Outcomes
Business or Strategic Case
Factors … Procedure Cards
Outcomes of Lean
Intermediate Outcomes
Ultimate Outcomes
Factors … Appointment Scheduling
Outcomes of Lean
Intermediate Outcomes
Ultimate Outcomes
Factors … Prescribing Process
Outcomes of Lean
Intermediate Outcomes
Ultimate Outcomes
Factors … Horizon Hospital
Outcomes of Lean
Intermediate Outcomes
Ultimate Outcomes
Factors
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
January 01, 2024 - Careful attention to sociotechnical factors, such as ensuring responsibility for closing the loop on … Incidence and Contributing Factors
This domain covers the frequency of diagnostic errors and factors … Studies showcase the need for further research on contributory factors and targeted interventions. 2 … System factors. … System-related aspects of diagnosis (e.g., human factors, safety culture). 243
3.9.2.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-SinghG_67.pdf
April 14, 2008 - The figure displays eight factors that, in our view,
contribute to a safety culture.7 Although the relative … were primarily developed, the same six factors appeared to be robust in
this setting. … Perceptions of
management had the lowest alpha, while the other five factors all had alphas of ≥0.70 … However, there may be some measurable moderating factors, such as practice size and type,
location, … ACSNI Study Group on
Human Factors. 3rd Report: Organising for safety.
London: HMSO; 1993.
20.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
November 01, 2017 - 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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - This study aimed to construct a conceptual
model of the factors that facilitate or hinder disclosure … Important influences on whether disclosure would occur fell
into four categories: provider factors, … patient factors, error factors, and
institutional culture. … The discussion then broadly explored factors associated with
whether disclosure would occur. … ,
patient factors, error factors, and institutional culture.
-
www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
April 01, 2018 - Risk factors considered
Patient level: age, sex, presence of diabetes, cardiovascular disease, end … Infectious Risk Factors Related to Operating Rooms. Didier Pittet, Georges Ducel. … Factors Influencing the Incidence and Outcome of Infection Following Total Joint Arthroplasty. … Risk Infection Factors in the Total Hip Replacement - Arjona et al. … Risk Factors for Surgical Site Infection Following Orthopedic Spinal Operations – Olsen et al.
-
www.ahrq.gov/research/shuttered/acfselection/appendixc.html
July 01, 2018 - The first column lists the specific factors as found in the tool. … protection of staff and patients.
3 2 1 0
3 2 1 0
Additional Infrastructure Factors … used for staff rest and rehab.
3 2 1 0
3 2 1 0
Additional Space/Layout Factors … wired for IT and internet access.
3 2 1 0
3 2 1 0
Additional Communication Factors … site to referral hospitals.
3 2 1 0
3 2 1 0
Additional "Other Services" Factors