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Showing results for "factors".

261. CUSP Toolkit Spread Facilitator Notes | Agency for Healthcare Research and Quality
     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.

262. 2024 Network of Patient Safety Databases Chartbook (pdf file)
     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.

263. Preface | Agency for Healthcare Research and Quality
     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.

264. Defects (doc file)
     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.

265. Defects (doc file)
     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.

266. Selected Best Practices and Suggestions for Improvement (pdf file)
     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.

267. Selected Best Practices and Suggestions for Improvement (pdf file)
     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.

268. Realizing Improved Patient Care Through Human-Centered Design in the Operating Room (RIPCHD.OR) | Agency for Healthcare Research and Quality
     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.

269. Abt Single-Sided Body Template (pdf file)
     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

270. Improving Care Delivery Through Lean: Implementation Case Studies | Agency for Healthcare Research and Quality
     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

271. 3. Results | Agency for Healthcare Research and Quality
     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.

272. Measuring Safety Climate in Primary Care Offices (pdf file)
     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.

273. Appendix C: Alternate Care Facility Questionnaire | Agency for Healthcare Research and Quality
     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

274. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training | Agency for Healthcare Research and Quality
     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.

275. A Conceptual Model for Disclosure of Medical Errors (pdf file)
     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.

276. Appendix A, Pt. 3 | Agency for Healthcare Research and Quality
     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.

277. Final Progress Report: Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
     January 01, 2024 - From a human factors point of view, this model is a Figure 1. … Demands, individual factors, and work system factors also contribute to workload. … Moreover, this is a validated and commonly used instrument in human factors engineering. … These approaches focus on separating human factors from system factors and provide the ability to understand … Turning the tide on medical errors in intensive care units: a human factors approach.

278. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/hopkinsinternalmed-slides.ppt
     January 01, 2013 - Am J Hematol. 2013; 88:545-549 Major Risk Factors Age > 60 Cancer Previous VTE Acute CVA w/ paresis … Factor 1 - No contraindications 2 - Contraindications 3 - Systemic Anticoagulation 6 - No Risk Factors … weight, renal function and relevant labs imported from database Mandatory Selections Risk Factors

279. Methods and Metrics Issues in Delivery Systems Research | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/alexander.html
     December 01, 2020 - System Change Manner in which a given DSC is implemented and practiced is influenced by range of factors … These factors constitute the social system or social context of change. … These factors may explain why, when, and how a DSC works (or not). … Fidelity and sustainability follow from interrelationships among a range of internal and external factors

280. Lessons from the Field: Making Performance Comparisons (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-performance-comparisons.pdf
     October 01, 2019 - Adjustments for demographic, clinical and social risk factors may be necessary to ensure that performance … The most common approaches used to account for these factors (demographic, clinical and social) are … Performance Comparisons 10 Figure 5: Adjustments for demographic, clinical and social risk factors … ‣ When assessing performance on process measures, risk adjustment should not include SES factors … Risk Adjustment for Socioeconomic Status or Other Sociodemographic Factors.