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Showing results for "factors".

281. Chapter 1. Introduction and Program Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
     December 01, 2017 - Examples of these risk factors are illustrated in Figure 3 . Figure 3. … Common fall risk factors Intrinsic factors Effects of aging on gait, balance and strength … Extrinsic fall risk factors Environmental hazards. Unsafe equipment. … Examples of specific extrinsic risk factors Poor lighting. Cluttered living space. … Explore all possible causes and risk factors. Develop new strategies and revise plans.

282. Understand-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
     May 01, 2017 - Slide 5 SAY: As the illustration shows, at any given time, there are several system factors that … 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 … Departmental factors When staffing issues, admission policies, and protocols prove to be insufficient … While these issues are the furthest removed from the patient in the diagram, these factors continually

283. Appendix A: Conceptual Framework | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap-apa.html
     July 01, 2013 - ( Clinical-Community Relationships Measures Atlas [ Dymek et al., 2013 ]), we pair the six basic factors … A linkage, therefore, represents the combined influence of all six basic factors in the actual realization … It is important to note that the symmetry of the diagram does not imply that each of the basic six factors … In fact, the relative influence of factors is generally expected to vary according to the particular … The relevance of situational variability in the influence of different factors, including the clinical-community

284. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=7
     January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Grant Number: R03 HS 22362 Topic(s): Education and Training, Emergency Care, Human and Environmental Factors … , Human Factors Approaches To Improve Patient Safety Publication Date: September 2015 Developing … Investigators: Singh Grant Number: R13 HS 021774 Topic(s): Conference, Diagnostic Safety, Human Factors … Grant Number: R03 HS 21558 Topic(s): Healthcare Facility Design, Human Factors Approaches To Improve

285. Appendix E. Study Parameters | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraape.html
     April 01, 2018 - This period will allow us to account for risk factors stemming from surgical center staff interaction … Patient factors considered include: (1) comorbid condition; (2) family/social situations; (3) insufficient … Patient factors considered include: (1) staff hygiene/cleanliness (e.g., colonized with MRSA); (2) institutional … breaks in sterile technique, and glucose control; and (7) post-operative care issues (e.g., patient factors … , environmental factors, directions and understanding-dressing changes).

286. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
     July 01, 2023 - Rank these risk factors. … Visualize the factors that led to the event. Step 2. Identify the contributing factors. Step 3. … look at the technical factors. … by human factors. … Some of the codes for the factors are— TC: Technical, construction.

287. The Role of Patient Safety in the Device Purchasing Process (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Johnson.pdf
     January 01, 2004 - These three factors were found to interact in various ways and influenced one another. … The code “PR-FC,” for instance, stands for influencing factors in the purchasing process. … Do it by design: an introduction to human factors in medical devices. U.S. … Human factors implications of the new GMP rule. … Increasing the success of physician order entry through human factors engineering.

288. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
     January 01, 2003 - , Laurie Wolf, Clay Dunagan, Gary Sorock, Bradley Evanoff Abstract Objective: Organizational factors … Factors such as nurse-to-patient ratio, nurse education, and hospital procedures have been identified … as important risk factors for patient safety.1–3 Few attempts, however, have been made to identify … also thought to be risk factors for medical errors. … is well suited for a study of proximate work environment factors leading to medical error.

289. Eliminating Preventable Harms During Pediatric Intubation | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-nishisaki.html
     July 01, 2025 - These adverse events are influenced by patient, provider, and practice factors. … pediatric ICUs that documents outcomes of tracheal intubations based on patient, provider, and practice factors … The pre-procedure checklist helps teams cross-check for patient risk factors that could affect the airway … funding from AHRQ, there would be no NEAR4KIDS database to document patient, provider, and practice factors

290. Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/secola-report.pdf
     January 01, 2024 - Secondary aims included the investigation of the association of selected risk factors utilizing both … Selected risk factors were not significantly associated with the development of a CVC-related BSI. … The secondary aims were to examine risk factors related to the development of CVC-related BSIs and … The selected risk factors in the five patients that developed BSIs are depicted in Table 3. … Several factors may have accounted for these preliminary results.

291. Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
     January 01, 2024 - Improve the assessment of risk factors for VTE upon admission and discharge. … , systems characteristics, and potentially other factors. … for VTE (no risks – 46.3%, 1-2 risk factors – 60.3%, ≥3 risk factors – 80.5%, p<.001). … , p=.013 patients with ≥3 risk factors). … Nine of 12 patients who had incomplete CT scans had one or more VTE risk factors.

292. The National Action Alliance to Advance Patient Safety Summer Webinar Series: CDC Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
     July 25, 2023 - Clinical risk factors include patients who are under the influence of drugs or alcohol, those who are … Working extended shifts or under low staffing levels are also risk factors for workplace violence. … Worker-on-worker: Factors  Individual factors  Stressful and emotional work, fatigue  Inadequate … interpersonal, coping or conflict management skills  Systemic factors  Productivity demands, cost … Risk factors for patient-based violence Risk factors for patient-based violence Risk factors for patient-based

293. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
     October 01, 2024 - Safe systems can be designed by applying human factors and other approaches to address technical problems … Environmental factors such as staffing, workflows, equipment, and the flow of people through the space … Careful and honest review of these factors improves patient safety; the CUSP framework is helpful. … What are some of the system factors that contributed to Susan’s death? … Consider all factors, or holes in the system, that led to this outcome.

294. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
     July 01, 2018 - System-Level Factors Affect Safety 9 Slide 8. Safety is a Property of the System Slide 9. … System-Level Factors Can Predict Performance Slide 10. … 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, … What work environment factors were identified in the video?

295. The Science of Improving Patient Safety and Identifying Defects: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
     December 01, 2017 - Slide 9: System Factors Impact Safety 5 Image:  Funnel depicting the factors that come together to … From the top of the funnel to the bottom, these factors include: institutional, hospital, departmental … factors, the work environment, team factors, individual provider, task factors, and patient characteristics … An arrow points through the system factors into the funnel. … Teamwork and communication: communication failure: basic components, contributing factors, and the call

296. Re-engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity and Mortality | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/re-engineering-postnatal-unit-care-long-desc.html
     April 01, 2025 - Advancing healthcare equity through human factors engineering . … Proc Int Symp Hum Factors Ergon Health Care 2023 June;12(1):94-100.  Gill C, et al. … Proc Hum Factors Ergon Soc 2022;66(1):1581-1585. Zouaidi K, et al. … Proc Int Symp Hum Factors Ergon Health Care 2021;10(1):313-316. Stuebe AM, et al.  … Proc Hum Factors Ergon Soc 2020 Dec;64(1):671-674.  References Stuebe A et al.

297. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spread.pptx
     April 15, 2012 - Presentation 1 Define spread and its role within an organization Examine external and internal factors … technical) 5 Financial Legal Regulatory Public opinion Moral Organizational priorities External Factors … Knowledge and skill set Organizational culture Ongoing improvement efforts Other priorities Internal Factors … Affecting Spread3 7 Factors That Affect Spread 8 Evidence-based efforts, tools, and examples … that originate at the local level Organizations need to be prepared to address external and internal factors

298. Scisafetynotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
     June 02, 2025 - 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 … Departmental factors When staffing issues, admission policies, and protocols prove to be insufficient … While these issues are the furthest removed from the patient in the diagram, these factors continually … · What work environment factors were identified in the video?

299. Learn-From-Defects-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
     May 01, 2017 - Visualize the factors that led to the event. Step 2. Identify the contributing factors. Step 3. … Prioritize the contributing factors. 3. What will you do to reduce the risk of recurrence? Step 1. … Develop interventions for two to five of the most important factors. Step 2. … look at the technical factors. … by human factors.

300. Event Investigation and Analysis Guide: Appendix C | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
     August 01, 2022 - The boxes represent different categories of contributing factors. … The major contributing factors are the focus of the solutions meeting.