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Showing results for "factors".

301. 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

302. 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.

303. Behavioral Health AI Free Text Analysis - NPSD Data Spotlight (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/npsd-spotlight_behavioral-health.pdf
     September 01, 2025 - ................................................................................. 14 Contributing Factors … the two most reported contributing factor categories were “policies & procedures” and “human factors … associated with an event, such as contributing factors, harm level, hospital setting/location, and … Contributing Factors Figure 7 shows that the total percentage of BH issues among events with the … Human factors can include fatigue, stress, inattention, cognitive factors, and/or health issues experienced

304. 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?

305. 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.

306. 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.

307. Job Aid: 5 Whys and Fishbone Diagrams (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
     June 02, 2025 - They can also be used to identify the factors contributing to exemplary performance in order to replicate … 2 Fishbone Diagrams Fishbone diagrams are another tool for helping a practice identify factors … existing category sets like this healthcare one: people, materials, methods, measurement, environmental factors

308. PowerPoint Presentation: Learn From Defects for Sustainability
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
     December 01, 2017 - Seek out and record both types of factors. … Intervene to correct factors that contributed to the event. … Start by prioritizing the most important contributing factors. … In order to develop an action plan, you need to prioritize your list of factors. … Prioritize the contributing factors and your interventions.

309. Appendix O. Nursing Focus Group Guides | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiapo.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. … Probe on barriers and enabling factors.

310. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4g_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - $77,739 in additional charges.4 Recommended Practice Details of Recommended Practice Assess risk factors … Develop a set of risk factors for postoperative respiratory failure and screen all patients undergoing … Recommended Practice: Assess risk factors • Determine which pediatric patients are at increased risk … adverse events postoperatively, as well as improve allocation of resources after surgery.5 • Some risk factors … • Additional adult risk factors that are applicable to children are: o Smoking. o Obesity.

311. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - $77,739 in additional charges.4 Recommended Practice Details of Recommended Practice Assess risk factors … Develop a set of risk factors for postoperative respiratory failure and screen all patients undergoing … Recommended Practice: Assess risk factors • Determine which pediatric patients are at increased risk … adverse events postoperatively, as well as improve allocation of resources after surgery.5 • Some risk factors … • Additional adult risk factors that are applicable to children are: o Smoking. o Obesity.

312. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits - Functional Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
     February 01, 2018 - New Contributing Risk Factors New contributing risk factors (NCRFs) are captured from multiple data … Summary of Fall Risk Factors Reports 3.2.1. … Contextual Factors Reports 3.3.1. … Below is a sample of the Contextual Fall Risk Factors Report. … Contextual Factors Reports 3.3.1. Report Description 3.3.2.

313. Understand the Science of Safety for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
     May 01, 2017 - 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 … While these issues are the furthest removed from the patient in the diagram, these factors continually … Analyzing what happened and why it happened helps the team understand the contributing factors and … Being aware of these factors will help units develop environments that facilitate communication and

314. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-1.html
     March 01, 2022 - magnitude and importance of the problem, 3 , 4 an increasingly robust understanding has developed of the factors … that lead to diagnostic error, including system, cognitive, and contextual factors. 5 - 7 A promising … While individual, professional, contextual, patient, and health system factors make diagnostic error

315. Final Progress Report: Optimizing safety of mother and neonate in a mixed methods learning laboratory (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/halamek-report.pdf
     January 01, 2025 - Early collaboration with a multidisciplinary HCP team and consultation with experts in human factors … Consultation with experts in human factors, engineering, and EMRs is also important. … , and organizational factors. … From the patient’s perspective, safety during labor and birth is inextricably linked to factors that … Utilizing human factors to redesign the neonatal intensive care unit.

316. Barrier Identification and Mitigation Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/bim.docx
     December 01, 2017 - Tools to identify factors that hinder guideline adherence, also called barriers, and approaches to mitigating … Based on these two factors, an action priority score is calculated, providing a ranked list of tasks. … Ask various staff members about the factors influencing compliance. 1. … They will also record the factors that encourage compliance; these are the facilitators. … Barrier Identification Table GUIDELINE: DATA COLLECTION MODE: INVESTIGATOR: UNIT: FACTORS

317. Appendix H. Calculating Sensitivity and Specificity for Validation | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiaph.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.

318. Chapter 1. Administration | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssi1.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.

319. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4h_combo_psi11-postoprespfailure-bestpractices.pdf
     May 20, 2016 - Recommended Practice Details of Recommended Practice Assess risk factors. … Develop a set of risk factors for postoperative respiratory failure and screen all patients undergoing … Recommended Practice: Assess Risk Factors • Determine which patients are at increased risk for postoperative … adverse events postoperatively, as well as improve allocation of resources after surgery.3 • Risk factors … Best Processes/Systems of Care Introduction: Essential First Steps Recommended Practice: Assess Risk Factors

320. Final Progress Report: Emergency Physician Workload (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/kellogg-report.pdf
     January 01, 2024 - Tracy Kim Organization: MedStar Health MedStar Institute for Innovation National Center for Human Factors … the factors identified in Specific Aim 1. … Are there factors about the ED environment that you think contribute to your stress level? a. … Investigating Factors Related to Emergency Medicine Physician Stress. … HFES 2019 International Symposium on Human Factors and Ergonomics in Health Care.