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Showing results for "factors".

321. What Will Be the Subject of Your Health Care Quality Report? | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/plan/subject.html
     December 01, 2022 - This page reviews the factors that should enter into your decision and suggests some strategies for dealing … Factors to Consider When Deciding Whose Quality to Report To decide who to focus on, start by considering … the five factors below. … The feasibility of measuring and reporting quality depends on multiple factors, including political obstacles

322. Best Practices in Pressure Injury Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
     June 02, 2025 - perform a comprehensive skin assessment How to conduct a standardized assessment of pressure injury risk factors … How to incorporate risk factors into care planning Note: At various points during the module, we’ll … Scales Only one part of risk assessment Meant to be used in conjunction with a review of other risk factors … and clinical judgment More factors to consider Especially helpful in identifying patients at mild to … Best Practices Need to be customized: Each patient has a different set of pressure injury risk factors

323. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
     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.

324. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
     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.

325. EvidenceNOW: New York City Cooperative | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/nyc.html
     March 01, 2021 - disease is the primary cause of death in the city, and prevalence of cardiovascular disease (CVD) risk factors … Use qualitative methods to assess factors that help and hinder practices in implementing change and achieving … ABCS-driven care Three expert webinars on topics related to evidence-based management of CVD risk factors … practices [AcademyHealth, 2017] Using Practice Facilitation in primary care settings to reduce risk factors … Population Health Summit, 2016] Using Practice Facilitation in primary care settings to reduce risk factors

326. AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/haify11.pdf
     January 01, 2011 - To accomplish these goals, the specific aims are to— • Define the incidence of and risk factors for … goal of this project is to focus on aligning and bundling work system, environmental, and contextual factors … Objectives include— • Performing an in-depth and comprehensive review of the literature that examines factors … The specific aims of this project are to— • Estimate the frequency of MRSA transmission and risk factors … Risk Factors for Community-Onset Healthcare-Acquired Urinary Tract Infections Funding Mechanism: Grant

327. Tool 2: Readmission Review Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool2_readm_review.docx
     June 02, 2025 - Rather than looking for the one reason for the readmission, capture all the factors that contributed … Analysis and Lessons Learned (2-3 minutes each) The purpose of a root cause analysis is to understand the factors … If those are factors, ask “why” again. … Specifically seek to identify clinical, behavioral, social, and logistical factors that might have contributed

328. Roadmap for Implementing Pediatric Quality Measures for Performance Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/implementation-qi/roadmap/index.html
     September 01, 2021 - follow the steps to explore the measure implementation process, including understanding contextual factors … Having an awareness and understanding of the contextual factors that may be at play, before initiating … order to better understand your context, see the link below to a self-study exercise on contextual factors … Success in Quality (MUSIQ), which is a conceptual model for understanding and optimizing contextual factors … Example: PQMP IMPLEMENT Team Self-study Exercise on Contextual Factors Using the MUSIQ Framework

329. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
     January 01, 2024 - Human factors research in other high-risk fields has demonstrated how rigorous study of factors that … The decision to extubate a patient is complex, involving multiple factors 26. … factors affecting clinical task performance and decision-making. … Proceedings of the Human Factors and Ergonomics Society 2004; 48: 1746-1750. … Human Factors and Ergonomics Society.

330. Methods and Metrics Issues in Delivery Systems Research
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/alexander/alexander.pptx
     February 16, 2011 - 3 Manner in which a given DSC is implemented and practiced is influenced by range of factors surrounding … the specific change These factors constitute the social system or social context of change These factors … Fidelity and sustainability follow from interrelationships among a range of internal and external factors

331. Healthcare Safety Competencies Affinity Group | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/competencies-affinity-group/index.html
     May 01, 2025 - Communication Processes  Detecting and Mitigating Safety Risks  Disclosure  High Reliability  Human Factors … Engineering (Human-Centered Design) Individual Factors/Individual Failure Modes Responding to Safety … Events—Immediate Actions and Longer-Term/Systemic Follow-up  Safety Reporting  Situational Awareness Systems Factors

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

333. Reducing Waste and Inefficiency in Health Care Through Lean Process Redesign: Literature Review | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/leanprocess/leanprocess.html
     May 01, 2018 - If so, the goal is to identify the organizational and contextual factors that may systematically contribute … To guide our efforts, we first developed a framework of the factors likely to affect Lean implementation … These factors include contextual (organizational and environmental) variables, as well as variables associated … For example, there was little rigorous reporting about external impetus for Lean/TPS (e.g., market factors … ), organizational factors (e.g., how culture affects who implements Lean/TPS), outcomes (e.g., financial

334. 2. Priority Questions and Recommendations | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap2.html
     July 01, 2013 - In fact, the relative influence of factors is generally expected to vary according to the particular … Little is definitively known, however, about how the relative influence or importance of the factors … Future research that elucidates the circumstances under which the basic six factors are most important … What are the factors that can motivate clinical and community organizations to form relationships for … Within each of these six basic factors, multiple measures could relate to numerous different domains.

335. AHRQ Final Progress Report: Developing an Integrated Engineering-Based Model to Reduce Infections in the ICU (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/mastrangelo-report.pdf
     January 01, 2024 - Risk analysis is then utilized to evaluate the effect of different patient physiological factors and … The framework is flexible and can accommodate additional factors that may be discovered in the future … A variety of factors, e.g., patient physiological attributes and medical functions performed on the … For this environment, the study mechanism should enable assessment of the effect of different factors … Different factors affecting the spread of HA infections are identified in the literature.

336. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxselfassessment.pdf
     June 02, 2025 - • Develop interventions specific to the risk factors to mitigate falls risk. … If yes, does the policy include the following: Yes No Examination of clinical risk factors (e.g., … Do falls prevention care plans include interventions addressing the following falls risk factors? … familiarity with environment   Recent hospitalization or change in condition   Environmental factors … Can you determine if the fall was due to clinical factors (e.g., change in resident risk factors, inadequate

337. AHRQ Safety Program for MRSA Prevention: Targeting SSI
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/125-cusp-science-safety.pptx
     April 01, 2025 - 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 reviews of these factors improves patient safety; the Comprehensive Unit-based Safety … What are some of the system factors that contributed to Marta’s rehospitalization and SSI? … Consider all factors, or holes in the system, that led to this outcome.

338. Chapter 3. Outline the Evidence and Identify Best Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide3.html
     February 01, 2016 - longer acutely ill, and fully ambulatory patients not at risk for VTE or without multiple VTE risk factors … VTE in patients having nonorthopedic surgery depends on both patient-specific and procedure-specific factors … Comorbidities or complicating factors may delay hip fracture repair, and starting LMWH between admission … Age, obesity, and comorbidities such as infection and pulmonary disease are additive risk factors, just … as an elevated platelet count or leukocyte count or hemoglobin <10 g/dL, are also cited as VTE risk factors

339. Chapter 3. Outline the Evidence and Identify Best Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide3.html
     February 01, 2016 - longer acutely ill, and fully ambulatory patients not at risk for VTE or without multiple VTE risk factors … VTE in patients having nonorthopedic surgery depends on both patient-specific and procedure-specific factors … Comorbidities or complicating factors may delay hip fracture repair, and starting LMWH between admission … Age, obesity, and comorbidities such as infection and pulmonary disease are additive risk factors, just … as an elevated platelet count or leukocyte count or hemoglobin <10 g/dL, are also cited as VTE risk factors

340. Final Progress Report: Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical Illness (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/pickering-report.pdf
     January 01, 2025 - engineering and mixed-methods research approaches to gain a holistic understanding of the various factors … We conducted multiple studies to investigate various factors contributing to the DEOD in acute care … Multiple factors contribute to DEOD with similar frequency across acute care areas, suggesting the need … Our model suggests that ICU operational factors, such as admission rates and patient severity of illness … Physicians perceived cognitive factors to contribute to DEOD more frequently compared to those in other