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Total Results: 3,576 records

Showing results for "factors".

361. Common Cause Analysis: Focus on Institutional Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
     January 20, 2008 - These factors necessitate a detailed plan for improvement in response to the event. … Each of these three factors was assigned a score using a scale of 1 to 10. … “Human Factors Communication” and “Human Factors Training” also contained vulnerabilities. … The human factors analysis and classification system – HFACS. U.S. … Human factors engineering design demonstrations can enlighten your RCA team.

362. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
     January 01, 2024 - Patient factors include age greater than 80 years, muscle weakness, history of falls, gait and balance … Fall risk factors in the hospital setting: A systematic review. IJNP. 2001;7:38-45. 12. … Risk factors and risk assessment tools for falls in hospital in-patients: A systematic review. … The extrinsic risk factors for inpatient falls in hospital patient rooms. … Hum Factors. 2010;52(2):329-334. 33. Marks MA, DeChurch LA, Mathieu JE, et al.

363. Module 3: Best Practices in Pressure Injury Prevention (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
     June 02, 2025 - a comprehensive skin assessment · How to conduct a standardized assessment of pressure injury risk factors … · How to incorporate risk factors into individualized care planning Timing This module will take 80 … Assessment Tools in Care Planning — AHRQ Pressure Injury Prevention Program Training Webinar · Risk Factors … . · How to incorporate risk factors into care planning. … They are meant to be used in conjunction with a review of other risk factors and clinical judgment.

364. Sensemakingnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
     June 02, 2025 - 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? … Develop interventions for two to five of the most important factors. · Step 2. … look at the technical factors. … by human factors.

365. PQMP Measure Implementation and Quality Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/implementation-qi/index.html
     August 01, 2021 - subject matter experts to identify an implementation science framework suitable for analyzing contextual factors … Collaborative conducted interviews and developed worksheets to gather information about contextual factors … The roadmap guides potential toolkit users through considering contextual factors to understand how to

366. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
     June 30, 2004 - We also added additional codes to represent factors that appeared to drive the error event process, … contextual factors have less influence on the event chain but in some way complicate it or make the … for mitigating factors (Table 3). … Framework for categorizing contributing and mitigating factors Contributing factors Mitigating factors … Framework for categorizing contributing and mitigating factors Figure 1.

367. Spreadnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
     June 02, 2025 - module we will: · Define spread and its role within an organization, · Examine external and internal factors … Slide 5 SAY: Several external and internal factors can influence spread success. … ASK: What are some of the external factors within your organization that can affect spread? … Slide 6 SAY: Internal factors include: · Leadership: Does the process align with the organization … ASK: What are some internal factors within your organization that can affect spread?

368. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=6
     January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … ) Principal Investigators: Wilson Grant Number: R03 HS 024607 Topic(s): Human and Environmental Factors … Investigators: Trowbridge Grant Number: R13 HS 024883 Topic(s): Conference, Diagnostic Safety, Human Factors … Number: R18 HS 024143 Topic(s): Health Information Technology and Health Information Exchange, Human Factors

369. | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/search.html?page=0
     June 01, 2025 - June 2025 Publication Number: No Number Improving Healthcare Using Human Factors … Engineering Approaches From 2000 through 2024 AHRQ supported 127 patient safety projects related to human factors … Bill, then provides background on sepsis, including causes, disease progression, comorbidities, risk factors

370. | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/search.html
     June 01, 2025 - June 2025 Publication Number: No Number Improving Healthcare Using Human Factors … Engineering Approaches From 2000 through 2024 AHRQ supported 127 patient safety projects related to human factors … Bill, then provides background on sepsis, including causes, disease progression, comorbidities, risk factors

371. Final Progress Report: Drug-Drug Interaction Clinical Decision Support Conference Series (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
     January 01, 2024 - , mitigating factors, etc.) and how alerts can be more intelligently filtered. … Other modifying factors may be patient related. … Risk factors that may decrease or increase the risk of harm associated with a DDI should be included … The adjudication of DDI alerts should be based on an assessment of patient-specific factors, such as … The Usability Workgroup also considered physical factors on how to present DDI alerts, including the

372. Transforming Care for People Living with Multiple Chronic Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
     November 17, 2020 - one mental health diagnosis, or both • Others use the term multi-morbidity to include additional factors … ► disease severity ► functional impairments and disabilities ► syndromes such as frailty ► social factors … Risk • Prevention interventions targeted at reducing the prevalence of common chronic disease risk factors

373. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4m_combo_psi18-19-obstetriclaceration-bestpractices.pdf
     May 20, 2016 - Recommended Practice Details of Recommended Practice Identify patient risk factors associated with … Identify and document any laceration risk factors patients may have.3,4 Use strategies to prevent … Recommended Practice: Identify patient risk factors associated with obstetric lacerations. … • The following are risk factors associated with third and fourth degree lacerations3,4: o Birth … Processes/Systems of Care Introduction: Essential First Steps Recommended Practice: Identify patient risk factors

374. NICU Family Information Packet, Appendix B, Nephrocalcinosis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-nephro.pdf
     June 02, 2025 - ■ Results from an imbalance of stone-promoting and stone-inhibiting factors. … ■ Risk factors in at risk infants: – Medications with hypercalciuric effects (furosemide, corticosteroids

375. Final Progress Report: Center for Safety In Emergency Care (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
     January 01, 2025 - Denver, CO: Human Factors and Ergonomics Society; 2003:1415-19. Wears RL. … Denver, CO: Human Factors and Ergonomics Society; 2003:1420-23. … New Orleans, LA: Human Factors and Ergonomics Society; 2004:1615-18. … Human factors in the emergency department. In: Carayon P, ed. … Handbook of Human Factors and Ergonomics in Health Care.

376. Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
     January 01, 2004 - of beta-blocker prophylaxis was abstracted from the medical records of surgical patients with risk factors … Patient factors Contraindications to beta-blocker use Relative contraindications to beta-blocker … Reviewing patients with intermediate or high risk factors who received perioperative beta-blocker, we … learned that some risk factors predicted the administration of beta-blockade more than others. … Abstract Introduction Background Patient factors Provider factors Organizational factors Conclusion

377. Final Progress Report: Identifying Unnecessary Irradiation of Patients With Suspected Renal Colic (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/moore-report.pdf
     January 01, 2024 - Methods: Multivariate logistic regression was used to determine the top five factors associated with … Results: 
The derivation sample determined the f ive factors found to be most predictive of ureteral … These factors were then abstracted from medical records blinded to CT reports. … These five factors were incorporated into the “S.T.O.N.E. … Our data show that the quantitative effects of the five factors incorporated into the “S.T.O.N.E.

378. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
     December 01, 2017 - 899 Human Factors 614 Human Factors 699 Leadership 815 Leadership 557 Communication … Literacy Barriers to health literacy are multifactorial: Complex healthcare system Patient factors … Safety Barriers to health literacy are multifactorial: Complex healthcare system Patient factors … Describe factors that influence patient and family participation in healthcare. … that Influence Patient Participation 3 Modifiable Factors Fixed Factors Acceptance of

379. Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual Disability (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/bonardi-report.pdf
     January 01, 2024 - Fall risk factors most associated with high falls risk were unsafe footwear, tripping hazards, previous … Analyses to date have examined the risk factors that are related to a high fall risk, as assessed in … Risk Index), the following risk factors were found to be most correlated: Timed Up and Go raw score … Differences in fall risk factors across participants will be examined through correlation matrices. … Risk factors for injuries and falls among adults with developmental disabilities.

380. Final Progress Report: Understanding the implementation of new practices in healthcare organizations (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/nembhard-report.pdf
     January 01, 2024 - These factors shaped staff’s sense of safety, efficacy, opportunity, and/or legitimacy, all of which … Two factors with eigenvalues greater than one emerged, explaining 46.93% of the variance. … In this study, we identified what factors influence staff voice, why these factors are influential, … Factors Influencing Health Professionals’ Voice Factors related to Individual Work Organizational context … Our study revealed not only that a multitude of factors are relevant but also that factors operate at