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www.ahrq.gov/research/findings/final-reports/index.html?page=19
January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … 502052 ) Principal Investigators: Fraser and Dunagan Grant Number: U18 HS 11898 Topic(s): Human Factors … Principal Investigators: Picone and Jollis Grant Number: R03 HS 013386 Topic(s): Human and Environmental Factors … 12035 Topic(s): Health Information Technology and Health Information Exchange, Human and Environmental Factors
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www.ahrq.gov/research/findings/final-reports/index.html?page=17
January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Principal Investigators: Zimring Grant Number: R13 HS 015962 Topic(s): Healthcare Facility Design, Human Factors … Safety Publication Date: December 2006
Medication Error Reduction, Technologies, and Human Factors … Grant Number: UC1 HS 014253 Topic(s): Human Factors Approaches To Improve Patient Safety, Medication
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www.ahrq.gov/research/findings/final-reports/index.html?page=13
January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Grant Number: R03 HS 016418 Topic(s): Emergency Care, Human and Environmental Factors, Pediatrics Publication … application/pdf 781088 ) Principal Investigators: Nemeth Grant Number: P20 HS 017124 Topic(s): Human Factors … 779228 ) Principal Investigators: Stone Grant Number: R21 HS 017423 Topic(s): Human and Environmental Factors
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www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
January 01, 2025 - factors and outcomes, often in the form of shortcuts. … Frontiers in Human Factors: Embedded
Clinical Human Factors in Practice (2021). … Human Factors in Healthcare. Accepted 19 June 2023.
In Preparation or Under Submission
12. … Poster presented at the Human Factors and Ergonomics Society Health Care Symposium. … Poster
presented at the Human Factors and Ergonomics Society Health Care Symposium.
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www.ahrq.gov/sites/default/files/2025-05/bisantz-report.pdf
January 01, 2025 - and Systems Engineering, University at Buffalo, SUNY, Buffalo,
NY, USA;
2National Center for Human Factors … Methods: Human factors methodologies were used to model ED work and identify
information needs in order … Multi-day Brainstorming: A brainstorming method involving team members with both
human factors and ED … and Ergonomics in Healthcare: Advancing the
Cause, Human Factors and Ergonomics Society, March 11-13 … Poster presented at HFES 2014
11
International Symposium on Human Factors and Ergonomics in Health
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-dorr-samal.pdf
May 19, 2020 - Biopsychosocial factors play a significant role
in MCC outcomes
And the factors that may predict … Internet broadband access is associated with portal use even after
controlling for sociodemographic factors … Biopsychosocial factors play a significant role in MCC outcomes
And the factors that may predict outcomes
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nyc.pdf
November 01, 2017 - 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 … 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 … Conference, 2016]
• Using Practice Facilitation in primary care settings to
reduce risk factors for
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - Though many risk factors are non-modifiable, there are factors that can be
addressed by hospitals, such … Determine risk factors for postoperative wound dehiscence
and identify patients at risk.1-3,7
Reduce … Recommended Practice: Wound Dehiscence Risk Assessment
• Complete a preoperative assessment to identify factors … of surgery (clean vs. contaminated)
Surgical error
• When possible, eliminate or mitigate risk factors … • Educate patient about risk factors of noncompliance with postoperative instructions.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
January 01, 2004 - However, systems and climate factors can be extracted from
existing work. … This final solution contained 28 items in
six patient safety factors. … Factors contributing to medication errors: a
literature review. … Workload and environmental
factors in hospital medication errors. … Hum Factors 2003;45:173–85.
36. Singer SJ, Gaba DM, Geppert JJ, et al.
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb2.html
January 01, 2020 - B.10 Caprini Individualized Point-Based (Quantitative) Model of VTE Risk Assessment
Factors … A large number of VTE risk factors are included, which may increase sensitivity. … It uses more common risk factors compared with the Brigham and Women's Hospital (BWH) model, but many … Fully ambulatory without multiple VTE risk factors. … He has no other known VTE risk factors.
Physical exam shows low-grade fever.
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb2.html
January 01, 2020 - B.10 Caprini Individualized Point-Based (Quantitative) Model of VTE Risk Assessment
Factors … A large number of VTE risk factors are included, which may increase sensitivity. … It uses more common risk factors compared with the Brigham and Women's Hospital (BWH) model, but many … Fully ambulatory without multiple VTE risk factors. … He has no other known VTE risk factors.
Physical exam shows low-grade fever.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-3.html
July 01, 2023 - In many cases, they do not individualize a patient’s risk, consider patient-specific contextual factors … For a young male patient with no other risk factors, nonvalvular atrial fibrillation confers a 0.2 percent … annual risk of stroke. 17,18 For an older female patient with all possible risk factors, the annual
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - ............................................................ 5
Descriptions of Other Contributing Factors … (typically categorized as Human Factors). … Analysis of 124 records for which “COVID-19” was referenced in the
Contributing Factors unstructured … Paraphrased text describing other contributing factors for a limited number of records
Type of Event … Additionally, when asked to indicate the factors contributing to the event or unsafe
condition, the
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
June 01, 2020 - Social Factors. … But another study, that simply mentions measuring “individual-level HIV risk factors,” would be counted … Social Factors
Includes whether a patient has a particular insurance type. … Studies that examine patients’ social interactions will be considered to be Social Factors as well as … status, ethnicity/race, or gender will be considered both Social Factors and Equity.
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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
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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.
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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.
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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.
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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.
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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.