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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?
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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
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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
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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
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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
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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
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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
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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
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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.
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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.
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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
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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.
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapd.html
January 01, 2013 - Pediatric Units
Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate
Moderating Factors … Moderating Factors Flowchart
Appendix F. Team Checkup Tools
Appendix G.
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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
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www.ahrq.gov/chsp/about-chsp/centers-of-excellence/rand.html
August 01, 2017 - understanding of the complex structures of health systems, as well as the many contextual and environmental factors … How do market factors (e.g., the competitiveness of the local health care market) influence health system … about daily practice; what the chief barriers and facilitators to PCOR uptake are; and what contextual factors … manager and staff surveys, the team is measuring organizational and clinical integration and contextual factors … systems in our four study regions to assess the relationships between contextual and organizational factors
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www.ahrq.gov/policymakers/chipra/statesummaries/co-spotlight.html
July 01, 2015 - Developed an electronic questionnaire that screens adolescents for social and behavioral risk factors … SBHC staff indicated that the electronic screener helped to identify risk factors that required followup … SBHCs also reported that aggregating the screening data helped them identify the risk factors common … The screeners produced important information on youth’s social and behavioral health-related risk factors … One SBHC decided to continue using a previously implemented screener to assess adolescent risk factors
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www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.docx
March 01, 2017 - of Lean redesigns as an organizationwide initiative, with a particular focus on analyzing contextual factors … Our analysis focused on contextual factors and processes affecting the spread and sustainability of this … We also looked at which key contextual factors affected the acceptance and adoption of Lean redesigns … , how these contextual factors affected frontline acceptance of Lean practices. … These factors include the implementation approach; characteristics of the inner setting (e.g., local
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www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
January 01, 2025 - Curate the factors data for use in analysis.
3. … These factors include patient conditions, unit-level factors, and
provider team factors. … We found
that both types of factors were important. … Engineering Interoperability Between EHRs and Infusion
Pumps: A Human Factors Evaluation Study. … Engineering interoperability between EHRs and infusion pumps: A human
factors evaluation study.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Galt.pdf
January 01, 2004 - All factors were
retained with an Eigen value greater than 1. … The factors were displayed using a score
coefficient matrix. … A factor score was calculated for each of the factors identified. … It is labeled “no human factors limitations with computing
devices.” … The factors that emerged in this study are consistent with this notion.
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www.ahrq.gov/hai/cusp/videos/index.html
September 01, 2019 - Identifying Contributing Factors
What Will You Do to Reduce the Risk of Recurrence? … Manager as a Mentor and Coach
Encourage Professional Development of Staff
Work Alignment
Spread
Factors