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41. Appendix 3-A. Suggested Slides for Module 3 | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
    October 01, 2014 - The risk factors for falls. Which residents are at high risk of falling. … Use particular interventions for particular risk factors. … P What are his risk factors for falling? … Slide 7 Resident Risk Factors for Falls Previous falls. Diminished strength. … There are many risk factors for falls. Using the HEAR ME tips can help reduce falls.

42. Final Progress Report: Factors Associated With Quality of Care Delivered to Children in US EDs (pdf file)
    www.ahrq.gov/sites/default/files/2024-12/marcin-report.pdf
    January 01, 2024 - Final Progress Report: Factors Associated With Quality of Care Delivered to Children in US EDs Factors … We also expect that we will identify factors related to quality of care that will assist health policy … Objective 2: To identify hospital-, ED-, and physician-level factors associated with quality of care … We hypothesize that hospital factors, such as type of ED, freestanding children’s hospital status, and … Our null hypothesis is that patient factors, such as age, gender, race/ethnicity, and payment source

43. Final Progress Report: Contextual Factors Associated with Implementation Effectiveness within a Quality Improvement Collaborative (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/lindenauer-report.pdf
    January 01, 2024 - Final Progress Report: Contextual Factors Associated with Implementation Effectiveness within a Quality … Improvement Collaborative AHRQ Grant Final Progress Report Contextual Factors Associated with Implementation … Grant Number: R18 HS18645-03 – Contextual Factors Associated with Implementation Effectiveness Within … a QI Collaborative 1 Table of Contents Contextual Factors Associated with Implementation Effectiveness … Grant Number: R18 HS18645-03 – Contextual Factors Associated with Implementation Effectiveness Within

44. Health IT and Diagnostic Safety: A Human Factors and Systems Engineering Perspective (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/carayon-summit2016.pdf
    June 02, 2025 - Health IT and Diagnostic Safety: A Human Factors and Systems Engineering Perspective 1 Health IT and … Diagnostic Safety: A Human Factors and Systems Engineering Perspective Pascale Carayon, Ph.D. … Work System and Patient Safety [SEIPS = Systems Engineering Initiative for Patient Safety] Human Factors … phenomenon  Design-Implementation-Use-Design-Implementation-… Health IT and Diagnostic Safety:�A Human Factors

45. Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance (pdf file)
    www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
    January 01, 2024 - Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance AHRQ Grant … Final Progress Report Title of Project: Analysis of Factors Associated with Clinical Checklist Compliance … In this project, we focused on identifying the factors and underlying causes that contribute to noncompliant … Finally, we reviewed videos of all 98 cases to further understand factors contributing to noncompliant … For the four primary survey tasks, we observed two factors contributing to false checks: (1) tasks were

46. Factors that Impact Perinatal Care Experience and Outcomes | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/about/pcr-webinar-series/perinatal-care-experience.html
    April 01, 2025 - Factors that Impact Perinatal Care Experience and Outcomes This AHRQ National Center for Excellence … YouTube embedded video: https://www.youtube-nocookie.com/embed/fLpk3lusX9I Factors that Impact Perinatal … Slides: Factors that Impact Perinatal Care Experience and Outcomes (PDF, 2 MB)

47. Exhibit 23. Data sources for the SSI common risk factors | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh23.html
    April 01, 2018 - Data sources for the SSI common risk factors Previous Page Next Page Table of Contents … 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.

48. Exhibit 2. Literature review search terms by category | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/stpra/stpraexh2.html
    April 01, 2018 - Race Insurance status Income Socio-economic status Surgical or patient-related risk factors … Surgical risk factors Procedural complications Medical errors Surgical infections Surgical

49. The Contribution of Diagnostic Error to Maternal Mortality and Severe Maternal Morbidity | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
    September 01, 2021 - Research Agenda Conclusions and Next Steps References Delays in recognition of risk factors … related to maternal hemorrhage, recognition of hemorrhage could be improved through awareness of risk factors … or inadequate treatment, and Inadequate documentation (poor charting or failure to chart) of risk factors … † Includes external factors affecting diagnostic performance and measurement, such as payment systems … , legal factors, national quality measurement initiatives, accreditation, and other policy and regulatory

50. Appendix L. Final data sheet submitted by each site that included the list of potential SSI risk factors and other pertinent variables | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssiapl.html
    April 01, 2018 - Final data sheet submitted by each site that included the list of potential SSI risk factors and other … 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.

51. Learning-From-Antibiotic-Adverse (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
    June 01, 2021 - Negative Factor Positive Factor Patient Factors Technical Factors … Health Care Worker Factors Team Factors Institutional Factors … Health Care Worker Factors Team Factors Institutional Factors … Health Care Worker Factors Team Factors Institutional Factors … Health Care Worker Factors Team Factors Institutional Factors

52. Factors for Selecting Performance Measures | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/cahptab.html
    December 01, 2017 - Factors for Selecting Performance Measures The Child Health Toolbox contains concepts, tips, … Factors CAHPS® HCUP QIs HEDIS® Title V Suitable for comparing?

53. Chapter 4. Assessing Surgeon Acceptance of Risk Adjustment Models | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssi4.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. … of factors, such that items of actual significance were obscured.

54. Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
    February 01, 2024 - To address this overall issue, the lab used rigorous systems engineering and human factors methods to … methods to analyze the problem of diagnostic and therapeutic error and identify system and cognitive factors … Design and development using human factors methods and rapid, iterative prototyping of interventions … In this risk score, X n represents baseline risk factors and in-hospital clinical factors, as well as … include concurrent (e.g., cluster-randomized) trials to reduce confounding by temporal trends due to factors

55. Learning and Performance Objectives | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3obj.html
    October 01, 2014 - Risk factors for falls. Which residents are at high risk of falling. … Use particular interventions for particular risk factors.

56. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/monthly.html
    October 01, 2017 - Program for Nursing Homes: On-Time Falls Prevention Electronic Reports Monthly Contextual Factors … Sample Monthly Contextual Factors Report by Facility Monthly Contextual Factors Report                                          

57. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/learning-lab/index.html
    August 01, 2025 - IISE Trans Occup Ergon Hum Factors  2018;6(3-4):200-8. Das P, et al.  … JMIR Hum Factors 2023 Mar 9;10(1):e43729. Hoonakker PL, et al. … Hum Factors 2024;66(3):701-713. … In this risk score, X n represents baseline risk factors and in-hospital clinical factors, as well as … Proc Hum Factors Ergon Soc Annu Meet 2023;67(1):79-85. Li L, et al.

58. Barrier Identification and Mitigation Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
    December 01, 2017 - Tools to identify factors that hinder guideline adherence, also called barriers, and approaches to mitigating … the Barrier Identification Table to provide a framework to identify and record barriers, contributing factors … Based on these two factors, an action priority score is calculated, providing a ranked list of tasks. … Discuss Ask various staff members about the factors influencing compliance. … They will also record the factors that encourage compliance; these are the facilitators.

59. Quality Improvement Strategies | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/qi-strategies.html
    July 01, 2021 - Diagram Quality Improvement Strategies This section of the toolkit describes key factors … It describes the settings and the multiple factors that impact the asthma ED measure. … Key Success Factors for Quality Improvement The PQMP measure, Pediatric Asthma Emergency Department … When thinking of these factors and where they occur, they generally can be attributed to the patient’ … In this scenario, it is important to evaluate access to care, environmental factors, ED care, and the

60. Making Healthcare Safer III: Structured Abstract | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/abstract.html
    March 01, 2020 - Objectives: To review and summarize the evidence for selected patient safety practices (PSPs) and factors … selecting PSPs to address specific harm areas, it became evident that several cross-cutting contextual factors … It is clear that a wide range of factors impact the effectiveness of PSPs with respect to their ability