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Showing results for "factors".

401. Rationale for Use | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-2.html
     September 01, 2020 - Reduction Introduction Rationale for Use Content-Specific Versus Process-Focused Checklists Factors … We will discuss the evidence for the effectiveness of checklists for diagnostic error reduction and factors

402. Presentation: Science of Improving Patient Safety and Identifying Defects
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
     December 01, 2017 - Impact Safety5 Hospital Departmental Factors Work Environment Team Factors Individual Provider … Task Factors Patient Characteristics Institutional Science of Improving Patient Safety … It shows the continuum of system factors that can influence health care delivery and the occurrence of … We need to consider these factors when we respond to defects or otherwise make desired changes. … These factors range from hospital and institutional factors such as facilities and budgetary constraints

403. Final Progress Report: Older adult safety while receiving home health services after hospital discharge (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
     January 01, 2024 - Improving Care Transitions across Healthcare Settings through a Human Factors Approach. … Carayon P, ed Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. … Time to accelerate integration of human factors and ergonomics in patient safety. … Human factors systems approach to healthcare quality and patient safety. … Improving Care Transitions Across Healthcare Settings Through a Human Factors Approach.

404. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
     August 01, 2022 - and using old prescriptions, and problems with access to medications) and health system factors (poor … In the assessment of the factors involved in pregnancy-associated and pregnancy-related deaths, the top … three individual factors identified were chronic medical conditions, substance abuse, and delay and/ … or failure to seek care; the top three system factors were lack of case coordination and management, … poor patient–provider communication, and lack of continuity of care; and the top three clinical factors

405. CLABSI Learning From Defects Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects_revised.docx
     April 01, 2022 - This worksheet will help your team learn what happened, identify the factors that may have contributed … What factors contributed? … Yes No Uncertain 12) Anything else, patient factors or otherwise, that may have

406. Hospital-Acquired Pneumonia (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-one-page.docx
     November 01, 2019 - cultures have been obtained, de-escalate therapy based on clinical judgment and individual patient risk factors … oral medications can be tolerated, consider conversion from intravenous to oral therapy · If no risk factors … Risk factors for methicillin-resistant Staphylococcus aureus in patients with community-onset and hospital-onset

407. Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/1_Carla_Zema_Intro_slides_1-23.pdf
     October 08, 2013 - • Clerks and receptionists treat you with courtesy and respect CG-CAHPS Survey Versions Factors … • Further research and testing are needed to develop lower cost methods of data collection Factors … Clinician & Group Surveys (CG-CAHPS) CAHPS Surveys CG-CAHPS Core Measures CG-CAHPS Survey Versions Factors … an illustration Psychometric Properties Visit Survey Percentile Distributions Implications Factors

408. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
     January 01, 2024 - An assessment of medication-related risk factors was performed on 428 patients. … No other potential risk factors for medication discrepancies were noted to be significant. … (4) To identify risk factors frequently responsible for inaccurate medication reconciliation. … An assessment of medication-related risk factors was performed on 428 patients (65.7%). … No other potential risk factors for medication discrepancies were noted to be significant.

409. 125. Treatment Recommendations: Medications (Continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide125.html
     October 01, 2014 - What other factors may influence medication selection? … Pragmatic factors may also influence selection such as insurance coverage or out of pocket patient costs

410. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
     April 01, 2018 - gleaned through four unique and important quantitative and qualitative data sources: Known risk factors … , and human factors, in the risk model. … The process mapped by a ST-PRA model incorporates factors that are internal to the process and factors … of factors that are related to institutions or to the system. … To ensure that ST-PRA captures all possible process factors, it is important to scour several sources

411. Error Producing Conditions in the Intensive Care Unit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
     February 26, 2008 - Despite the impact of these errors, little research has identified the human factors that contribute … The current study uses the error-producing conditions (EPC) approach to help identify device-related factors … Thus, EPCs can be thought of as additional factors that increase the probability of error. … Williams conceptualized them as factors that have a consistent effect on human reliability. … Device-related EPCs in general shed some light on the contributing factors to error in the ICU.

412. Open Wide Learning Lab (OWLL): Improving Patient Safety in Dentistry | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/owll-long-desc.html
     August 01, 2025 - The specific aims were to: 1 Identify and understand the contributing factors behind common dental AEs … Identifying contributing factors associated with dental adverse events through a pragmatic electronic … Identifying contributing factors associated with dental adverse events through a pragmatic electronic

413. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
     December 01, 2017 - Develop a “system perspective” to see the hidden factors that led to the event. … List all contributing factors and identify whether they harmed or protected the patient. … Prioritize most important contributing factors and most beneficial interventions. … Image: A grid matrix to prioritize contributing factors. … Prioritize contributing factors and interventions. Use safe design principles.

414. Appendix V. JAMIA Draft Manuscript Tables | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiapvtables.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.

415. 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/otimefallspx-implmatls.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? … Can you determine if the fall was due to clinical factors (e.g., change in resident risk factors, inadequate … Weekly Falls Risk or Safety Meetings Monthly Contextual Factors by Unit or Facility 13.

416. Strategies to Better Engineer Safety into Healthcare Delivery (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
     March 06, 2025 - Although it has long been used to improve safety in many other industries, human factors engineering … Many factors that affect patient and workforce safety are outside the span of control of those working … Case Study: Resuscitation Cart Medication Drawer Researchers used human factors engineering principles … The measurement core developed a simulation model to help identify factors associated with harms and … Human Factors Engineering.

417. Publications and Additional Materials | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/publications/search.html?page=0
     January 01, 2021 - Keywords: Sickle cell anemia, Preventative care Factors Associated With Family Experience in Pediatric … Factors Associated With Family Experience in Pediatric Inpatient Care. … , Dental Quality Measures for Managing Prescription of Antipsychotic Medication Among Youths: Factors … Quality Measures for Managing Prescription of Antipsychotic Medication Among Youths: Factors Associated … Using State Administrative Data to Identify Social Complexity Risk Factors for Children.

418. Publications and Additional Materials | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/publications/search.html
     January 01, 2021 - Keywords: Sickle cell anemia, Preventative care Factors Associated With Family Experience in Pediatric … Factors Associated With Family Experience in Pediatric Inpatient Care. … , Dental Quality Measures for Managing Prescription of Antipsychotic Medication Among Youths: Factors … Quality Measures for Managing Prescription of Antipsychotic Medication Among Youths: Factors Associated … Using State Administrative Data to Identify Social Complexity Risk Factors for Children.

419. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/summary.html
     March 01, 2017 - Results and Discussion of Findings Patient safety in primary care is influenced by patient-related factors … , provider-related factors, and health system or practice-related factors. … Although the team identified policy-related factors, they are beyond the scope of this project. … Factors influencing patient safety within primary care seldom occur in isolation but are part of a complex … Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative

420. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4d_pdi05-nqi01-pneumothorax-bestpractices.pdf
     May 16, 2016 - Identification of Patients at Risk Develop a process to address common iatrogenic pneumothorax risk factors … • Consider the many factors identified in the literature that are associated with a higher risk of … Some common risk factors among neonates and children are13-15: o Respiratory distress syndrome. … Frequency and intensive care related risk factors of pneumothorax in ventilated neonates. … Iatrogenic pneumothorax: etiology, incidence, and risk factors.