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Showing results for "factors".

401. NPSD Data Spotlight: Patterns of Fall Interventions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
     September 01, 2023 - • Even though rates of harm and injury varied across patients with different risk factors, Frequent … LIMITATIONS As stated in the NPSD Data Spotlight, Falls: Associated Factors and Clinical Outcomes, there … Seniors (aged 65 and older); • Documented risk factors – previous history of falls, sensory impairment … For 56,264 (72.8%) falls, risk factors were either reported to be unknown or information regarding … patient risk factors were missing altogether.

402. The PeaceHealth Ambulatory Medication Safety Culture Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stock_72.pdf
     January 01, 2007 - combination of) physician/provider-related, health system/practice process-related, or patient-related factors … To best understand these factors, it is important to examine the processes involved in each of those … Because these two factors dominate the 16 items, the fact that item 1 loads 0.004 on leadership and … Clinic site and year (2004, 2005) were fixed factors with no covariates.

403. 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.

404. 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.

405. 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.

406. 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.

407. 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.

408. CHIPRA - Spotlight on Colorado (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/co-statesum.pdf
     July 01, 2015 - — • Developed an electronic questionnaire that screens adolescents for social and behavioral risk factors … The system supporting the screener automatically flags risk factors and uploads the results to the … 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 … One SBHC decided to continue using a previously implemented screener to assess adolescent risk factors

409. 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

410. 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.

411. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4r_combo_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.

412. Practical Solutions for Supporting Primary Care Quality Improvement with Health Information Technology (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/EvidenceNOW-Webinar-Practical-Solutions.pdf
     May 01, 2018 - Welcome and introduction Robert McNellis, M.P.H., P.A., Agency for Healthcare Research and Quality Factors … measure – Extraction and use of data from EHRs for research and quality improvement Factors … In-depth interviews with clinicians and other QI leaders of three exemplary organizations Factors … Quality Improvement Services Evaluation Metrics Timeline Current Status Factors and tools that promote … greater use of health IT for QI Overview of White Paper Methods Factors Supporting the Use of Health

413. Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
     January 01, 2004 - Human Factors 1996;38(4):574–92. 8. Lin L, Isla R, Doniz K, et al. … Applying human factors to the design of medical equipment: patient-controlled analgesia. … Human factors implications of the new GMP rule. … Do it by Design: an introduction to human factors in medical devices. In: U.S. … Four components of a complete human factors engineering analysis Figure 2.

414. Final Progress Report: Refinements in Evaluating Minimum Surgery Volume Standards (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/hanchate-report.pdf
     January 01, 2024 - To the extent that these unobserved factors significantly affect operative mortality, then traditional … Note that vh represents the operative mortality at hospital h resulting from unobserved factors … The average unobserved factors component for low-volume surgeons is –5.8, thereby leading to the … , there are significant differences across hospitals in unobserved factors. … This captures factors that are important determinants of operative mortality but not observed in the

415. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
     January 01, 2023 - Contributing Factors by Report Type This figure examines the percentage of CONTRIBUTING FACTORS by REPORT … Excluding reports where Other factors contributed to the event or unsafe condition, Human factors were … examines the percentage of CONTRIBUTING FACTORS by EVENT TYPE. … Across all EVENT TYPES, Other factors were the most common (80.0% ; 224,662/ 280,943). … Excluding reports where Other factors contributed to the event or unsafe condition, Human factors were

416. Healthcare Safety Competencies Affinity Group Environmental Scan (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
     March 27, 2025 - professionals demonstrating a high level of proficiency in applying the core standards of human factors … Systems Thinking and High Reliability** Safety Science • Systems Thinking and Design • Systems Factors … Human Factors** Safety Science • Human Factors Engineering (Human-Centered Design) • Individual Factors … Page 9 of 15 **Although systems thinking and human factors are related concepts, they are presented … Engineering (Human-Centered Design) • Individual Factors/Individual Failure Modes • Responding to

417. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
     September 03, 2014 - These intra-level factors also impact patient care. … Team factors are equally important. … Besides unit factors, there are administrative factors. … of System-Level Factors Ignoring system-level factors will influence— Sustainability of change efforts … Visualize the factors that led to the event. Step 2. Identify the contributing factors. Step 3.

418. Practice Asthma Data Collection Form (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-data-collection-form.pdf
     May 21, 2019 - __________________ __________________________________________ Confidential Page 7 of 8 Other Factors … Dogs Mold Dust mites Woodstoves Other 24b Other 25 Were social factors assessed in the past … Yes No Unknown 26 What factors (if known) contributed to the Phone call, sent to the ED patient/ … elected to go straight to the ED No phone call, went straight to the ED Other 26a Please list other factors … Lung Function Testing Asthma Education and Self-Management Tobacco Use Assessment Allergies Other Factors

419. Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale - Executive Summary (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.pdf
     March 01, 2017 - Lean redesigns as an organizationwide initiative, with a particular focus on analyzing contextual factors … 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 … We found that two contextual factors were associated with greater likelihood of being a high-performing

420. 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/intro.html
     November 01, 2017 - these reports provide facility- or unit-level information that leadership may use to monitor trends in factors … and Implementation Materials Reports Falls High-Risk Report Summary of Fall Risk Factors … (by Unit or Facility, quarterly or monthly) Contextual Factors Report (by Unit or Facility, quarterly