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www.ahrq.gov/policymakers/chipra/cpcf-form6.html
December 01, 2013 - establishing the reliability of a measure will depend on the type of measure, data source, and other factors … for establishing the validity of a measure will depend on the type of measure, data source, and other factors
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www.ahrq.gov/sites/default/files/2024-12/danforth-report.pdf
January 01, 2024 - We
sought to determine the frequency and risk factors for three types of outpatient care
gaps. … , laboratory monitoring, ACEi/ARBs
PURPOSE
This study sought to identify the frequency and risk factors … To add to the growing literature on outpatient care, we studied the frequency and risk
factors for … Data on patient-, provider-, and system-level factors were pulled from the electronic
health record … in quantitative
analyses, it did not allow for the collection of mitigating factors specific to our
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
April 01, 2025 - approach improvement science in healthcare by introducing new ideas and methods from systems and human factors … approach retrospectively analyzes the event to attempt to establish causation, identify contributing factors … Safety-I often defines factors that contribute to adverse events as failures or errors, even if it uses … applied to diagnosis posits that healthcare delivery is a complex adaptive system, and the numerous factors … confirmation on exam or testing to exclude a more serious explanation when the patient may have risk factors
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www.ahrq.gov/sites/default/files/publications/files/ccreroadmap.pdf
July 01, 2013 - In addition, the relevance and influence of different factors will
vary according to the particular … In fact, the relative influence of factors is generally expected to vary
according to the particular … Little is definitively known,
however, about how the relative influence or importance of the factors … • What are the factors that can motivate clinical and community organizations to form
relationships … Within each of these six basic factors, multiple measures could relate to
numerous different domains
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www.ahrq.gov/practiceimprovement/delivery-initiative/mccannon/index.html
December 01, 2020 - Slide 11
A Framework
A graphic depiction of the framework showing the six factors that influence … The six factors are: current environment, foundation, framing, nature, structural context and method. … Slide 20
A Framework
A graphic depiction of the framework showing the six factors that influence … The six factors are: current environment, foundation, framing, nature, structural context and method.
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www.ahrq.gov/chsp/about-chsp/centers/rand.html
July 01, 2019 - 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 healthcare market) influence health system … manager and staff surveys, the team is measuring organizational and clinical integration and contextual factors … organizations in the 24 health systems and will explore the relationships between contextual and organizational factors
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-4.html
June 01, 2023 - A third set of considerations involves the role of organizational or systemic factors that limit the … clinical encounters shows that it is often hard for patients to discern the impact of system-level factors … These factors include organizational constraints on referrals or limitations imposed by health insurers … about these effects and to promote clinician-patient dialogue that clarifies the impact of system-level factors
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www.ahrq.gov/research/findings/final-reports/stpra/stprasumm.html
April 01, 2013 - which had two primary objectives: (1) using proactive risk assessment, identify the realm of risk factors … assessment, design an intervention to mitigate the probability of SSIs due to the most common risk factors … Developing the ST-PRA Model: Steps Step 1—Identify all factors (also known as basic events ) contributing … An initial list of basic events was created based on the major risk factors recognized in the extant
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
April 01, 2004 - • Key success factors.
• Outcomes and improvements to date. … Advances in Patient Safety: Vol. 4
226
Human factors. … Action plans from walkaround findings in several cases have
been linked to human factors work, which … Interest in the walkarounds program first began at a KP human factors
workshop attended by Dr. … , organization and management, task factors,
individual staff factors, patient factors) and assigned
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
January 01, 2004 - Patient factors. … Team factors. … Attention should be paid to ambient conditions and any other significant
extraneous factors. … It is important that they understand the main
CDRs and ADRs and their determining factors. … Violation-producing factors and behaviors
Table 3.
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www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
January 01, 2024 - Video recording has a long history as a tool for Human Factors Research. … The additional human factors
identified include communication, team performance, systems factors, and … Fine-grained analysis can include nuances
of contextual and systems factors. … research, Human Factors, 39(2): 323
-328.
11. … Proc Human
Factors and Ergonomics Soc Annual Meeting, 2002.
2.
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www.ahrq.gov/sites/default/files/2024-11/dy-report.pdf
January 01, 2024 - Final Report
For observations, we used a human factors approach and contextual inquiry, a process … The independent variables included
contextual factors (e.g., ownership/size, population service) from … the PCMH
practice data, implementation factors (e.g., quality improvement climate,
perceptions of … teamwork, safety processes of care) from the interviews and
surveys, and social network factors (e.g … Other key factors included self-efficacy and job satisfaction and
quality improvement climate.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximplstrat.pdf
June 02, 2025 - Weekly Falls Risk or Safety Meetings
Quarterly Summary of Falls Risk Factors by Unit or Facility … Weekly Falls Risk or Safety Meetings
Monthly Contextual Factors by Unit or Facility
1.
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www.ahrq.gov/teamstepps-program/evidence-base/teams.html
June 01, 2023 - Carayon (Ed.), Handbook of Human Factors and Ergonomics in Health Care and Patient Safety (pp. 259- … In Proceedings of the Human Factors and Ergonomics Society 46th Annual Meeting . … (pp. 2069-73), Santa Monica, CA: Human Factors and Ergonomics Society. … What are the critical success factors for implementing team training in health care?
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
September 01, 2024 - We divide these into patient, clinician, and structural factors (Figure 1). Figure 1. … Patient, clinician, and structural factors contributing to diagnostic errors in older adults Patient … factors Atypical presentations. … Independent risk factors associated with atypical presentations were complicated urinary tract infection … Clinician factors Ageism/age bias.
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www.ahrq.gov/patient-safety/resources/learning-lab/dream-lab-long-desc.html
August 01, 2025 - .: HS027280 Project Period: 09/12/19-09/29/24 Description: DREAM Lab addressed systemic factors … 1 ] The lab used a systems engineering framework and human-centered design to identify contributing factors … The specific aims were to: Identify factors contributing to diagnostic errors and inappropriate clinical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4f_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - to
$111,000) in children with this complication, even after controlling for a number of other risk
factors … Recommended Practice Details of Recommended Practice
Risk Factor Determination Determine which factors … Quality and Safety
2 Tool D.4f
Recommended Practice: Risk Factor Determination
• The following factors … surgery is appropriate.5
o Practice recommendation should be selected based on individual patient risk factors … Post-tonsillectomy hemorrhage: an assessment of risk factors.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4t_combo_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - to
$111,000) in children with this complication, even after controlling for a number of other risk
factors … Recommended Practice Details of Recommended Practice
Risk Factor Determination Determine which factors … Quality and Safety
2 Tool D.4t
Recommended Practice: Risk Factor Determination
• The following factors … surgery is appropriate.5
o Practice recommendation should be selected based on individual patient risk factors … Post-tonsillectomy hemorrhage: an assessment of risk factors.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
June 02, 2025 - Ensure the known risk factors for pressure injuries are assessed. … Tool 5D
39
Assessment of Care Planning
All the risk factors identified in the pressure injury risk … Tailor your approach to each patient, based on the patient’s risk factors.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
October 01, 2017 - How to conduct a standardized assessment of pressure injury risk factors. … How to incorporate risk factors into individualized care planning. … Risk Factors for Pressure Injuries: Going Beyond Validated Instruments —AHRQ Pressure Injury Prevention … How to conduct a standardized assessment of pressure injury risk factors. … How to incorporate risk factors into care planning.