-
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
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
January 01, 2023 - Source:
NPSD Data Spotlight, Falls: Associated Factors and Clinical Outcomes, 2023. … Risk Factors by Patient Age
The figures below display RISK FACTORS by PATIENT AGE. … Counts
were taken where valid, non-missing information was available for RISK FACTORS and
PATIENT … Risk factors can impact the occurrence and outcome of Fall Incidents. … were excluded.
31
APPENDIX B - TECHNICAL NOTES FOR ANALYSES PRESENTED IN FOCUS: RISK
FACTORS
-
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.
-
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.
-
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
-
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.
-
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
-
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
-
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
-
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.
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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.
-
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