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Showing results for "factors".

441. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
     May 01, 2003 - exacerbate the situation, our health care system is stressed, as evidenced by additional contributing factors … around the specifics of a particular case, missing the broader context of systematic contributing factors … safety tools, however, results in a less comprehensive understanding of the unsafe situations and factors … is expected in the practice of medicine, and that errors are caused more often by latent systemic factors … Ensure students understand contributing factors The current medical curriculum must be expanded to

442. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
     January 01, 2024 - , NRE severity, and contributory factors at VUMC and PCH. … Human factors and cardiac surgery: A multicenter study. … Effects of performance shaping factors on human error. … Human factors research in anesthesia patient safety: Techniques to elucidate factors affecting clinical … Proc Hum Factors Ergon Soc. 2010;54:957-961. 110. Brown H, Prescott R.

443. Conclusions and Next Steps | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-6.html
     September 01, 2020 - Reduction Introduction Rationale for Use Content-Specific Versus Process-Focused Checklists Factors … diagnostic safety is still in its infancy, more indepth evaluation, including a focus on implementation factors

444. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
     December 01, 2017 - 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. … By developing a systems point of view, we realize that, at any given time, multiple system factors may … These factors range from hospital and institutional factors such as facilities and budgetary constraints … Developing awareness of the factors that influence communication for both the sender and the receiver

445. Seamless Care: Safe Patient Transitions from Hospital to Home (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
     April 18, 2004 - and had an unscheduled readmission within 30 days were interviewed to obtain their perceptions of factors … Results: Factors associated with readmissions varied by DRG. … Patient and organizational factors each contributed to unscheduled readmissions. … Patient demographic factors, including, age, race, ethnicity, marital status, discharge destination … Patient and organizational factors were found to have contributed to unscheduled readmissions.

446. Heart Healthy Ohio Initiative Charter: August 2021 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/57-ohio-hhoi-charter.pdf
     August 01, 2021 - indicated, blood pressure control, cholesterol management, and smoking cessation)  Aim 3: Determine factors … the highest quartile for CVD morbidity and mortality and has significant disparities in CVD risk factors … evaluate the effectiveness of the co- designed intervention versus usual care; and 5) understanding factors … Finally, we will conduct a mixed methods study evaluating the factors associated with greater improvements … in CVD risk factors and disparity reductions using monthly EHR data, baseline and annual surveys, and

447. The Science of Improving Patient Safety
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
     March 01, 2009 - teamwork Teams make wise decisions when there is diverse and independent input 6 6 System-Level Factors … Affect Safety9 7 7 8 Safety is a Property of the System 8 System-Level Factors Can … Predict Performance Examples of Impact of System-Level Factors System Factor Effect Daily rounds … Communication failure: basic components, contributing factors, and the call for structure.

448. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
     May 01, 2017 - and independent input 5 AHRQ Safety Program for Perinatal Care Science of Safety 5 System-Level Factors … Affect Safety6 6 AHRQ Safety Program for Perinatal Care Science of Safety 6 System-Level Factors … Can Predict Performance Examples of Impact of System-Level Factors System Factor Effect Nurse-to-patient … Communication failure: basic components, contributing factors, and the call for structure.

449. First Annual Centers of Excellence Workshop | Agency for Healthcare Research and Quality
     www.ahrq.gov/chsp/events/coe-workshop1.html
     December 01, 2022 - is intended to be a much needed resource for researchers studying health system change and the key factors … Among the topics noted were: The importance of external factors, including market factors, in influencing

450. Special Considerations for Measurement of Diagnostic Safety (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
     June 01, 2020 - diagnostic error, based on diagnosis or other relevant characteristics that may be considered risk factors … referral within 7 days Delay in diagnosis from lack of specialty expertise Patient-related factors … thorough content review may be sufficient to identify missed opportunities for diagnosis, contributing factors … Other factors related to diagnostic error, such as the presence of patient harm (e.g., clear evidence … Nevertheless, the science of understanding the complex mix of cognitive and sociotechnical contributory factors

451. Improving the Emergency Department Discharge Process | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/emergency-dept/discharge-process.html
     July 01, 2017 - ACTION II field-based research project, led by a team from Johns Hopkins University, to identify the factors … team summarizes what was learned from this pilot test about the characteristics and associated risk factors

452. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
     March 03, 2008 - A case-control study was conducted within a major cancer center to determine risk factors for falls, … The initial list of variables was developed from factors commonly named in the literature, as well as … Intuitively, it did not make sense to try to assign points to each of the risk factors and calculate … Prevalence of the risk factors on the new falls instrument supported choosing this unit (Table 4) … What human factors need to be considered? 2.

453. Final Progress Report: Midcoast Maine Patient Safety and IT Integration (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
     January 01, 2024 - Bill Zuber – Director, Performance Improvement Consulting Team Jeff Brown, MS – Davis Group (Human Factors … Specific protocols were developed to gain insight into overall patient safety as well as factors related … to HIT, quality, culture, and human factors. … Human Factors – THQIT implementation includes additional assessment of human factors and related human … factors interventions that involve HIT and have direct impact on patient safety.

454. 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/implmatls.html
     November 01, 2017 - will help either type of nursing home better understand how effectively they: Identify falls risk factors … Develop interventions specific to the risk factors to mitigate falls risk. … Do falls prevention care plans include interventions addressing the following falls risk factors? … Yes  |__|  No  |__|   Can you determine if the fall was due to clinical factors (e.g., change in … resident risk factors, inadequate care plan)?

455. Best Practices in Public Reporting No. 1: How To Effectively Present Health Care Performance Data To Consumers | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/public-reporting/guide1.html
     August 01, 2018 - Consumers and Clinical Experts Define Quality Differently In a national survey, the top three factors … Humans can only integrate a limited number of factors into a choice. … Making tradeoffs among different categories of factors (e.g., a doctor who communicates well but whose … Differential weighting of factors in a choice is problematic for people. … them, and bring all the factors together into a choice.

456. Lessons Learned about Practice Facilitation | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/practice-facilitation/lessons/index.html
     November 01, 2022 - -7   Lesson: Increasing the impact of practice facilitation programs that target multiple risk factors … longer, more intense intervention and greater attention to external policy and practice contextual factors … A randomized trial of external practice support to improve cardiovascular risk factors in primary care

457. 3. What Is the Clinical-Community Relationships Measurement Framework? | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas3.html
     March 01, 2013 - In sum, the measurement framework is an attempt to provide an overall description of the factors that … The factors that allow or facilitate development of structural anchors on both sides of the bridge represent … The existence, prevalence, and strength of these factors are potential measures that can be mapped to … This allows the examination of how specific factors intrinsic to primary care clinics/clinicians, patients … The Patient Element The patient is the subject of a referral and there are factors specific to a patient

458. HHCEB Presentation (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/umich-slides.ppt
     May 20, 2012 - user, prophylaxis recommendation based on risk score Reorganization / grouping of Caprini VTE risk factors

459. Appendix B. Systematic Review Flowchart | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapb.html
     January 01, 2013 - Pediatric Units Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate Moderating Factors … Moderating Factors Flowchart Appendix F. Team Checkup Tools Appendix G.

460. Appendix A. Exclusion Criteria | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapa.html
     January 01, 2013 - Pediatric Units Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate Moderating Factors … Moderating Factors Flowchart Appendix F. Team Checkup Tools Appendix G.