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Showing results for "factors".

61. Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
    May 19, 2003 - Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis 323 … Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis … The HERW asked human factors consultants to conduct a human factors process analysis of the nursing … This paper describes the human factors process analysis that was done. … Human factors process analysis The human factors process analysis began with a two-phase information

62. 114-Mrsa-Prevention-Learning-From-Defects (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
    October 01, 2024 - Negative contributing factors are factors that harmed or increased the risk of harm for patients. … Positive contributing factors are factors that limited the impact of harm for patients. … Factors Negative Contributing Factors Positive Contributing Factors Patient Factors (related to clinical … factors Enter interventions Enter leader Enter dates Enter contributing factors Enter interventions … Enter contributing factors Enter interventions Enter leader Enter dates Enter contributing factors

63. Conclusions and Next Steps | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-5.html
    September 01, 2021 - Although, many factors that contribute to diagnostic error in maternal health are unknown, there are … More research is needed to identify related factors that contribute to diagnostic error and to determine

64. Final Progress Report: Factors Associated with Effective Implementation of a Surgical Safety Checklist (pdf file)
    www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
    January 01, 2024 - Final Progress Report: Factors Associated with Effective Implementation of a Surgical Safety Checklist … Factors Associated with Effective Implementation of a Surgical Safety Checklist Sara J. … Various terms have been used to describe these factors. … For the dimensions and factors, average scores <4.5 were classified as negative/neutral. … Empirical and Theoretical Bases of Human Factors Training in Aviation.

65. What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-factors-influencing-state-reporting.pdf
    July 01, 2016 - What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? … , organizational factors, and behavioral factors. … Examining the interplay of these factors across the cases revealed several themes. … Organizational factors History and culture of data collection and use ? - ? ? … Behavioral factors Motivation ? ? ? Demand for measures - ? ­

66. Exhibit 3.19. Major Factors that Facilitate Lean Success | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-19.html
    November 01, 2014 - Major Factors that Facilitate Lean Success Previous Page Next Page Table of Contents

67. Exhibit 6.14. Major Factors that Facilitated Lean Success | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-14.html
    November 01, 2014 - Major Factors that Facilitated Lean Success Previous Page Next Page Table of Contents

68. Centers of Excellence and Coordinating Center | Agency for Healthcare Research and Quality
    www.ahrq.gov/chsp/about-chsp/centers/index.html
    July 01, 2019 - They are exploring how market and organizational factors influence the implementation of biomedical, … The survey asks leaders about the external environment, organizational characteristics, operational factors … systems and communities; and graphically depict key health system characteristics and other environmental factors … Health Care Systems are examining different aspects of the U.S. health system in order to understand factors

69. Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS) (pdf file)
    www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
    January 01, 2025 - Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS) … patient factors. … Human Factors Integration in Robotic Surgery. Hum Factors. 2022:187208211068946. 5. … Human Factors Integration in Robotic Surgery. … Human Factors in Robotic [Inguinal hernia repair. Journal TBC. 2023. 2.

70. Chapter 5. Project Expansion | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssi5.html
    April 01, 2018 - Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. … Final Risk Factors Appendix L. … eight additional potential risk factors. … Thus, 41 potential risk factors were included. E3.5.1. … different in the list of significant risk factors.

71. Making Effective Changes in Antibiotic Decision Making (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
    November 01, 2019 - , technical factors, healthcare worker factors, team factors, and institutional factors. … are factors you want to change. … Positive contributing factors are factors that limited the impact of harm. … , technical factors, health care worker factors, team factors, and institutional factors. … worker factors (potential lack of interest in guidelines or advice), and team factors (no daily review

72. Chapter 3. Designing and Testing Methods to Stratify Risk of Surgical Site Infections | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssi3.html
    April 01, 2018 - Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. … Final Risk Factors Appendix L. … used by his institution to identify potential risk factors. … That initial list consisted of 88 risk factors for SSI (go to Appendix I ). … Risk factors identified from any surgical site were included in the list.

73. Learning-Antibiotic-Adverse-Events-Form (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/learning-antibiotic-adverse-events-form.docx
    November 01, 2019 - For more information about negative and positive contributing factors, see the presentation, “Making … Identify the negative and positive factors associated with the adverse event. … Negative contributing factors are those that harmed or increased the risk of harm for the patient. … Positive contributing factors are those that limit the impact of harm. … Focus on 3–5 of the negative contributing factors from above and discuss how you will prevent these factors

74. Coop_Context_Info_Assessment_Final (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context.pdf
    June 01, 2013 - Community (a) What are the community factors that affected recruitment? … Health Care System (a) What are the health care system factors that affected recruitment? … Historical Factors of Recent Events (a) What are the historical factors or recent events that affected … Other (a) What are the other factors that affected recruitment? … : Other Factors: Recruitment Experience from another Perspective:

75. Improving Patient Safety in Healthcare | Agency for Healthcare Research and Quality
    www.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
    December 01, 2023 - The Agency gave me the credibility to establish the largest human factors research center in a U.S. health … This approach is dedicated to understanding the factors, such as the work environment and technology, … A trained safety scientist and human factors engineer, Rollin J. … He has dedicated his career to applying a human factors engineering approach to healthcare systems. … of safety science and human factors engineering principles in healthcare delivery.

76. S7: Identifying How to Improve Health Outcomes for Children in Foster Care | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s7-beal.html
    May 01, 2024 - different healthcare delivery models on health outcomes for children in foster care and examines the factors … The research team also seeks to identify how child welfare system factors (e.g., foster care placement … identify which healthcare delivery models work best to care for children in foster care, and which factors

77. Coop_Context_Info_Assessment (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context-external.pdf
    January 01, 2016 - This includes paying attention to factors that affect what happens during the study and considering … Identifying these factors will help future investigators and implementers understand what affected the … We plan to report relevant contextual factors and how they affected important processes and outcomes. … We also leave space for you to fill in any “Other” factors that these categories might not encompass … (e.g., partner strengths, stakeholder relationships with practices) Other Factors What other factors

78. Acute Care Learning From Defects
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
    November 01, 2019 - Making AHRQ Safety Program for Improving Antibiotic Use – Acute Care 1 Objectives Identify relevant factors … factors – Factors that limited the impact of harm for the patient (want to keep these) 11 Changes … Associated With Adverse Events Five categories of factors that contribute to adverse events Patient factors … Associated With Adverse Events Types of factors Health care worker factors are related to individual … Negative Contributing Factors Positive Contributing Factors Vancomycin unnecessarily started empirically

79. 162-Example-Completed-Learning-Defects-Tool (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
    October 01, 2024 - Positive contributing factors limited the amount of harm. … Rate the most important contributing factors that relate to the incident. III. … Negative contributing factors are factors that harmed or increased the risk of harm for patients. … Positive contributing factors are factors that limited the impact of harm for patients. … Factors Negative Contributing Factors Positive Contributing Factors Patient Factors (related to clinical

80. Appendix K. CAUTI Case Review Form | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.html
    March 01, 2017 - This form is designed to identify contributing factors to and the root cause of a CAUTI that meets the … applicable: _________________ Antibiotic(s): __________________ Sensitive: Y – N Contributing Factors … Using the responses to contributing factors above, what contributed to the resident developing a CAUTI