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Showing results for "factors".

601. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
     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

602. Best Practices in Public Reporting No. 1: How To Effectively Present Health Care Performance Data To Consumers (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-1-public-reporting.pdf
     June 01, 2010 - 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. … Consumers must process a large amount of information, select relevant factors and differentially weight … them, and bring all the factors together into a choice.

603. Pillars of a Smart, Safe Operating Room (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
     April 07, 2008 - patient safety: (1) surgical simulation, (2) “smart image,” (3) informatics, and (4) ergonomics/human factors … Ergonomics and human factors are used to design physical and informational workplaces for better outcomes … Ergonomics often focuses on the physical environment and the human body, while human factors center … Applying human factors to information systems can ensure their usability. … The importance of human factors in the operating room. Anesthesiology 1994; 80(2): 479. 25.

604. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.docx
     March 01, 2017 - This form is designed to identify contributing factors to and the root cause of a CAUTI that meets the … , if applicable: _________________ Antibiotic(s): __________________ Sensitive: Y – N Contributing Factors … Using the responses to contributing factors above, what contributed to the resident developing a CAUTI

605. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/notes.html
     December 01, 2012 - Discuss the three greatest risks, and Rank these risk factors. … Visualize the factors that led to the event. Step 2. Identify the contributing factors. Step 3. … Develop interventions for two to five of the most important factors. Step 2. … look at the technical factors. … by human factors.

606. High-Hanging Fruit: Improving Transitions in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
     March 27, 2008 - In contrast, human factors specialists express concern about potential unintended consequences of this … approach, particularly when it is applied across a wide variety of practitioners and settings, due to factors … The downside is the lack of requisite expertise from human factors engineering, which might result in … Communication failure: Basic components, contributing factors, and the call for structure. … Int J Hum Factors Manufact 1995; 5: 163-176. 29. Matthews AL, Harvey CM, Schuster RJ, et al.

607. Head of Bed Elevation or Semirecumbent Positioning Literature Review | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/head-bed-elevation-lit-review.html
     January 01, 2017 - Study findings showed four factors to be independently associated with VAP: an organ system failure index … that the supine position and length of time the patient is kept in this position are potential risk factors … Grap, 2010) 13 Clinical review: This review summarizes the epidemiology, pathophysiology, and risk factors … Stepwise logistic regression analysis identified four factors to be independently associated with VAP … Stepwise logistic regression analysis identified four factors to be independently associated with VAP

608. Tool: SSA (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/head-bed-elevation-litreview.docx
     January 01, 2017 - Study findings showed four factors to be independently associated with VAP: an organ system failure index … that the supine position and length of time the patient is kept in this position are potential risk factors … (Grap, 2010)13 Clinical review: This review summarizes the epidemiology, pathophysiology, and risk factors … Stepwise logistic regression analysis identified four factors to be independently associated with VAP … Stepwise logistic regression analysis identified four factors to be independently associated with VAP

609. Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/guide.html
     March 01, 2017 - This how-to guide is organized into short sections on critical factors to successfully improve and sustain … It provides recommendations, tools, and resources to ensure that the success factors for improving and … Key factors contributing to the failure of HAI reduction efforts over time include not educating new … safety for nursing home residents. 3 More importantly, research has identified six critical success factors … Critical success factors for performance improvement programs.

610. Chapter 6. Measure Maps and Profiles (continued, 4) | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6c.html
     June 01, 2014 - professionals to synergistically influence the patient care provided.” 1 The instrument focuses on 2 factors … Factor analysis confirmed the presence of two distinct factors measuring unique components of collaboration … or Health System Characteristics: Measure developers indicate that further testing of theory-linked factors … Factor analysis confirmed the presence of two distinct factors measuring unique components of collaboration … or Health System Characteristics: Measure developers indicate that further testing of theory-linked factors

611. 1. Introduction and Purpose | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap1.html
     July 01, 2013 - the Clinical-Community Relationships Measures Atlas ( Dymek et al., 2013 ), we pair the six basic factors … In addition, the relevance and influence of different factors will vary according to the particular clinical … In recognition of wide local variations in myriad influential factors, the expert panel strongly emphasized … Hence, it is critical that contextual factors are considered in the design, implementation, and evaluation … important to conduct rich qualitative research that elucidates the nature and influence of the contextual factors

612. 5 Tk2 T1-Concise Antibiogram Toolkit Background (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T1-Concise_Antibiogram_Toolkit_Background.pdf
     May 01, 2014 -  Antibiograms provide guidance for empiric antibiotic use in patients, but other factors including … patient characteristics and prevalence of other risk factors should be incorporated when making therapeutic

613. 5 Tk2 T1-Concise Antibiogram Toolkit Background (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T1-Concise_Antibiogram_Toolkit_Background.doc
     May 01, 2014 - · Antibiograms provide guidance for empiric antibiotic use in patients, but other factors including … patient characteristics and prevalence of other risk factors should be incorporated when making therapeutic

614. 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/factraining.html
     November 01, 2017 - Slide 5: Discussion Can you think of any other examples when knowledge of risk factors might be … (by Unit or Facility) Monthly Contextual Factors Report (by Unit or Facility) Postfall Assessment … Some identify a profile of risk factors; others focus on a particular risk factor. … Monthly Contextual Factors Report displays facility trends by contextual factor. … Identify resident risk factors that may have caused a fall.

615. Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #1: Fuzzy Set Analysis
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar03/logic_models.pptx
     July 15, 2013 - through which it produces those outcomes Interrelationships among intervention components Contextual factors … What contextual factors are likely to affect the process? … more preventive care, better planned care) Improved patient experience Contextual and External Factors … to understand variation in implementation of FSPs Using a logic model to explore how implementation factors … Service array / team structure Service array Team structure Qualitative Analysis Reveal Implementation Factors

616. Assess and Adapt: Understanding the Science of Safety and Reliability | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
     July 01, 2018 - make wise decisions when there is diverse and independent input Slide 16 Understanding System Factors … Rings from inner to outer are: Patient Characteristic, Task Factors, Individual Provider, Team Factors … Second order problem solving Fixing the immediate problem Fixing the system factors that allowed … Communication failure: basic components, contributing factors, and the call for structure.

617. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4c_combo_psi06-pneumothorax-bestpractices.pdf
     May 20, 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 … These can be categorized as either patient related or procedure related.2,13 Patient-related factors … Procedure-related factors include: o Transthoracic needle aspiration. o Thoracentesis. … Iatrogenic pneumothorax: etiology, incidence, and risk factors.

618. Improving the Emergency Department Discharge Process: Environmental Scan Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
     December 01, 2014 - But there is only limited understanding of such risk factors currently. … What are the risk factors for patients at high risk for discharge failure? 2. … They were also risk factors for 17 22frequent use of emergency medical services and death. … What are the risk factors for ED Discharge failure? … If it is an article about risk factors, answer the risk factor questions.

619. An Employee Questionnaire for Assessing Patient Safety in Outpatient Surgery (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carayon.pdf
     February 01, 2005 - show that a model with one underlying factor fits the data slightly better than a model with three factors … results of the analysis of the scales on environment/equipment/supplies show that three underlying factors … Design model with one factor 272.3 73 .886 .836 .870 .616 .090 .097 Design model with three factors … Human factors in organizational design and management VII. Santa Monica, CA: IEA Press: 2003. … Presented at the Human Factors and Ergonomics Society Conference, 2004; New Orleans. 10.

620. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
     October 01, 2017 - Ensure the known risk factors for pressure injuries are assessed. … Slide 40: 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.