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Showing results for "factors".

81. Learning From Defects
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
    April 01, 2025 - There are numerous contributing factors behind each defect. … outcomes.2-4 Capture all contributing factors before considering any interventions or solutions. … Ask “why” five times to drill down to the root of understanding each cause and the relevant factors. … factors, related to devices, procedures, and information technology Healthcare personnel factors, related … to members of the healthcare team Team factors, related to teamwork and communication Institutional

82. Research Agenda | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/issue-briefs/maternal-mortality-4.html
    September 01, 2021 - ]. 15 Cognitive and system errors are major contributing factors to diagnostic error. … diagnosis. 19 System errors are major contributing factors to diagnostic error. … Identify institutional factors that contribute to diagnostic error, including policies and cultural factors … Explore teamwork factors associated with prompt response to [maternal hemorrhage]. … Explore which factors promote real-time quantification and discussion of blood loss.

83. Research Agenda | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.html
    September 01, 2021 - ]. 15 Cognitive and system errors are major contributing factors to diagnostic error. … diagnosis. 19 System errors are major contributing factors to diagnostic error. … Identify institutional factors that contribute to diagnostic error, including policies and cultural factors … Explore teamwork factors associated with prompt response to [maternal hemorrhage]. … Explore which factors promote real-time quantification and discussion of blood loss.

84. 111-Ss-Cusp-Lfd-Worksheet-A3 (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/111-ss-cusp-lfd-worksheet-a3.docx
    April 01, 2025 - Top Contributing Factors Interventions To Reduce Risk Who Will Do It and By When Status Enter contributing … What Are the Top Contributing Factors? … Enter contributing factors Defect Identified: What Is the Defect? Enter defect AHRQ Pub.

85. Understand the Science of Safety for Perinatal Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
    July 01, 2023 - Slide 6: System-Level Factors Affect Safety 6 Image: Concentric circles show the layered impact of … Institutional factors, hospital factors, departmental factors, work environment factors, team factors … , individual provider factors and task factors all have an impact on patient safety. … Slide 7: System-Level Factors Can Predict Performance Examples of Impact of System-Level Factors … Communication failure: basic components, contributing factors, and the call for structure.

86. Engineering Safe Care Journeys for Vulnerable Older Adults | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/learning-lab/safe-care-journeys-long-desc.html
    January 01, 2025 - Hum Factors 2024;66(3):701-713.  2023 Barton HJ, et al. … JMIR Hum Factors 2023 Mar 9;10(1):e43729. Hoonakker PL, et al. … Hum Factors Health  2023 Dec;4:100059. Wust McBroom K. … Proc Hum Factors Ergon Soc Annu Meet  2020 Dec;64(1):648-652. Werner NE. … Proc Hum Factors Ergon Soc Annu Meet  2022 Sep;66(1):848-852.

87. 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/slides.html
    November 01, 2017 - Prevention Electronic Reports Electronic Reports Falls High-Risk Report Summary of Fall Risk Factors … (by Unit or Facility) Contextual Factors Report (by Unit or Facility) Postfall Assessment Report … What are the most common risk factors? Which acute change was seen most often? Least often? … Report can be used to monitor overall prevalence and trends of risk factors associated with falls on … Slide 26: Summary of Falls Risk Factors Report Calculation Details Displays the following data:

88. PS Grantee | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/index.html?page=1
    January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Grant Number: R01 HS 026134 Topic(s): Human and Environmental Factors Publication Date: April 2023 … Grant Number: R18 HS 026609 Topic(s): Diagnostic Safety, Human Factors Approaches To Improve Patient … Grant Number: R03 HS 027231 Topic(s): Discharge Planning, Human Factors Approaches To Improve Patient … Grant Number: P30 HS 024380 Topic(s): Healthcare Facility Design, Human Factors Approaches To Improve

89. PS Grantee | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/index.html?page=11
    January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Grant Number: R03 HS 19074 Topic(s): Healthcare Facility Design, Human Factors Approaches To Improve … Principal Investigators: Landrigan Grant Number: R03 HS 17357 Topic(s): Human and Environmental Factors … ) Principal Investigators: Secola Grant Number: R36 HS 019103 Topic(s): Human and Environmental Factors … Grant Number: R03 HS 017554 Topic(s): Human and Environmental Factors Publication Date: March 2011

90. 129-Ss-Blank-Lfd (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
    April 01, 2025 - Negative contributing factors are those that harmed or increased the risk of harm for a patient. … Positive contributing factors limited the amount of harm. … Rate the most important contributing factors that relate to the incident. III. … Contributing Factors Domain Contributing Factors Negatively Contributed Positively Contributed … Protocol for determining risk factors for MRSA colonization in electronic health record.)

91. AHRQ Safety Program for MRSA Prevention
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/002-cusp-learning-defects.pptx
    October 01, 2024 - There are numerous contributing factors behind each defect. … Ask “why” five times to drill down to the root of understanding each cause and the relevant factors. … outcomes.2-4 Capture all contributing factors before considering any interventions or solutions … factors, related to devices, procedures, and information technology Healthcare personnel factors, related … to members of the healthcare team Team factors, related to teamwork and communication Institutional

92. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/131-ss-swiss-cheese.pptx
    April 01, 2025 - Surgical Services The Swiss Cheese Model Systems Impact Safety2 Institutional Hospital Departmental Factors … Work Environment Team Factors Individual Provider Task Factors Patient Characteristics | 7 AHRQ Safety … | 9 AHRQ Safety Program for MRSA Prevention | Surgical Services The Swiss Cheese Model System Factors … | 10 AHRQ Safety Program for MRSA Prevention | Surgical Services The Swiss Cheese Model System Factors … Multiple factors contribute to patient outcomes.

93. Final Progress Report: Determinants of Intrapartum Quality of Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-12/bailit-aron-love-report.pdf
    January 01, 2024 - Lastly, we added structural factors and process factors to the final risk-adjustment model to look for … only 0.764 (0.763, 0.765) 0.1141 80.58 85.16 Maternal factors + all hospital structural factors … 0.768 (0.766,0.770) 0.1194 79.47 84.77 Maternal factors + modifiable hospital structural factors … only 0.764 (0.763, 0.765) 0.1141 80.58 85.16 Maternal Factors + all process and structural factors … Process factors are more difficult to interpret.

94. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety …           Individual provider factors           Team factors …         Hospital factors           Institutional factors     … Focus your efforts on the most important contributing factors. … Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety

95. Focusing on Health Equity in AHRQ's PCORTF Investments | Agency for Healthcare Research and Quality
    www.ahrq.gov/pcor/strategic-framework/investments.html
    July 01, 2023 - An equity lens provides a deliberate focus on understanding and addressing factors at multiple levels … of influence (policies, systems, and environmental factors; institutional and organizational factors … ; community-level factors; and individual factors) that can advance fair and just opportunities to attain

96. Understand the Science of Safety Module Alternate Text | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
    July 01, 2018 - Slide 7 System-Level Factors Affect Safety9 Concentric circles show the layered system-level factors … that affect patient safety: institutional factors, hospital factors, departmental factors, work environment … factors, team factors, individual provider factors, and task factors all have an effect on patient safety … , hospital factors, departmental factors, work environment factors, team factors, individual provider … factors, and task factors all have an effect on patient safety.

97. Exhibit 2. Literature review search terms by category | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/stpra/stpraexh2.html
    April 01, 2018 - Race Insurance status Income Socio-economic status Surgical or patient-related risk factors … Surgical risk factors Procedural complications Medical errors Surgical infections Surgical

98. Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
    February 01, 2017 - Slide 16: System Factors Impact Safety 2 Image: Many system factors impact safety. … : institutional, hospital, departmental factors, work environment, team factors, individual provider, … task factors, and patient characteristics. 2. … Slide 18: LFD Tool Contributing Factors Image: Screen capture of LFD tool highlighting team factors … environment as contributing factors.

99. 023-Ss-Cusp-Learning-From-Defects-Fg (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
    April 01, 2025 - There are usually numerous contributing factors behind each defect. … To truly understand the cause and the factors, ask “Why” five times to drill down to the root. … Slide 13 Contributing Factors SAY: Contributing factors often include the following: · Patient factors … Team factors, related to teamwork and communication · Institutional factors, related to the institution … contributing factors, the CUSP team sorted them using the cause-frequency grid.

100. 004-Cusp-Learning-From-Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
     October 01, 2024 - There are usually numerous contributing factors behind each defect. … To truly understand the cause and the factors, ask “why” five times to drill down to the root. … Slide 13 Contributing Factors SAY: Contributing factors often include the following: · Patient factors … Team factors, related to teamwork and communication · Institutional factors, related to the institution … contributing factors, the CUSP team sorted them using the cause-frequency grid.