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www.ahrq.gov/chsp/about-chsp/centers-of-excellence/dartmouth.html
August 01, 2017 - Develop measures of integration and identify how environmental factors influence the adoption of new … Identify factors that influence the successful deployment of effective biomedical innovations, factors … Evaluate factors that influence decisions to adopt health care delivery innovations and identify ways … Identify factors that influence the adoption of innovations that enhance patient engagement or promote … Study how the influence of these factors varies across different types of organizations.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiaps.html
April 01, 2018 - Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. … , they agreed that many presumed risk factors may prove unimportant. … the identification of evidence-based risk factors for SSI. … Further research to identify evidence-based risk factors for SSI is needed.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapq.html
April 01, 2018 - Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. … A risk model should be based on patient factors as predictors. … Factors, Risks, and Rates
The specific definition of a factor is important. … of rates based on end results (outcome factors).
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2024.xlsx
January 01, 2024 - Action - Incidents Med_4
Stage of Origin by Incorrect Action - Incidents Med_5
Contributing Factors … by Incorrect Action - Incidents Med_6
Contributing Factors Known by Patient Age - Incidents … Med_7
Contributing Factors by Patient Age - Incidents Med_8
Incident Preventability by Patient … Med_6
Med_6: Contributing Factors by Incorrect Action - Incidents
Incorrect Action(s) Contributing … Factors for Event Frequency Percent
Adult (18-64 years) No 3,767 7.4%
Adult (18-64 years) Unknown
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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:
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
April 01, 2025 - Many factors can impact patient care. … Task factors involve task design and task clarity. A task or an order may be unclear. … Additionally, team-level factors may influence patient outcomes. … Slide 11
System Factors—3
SAY:
There were also team factors, related to team structure and communication … Slide 12
System Factors—4
SAY:
There were also department-level factors.
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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
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
June 02, 2025 - Contextual Factors Report (by Unit or Facility). … Report
Slide 25: Summary of Falls Risk Factors Report
Slide 26: Summary of Falls Risk Factors Report … Factors Report Quiz
Slide 31: Contextual Factors Report
Slide 32: Contextual Factors Report
Slide … 33: Sample Facility-Level Contextual Factors Report by Month
Slide 34: Contextual Factors Report Calculation … Details
Slide 35: Sample Contextual Factors Graph
Slide 36: Check Your Understanding: Contextual Factors
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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.
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www.ahrq.gov/research/findings/final-reports/index.html?page=18
January 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Grant Number: R01 HS 011963 Topic(s): Human and Environmental Factors, Human Factors Approaches To … ) Principal Investigators: Studdert Grant Number: U18 HS 11886 Topic(s): Human and Environmental Factors … , Human Factors Approaches To Improve Patient Safety Publication Date: September 2005
Weekend … Grant Number: R03 HS 014073 Topic(s): Human and Environmental Factors Publication Date: September
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www.ahrq.gov/sites/default/files/2024-04/baernholdt-report.pdf
January 01, 2024 - Studies have examined factors that improve
or hinder HACs, including PUR and FR. … on the longitudinal influence of
contextual factors on PUR and FR. … This study includes contextual factors
conceptualized as the nurse work environment (NWE) factors (staffing … care interventions
that are all contextual factors included in the current study. … Payment policies that optimize these contextual factors would be a logical next step.
4.
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www.ahrq.gov/research/findings/final-reports/index.html
September 01, 2024 - These topics include human factors approaches to improve patient safety, patient safety measure development … Grant Number: R01 HS 025752 Topic(s): Diagnostic Safety, Emergency Care, Human and Environmental Factors … Investigators: Evans Grant Number: R01 HS 028340 Topic(s): Emergency Care, Human and Environmental Factors … et al, Grant Number: R18 HS 027259 Topic(s): Care Coordination, Communication and Teamwork, Human Factors … Safety, Older Adults, Patient Safety Learning Laboratory Publication Date: July 2023
Human Factors
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www.ahrq.gov/research/findings/final-reports/ssi/index.html
April 01, 2018 - Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. … Focus Group Risk Factors
Appendix Q. Surgeon Focus Group Content Analysis
Appendix R. … Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. Master Risk Factors
Appendix M.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - Once risk assessment has helped identify patient risk factors, it is important to match care planning … such as nutrition, activity, mobility, moisture, and friction/shear, as well as any additional risk factors … This means addressing at-risk scores on each subscale, as well as other risk factors not quantified on … It takes into account multiple factors that pertain to the patient's problems, some of which may be obvious … Sometimes, putting together all the discrete parts of the patient risk factors can be akin to putting
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - Once risk assessment has helped identify patient risk factors, it is important to match care planning … such as nutrition, activity, mobility, moisture, and friction/shear, as well as any additional risk factors … This means addressing at-risk scores on each subscale, as well as other risk factors not quantified on … It takes into account multiple factors that pertain to the patient's problems, some of which may be obvious … Sometimes, putting together all the discrete parts of the patient risk factors can be akin to putting
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb.html
October 01, 2022 - /link for more risk factors). … years without medical risk factors
UFH. … Absence of medical risk factors listed above. … Major surgery, age 16-40 years with no other risk factors. … Risk Factors
Prophylaxis
High
Acute diseases with/without VTE risk factors.
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb.html
October 01, 2022 - /link for more risk factors). … years without medical risk factors
UFH. … Absence of medical risk factors listed above. … Major surgery, age 16-40 years with no other risk factors. … Risk Factors
Prophylaxis
High
Acute diseases with/without VTE risk factors.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
June 02, 2025 - .
· Quarterly Summary of Falls Risk Factors by Unit or Facility.
· Monthly Contextual Factors Report. … Quarterly Summary of Falls Risk Factors by Unit or Facility
Table 4. … Sample Quarterly Summary of Falls Risk Factors by Unit
On-Time Quarterly Summary of Falls Risk Factors … Report Description
The Quarterly Summary of Fall Risk Factors Report is a count of risk factors associated … Sample Monthly Contextual Factors Report by Facility
Monthly Contextual Factors Report Date: ___/___/
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.html
October 01, 2014 - There are many risk factors for falls.
Using the HEAR ME tips can help reduce falls. … There are many risk factors for falls. … The risk factors for falls are many, and they relate to individual residents and their environment. … Risk factors are always present. We all have risk factors for falls. … tailored to those risk factors.