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www.cahps.ahrq.gov/chsp/about-chsp/index.html
May 01, 2021 - AHRQ’s goal is to understand the factors that affect health systems' use of patient-centered outcomes … However, little is known about the characteristics of high-performing health systems and the factors … Promote broad dissemination of findings on the characteristics of high-performing health systems and factors … Focus Areas of the Centers of Excellence
Market and Organizational Factors That Influence Implementation … Study how market and organizational factors influence the implementation of biomedical, health system
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/894.html
December 01, 2023 - Grantee Applies Human Factors Approach to Healthcare Systems To Improve Safety . … Grantee Applies Human Factors Approach to Healthcare Systems To Improve Safety
AHRQ grantee Rollin … Used in safety-critical industries like aviation, a human factors approach seeks to understand the factors … also a professor of emergency medicine at Georgetown University School of Medicine, has used human factors … JMIR Hum Factors 2023 Sep 12;10:e45957. Access the abstract on PubMed®.
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www.cahps.ahrq.gov/pqmp/implementation-qi/roadmap/index.html
September 01, 2021 - follow the steps to explore the measure implementation process, including understanding contextual factors … Having an awareness and understanding of the contextual factors that may be at play, before initiating … order to better understand your context, see the link below to a self-study exercise on contextual factors … Example: PQMP IMPLEMENT Team
Self-study Exercise on Contextual Factors Using the MUSIQ Framework … Contextual Factors Impacting Implementation
EHR Modification Costs:
The ability to modify or customize
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www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
July 01, 2023 - Slide 6: System-Level Factors Affect Safety
Say:
As the illustration shows, at any given time, … there are several system factors that simultaneously influence unit culture and patient safety. … Task factors
In addition to patient characteristics, task factors can shape the delivery of care and … Team factors
Team factors may involve issues with teamwork, communication, inadequate supervision, and … Slide 7: System-Level Factors Can Predict Performance
Say:
When nurse-to-patient ratios exceed
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-performance-comparisons.pdf
October 01, 2019 - Adjustments for demographic, clinical and social risk factors may be necessary to ensure that performance … The most common approaches used to account for these factors (demographic,
clinical and social) are … Performance Comparisons
10
Figure 5: Adjustments for demographic, clinical and social risk factors … ‣ When assessing performance on process measures, risk
adjustment should not include SES factors … Risk Adjustment for Socioeconomic Status or Other Sociodemographic
Factors.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
May 01, 2017 - Slide 5
SAY:
As the illustration shows, at any given time, there are several system factors that … Task factors
In addition to patient characteristics, task factors can shape the delivery of care and … Team factors
Team factors may involve issues with teamwork, communication, inadequate supervision, and … Departmental factors
When staffing issues, admission policies, and protocols prove to be insufficient … While these issues are the furthest removed from the patient in the diagram, these factors continually
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www.cahps.ahrq.gov/funding/grantee-profiles/index.html
April 01, 2024 - Founding Director, Johns Hopkins Center for Health Care Human Factors
Armstrong Institute for Patient … More >>
Human Factors in Surgery: Shifting the Paradigm on Patient Safety
Kenneth Catchpole, Ph.D … Medicine
Medical University of South Carolina “Human factors engineering in clinical settings is still … More >>
Applying Human Factors to Make it Easier for Clinicians to Do Their Jobs
Kristen E. … Senior Scientific Director
National Center for Human Factors in Healthcare
MedStar Health, Washington
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www.cahps.ahrq.gov/research/findings/final-reports/index.html?page=7
December 01, 2007 - Medication Safety
(73)
Communication and Teamwork
(29)
Patient Safety Tools
(19)
Human Factors … Implementation
(7)
Education and Training
(6)
Emergency Care
(5)
Human and Environmental Factors … These topics include human factors approaches to improve patient safety, patient safety measure development … Safety Publication Date: December 2006
Medication Error Reduction, Technologies, and Human Factors … Grant Number: UC1 HS 014253 Topic(s): Human Factors Approaches To Improve Patient Safety, Medication
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - $77,739 in additional charges.4
Recommended Practice Details of Recommended Practice
Assess risk factors … Develop a set of risk factors for postoperative respiratory
failure and screen all patients undergoing … Recommended Practice: Assess risk factors
• Determine which pediatric patients are at increased risk … adverse events postoperatively, as well as improve
allocation of resources after surgery.5
• Some risk factors … • Additional adult risk factors that are applicable to children are:
o Smoking.
o Obesity.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
May 01, 2017 - Visualize the factors that led to the event.
Step 2. Identify the contributing factors.
Step 3. … Prioritize the contributing factors.
3. What will you do to reduce the risk of recurrence?
Step 1. … Develop interventions for two to five of the most important factors.
Step 2. … look at the technical factors. … by human factors.
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www.cahps.ahrq.gov/research/findings/final-reports/index.html?page=1
June 01, 2020 - Medication Safety
(72)
Communication and Teamwork
(29)
Patient Safety Tools
(16)
Human Factors … Information Technology
(6)
Education and Training
(5)
Emergency Care
(4)
Human and Environmental Factors … These topics include human factors approaches to improve patient safety, patient safety measure development … Grant Number: R18 HS 024679 Topic(s): Healthcare Facility Design, Human Factors Approaches To Improve … Grant Number: R18 HS 024887 Topic(s): Healthcare Facility Design, Human Factors Approaches To Improve
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - ............................................................ 5
Descriptions of Other Contributing Factors … (typically categorized as Human Factors). … Analysis of 124 records for which “COVID-19” was referenced in the
Contributing Factors unstructured … Paraphrased text describing other contributing factors for a limited number of records
Type of Event … Additionally, when asked to indicate the factors contributing to the event or unsafe
condition, the
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
May 01, 2017 - Task factors
In addition to patient characteristics, task
factors can shape the delivery of care and … Team factors
Team factors may involve issues with
teamwork, communication, inadequate
supervision … While these
issues are the furthest removed from the
patient in the diagram, these factors
continually … Analyzing what happened and why it
happened helps the team understand the
contributing factors and … Being aware of
these factors will help units develop
environments that facilitate communication
and
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
January 01, 2004 - However, systems and climate factors can be extracted from
existing work. … This final solution contained 28 items in
six patient safety factors. … Factors contributing to medication errors: a
literature review. … Workload and environmental
factors in hospital medication errors. … Hum Factors 2003;45:173–85.
36. Singer SJ, Gaba DM, Geppert JJ, et al.
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www.cahps.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/nyc.html
March 01, 2021 - disease is the primary cause of death in the city, and prevalence of cardiovascular disease (CVD) risk factors … Use qualitative methods to assess factors that help and hinder practices in implementing change and achieving … ABCS-driven care
Three expert webinars on topics related to evidence-based management of CVD risk factors … practices [AcademyHealth, 2017]
Using Practice Facilitation in primary care settings to reduce risk factors … Population Health Summit, 2016]
Using Practice Facilitation in primary care settings to reduce risk factors
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-OH-profile.pdf
September 01, 2021 - The state
has a high burden of cardiovascular disease (CVD) and substantial disparities in
CVD risk factors … Smoking rates are higher in Ohio’s geographic regions with lower
socioeconomic factors mirroring the … Determine patient, provider, clinic, and other contextual factors associated
with greater improvements … implementation,
maintenance, and efectiveness of the heart healthy QIP overall
and by subgroup; and (3) factors
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www.cahps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html
February 01, 2024 - Fall prevention involves managing a patient's underlying fall risk factors and optimizing the hospital's … What is a standardized assessment of risk factors for falls, and how should this assessment be conducted … How should identified risk factors be used for fall prevention care planning?
3.5.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
May 01, 2017 - Visualize the factors that
led to the event.
• Step 2. Identify the contributing
factors. … Prioritize the contributing
factors.
3. What will you do to reduce the risk of
recurrence? … Develop interventions for
two to five of the most important
factors. … sometimes look at the
technical factors. … by human factors.
-
www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
July 01, 2023 - 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.
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www.cahps.ahrq.gov/patient-safety/reports/national-academy-medicine.html
February 01, 2018 - Health Care Comes Home: The Human Factors is a 2011 report that outlines the impact of technology, environment … , policy and regulation, and human factors on the growing field of home health care. … companion to the report, the National Academy of Sciences and AHRQ published a designer's guide to human factors … for consumer health IT, Consumer Health Information Technology in the Home: A Guide for Human Factors … Read the Institute of Medicine Report and Designer's Guide on Bringing Human Factors into Home Health