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  1. www.cpsi.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
    June 01, 2023 - drug event, such as overdosing, underdosing, or missing medications, or other important contextual factors
  2. www.cpsi.ahrq.gov/news/newsletters/e-newsletter/891.html
    November 01, 2023 - include: Understanding and Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors … Generalizability and portability of natural language processing system to extract individual social risk factors
  3. www.cpsi.ahrq.gov/news/newsletters/e-newsletter/889.html
    November 01, 2023 - the Johns Hopkins Armstrong Institute for Patient Safety and Quality’s Center for Health Care Human Factors … engineering principles—thinking of healthcare settings as complex systems in which social and technical factors
  4. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-bpd.pdf
    December 13, 2013 - ■ Risk factors: premature birth, respiratory failure, O2 supplementation, mechanical ventilation,
  5. www.cpsi.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-intro.html
    April 01, 2018 - Characterize these programs by salient factors (e.g., sponsor, targeted/eligible audience, program objectives
  6. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
    March 01, 2015 - ............................................................................................... 3 FACTORS … adoption, and use; clinical practice; QI; primary care transformation; health care policy; and human factors … , we: • identify specific health IT tools that can be used to support continuous QI; • describe factorsFactors supporting the use of health IT for QI in primary care Having a practice culture with a … Exemplary Uses of Health IT for QI in Primary Care Settings To illustrate how these factors support
  7. www.cpsi.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6j-support-self-care.html
    March 01, 2020 - Reduce the need for hospitalizations These studies did not detect short-term improvement in other factors … such as pain and psychological well-being, but there is evidence of significant improvements of these factors
  8. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-9-appreciative-inquiry.pdf
    September 01, 2015 - This includes identifying areas of strength for the organization and factors that energize it (Cooperrider … What other factors in your organization made this possible? Direct observation. … What factors led to this? Who was involved? What was your role? What roles did others play? … • For root cause analyses: focus on factors that contribute to successful performance, rather than … factors that contribute to poor outcomes
  9. www.cpsi.ahrq.gov/research/findings/studies/index.html
    January 01, 2024 - Rural/Inner-City Residents (23) Rural Health (133) Screening (457) Sepsis (140) Sex Factors … assignment of Emergency Severity Index (ESI) by patient sex and race/ethnicity, factoring in age, clinical factors … assignment of Emergency Severity Index (ESI) by patient sex and race/ethnicity, accounting for age, clinical factors … support patients, caregivers, and care teams in healthcare decisions that incorporate patient-centered factors
  10. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nc.pdf
    November 01, 2017 - almost one-third of deaths are caused by CVD (the CVD mortality rate is 251 per 100,000).2 CVD risk factors … Care Practices Appears Lower Than Expected: An Initial Snap Shot from Evidence NOW [SGIM, 2017] • Factors
  11. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module3/ts2-0ltc_module3_comm_evbase.pdf
    August 20, 2013 - members communicate with one another.7 One study stated that communication is one of the most important factors … transfusion errors, and identified the use of SBARs, call-outs, check-backs, and handoffs as contributing factors
  12. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar04/formative_evaluation_webinar.pptx
    July 15, 2013 - pcmh__home/1483/pcmh_evidence___evaluation_v2 Process outcomes Other factors … Health outcomes Implementation strategies Clinical innovation Process outcomes Other factors
  13. www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/tai-seale.html
    April 01, 2015 - Lessons Learned and Implications for Others Five key factors were identified as important for the successful … patient satisfaction scores after accounting for continuity and access to care and controlling for other factors
  14. www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/about.html
    December 01, 2017 - But there is only limited understanding of such risk factors currently. … Fall prevention involves managing a patient's underlying fall risk factors and optimizing the hospital's
  15. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-last10-patients-audit.pdf
    May 18, 2021 -  Look for factors that may be contributing to the "missed opportunities" that the practice could
  16. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
    March 01, 2013 - along two dimensions: the evidence regarding the outcomes of the safe practices, and the contextual factors … We then apply criteria to evaluate the four factors that together constitute quality (depicted as puzzle … Constructs about the PSP, its components, context factors, outcomes, and ways to accurately measure … such as size, location, financial status, existing quality and safety infrastructure) – External factors … mortality); in-depth review Common/High Low Low High A lot/Not difficult Incorporation of human factors
  17. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
    January 01, 2020 - permanent AF are more commonly seen in older patients with structural heart disease.5 A number of factors … obesity increases the likelihood that AF will progress from paroxysmal to permanent AF.7 Additional factors … Suggestions regarding evaluation of such provider characteristics as well as specific patient factors … , procedural factors/characteristics, energy sources and type of atrial fibrillation were made. … national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors
  18. www.cpsi.ahrq.gov/es/nursing-home/resources/search.html?page=4
    January 01, 2022 - Factors Associated With Racial Differences in Deaths Among Nursing Home Residents With COVID-19 Infection … in the US This article shares findings from a study on factors associated with racial differences in
  19. www.cpsi.ahrq.gov/news/newsletters/e-newsletter/839.html
    November 01, 2022 - AHRQ Systematic Review (draft open for comment): Social and Structural Determinants of Health Risk Factors … Adjusting for social risk factors in pediatric quality measures: adding to the evidence base.
  20. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
    January 01, 2022 - definitions of diagnostic safety events and reporting standards for contextual information and contributing factors … A few participants noted opportunities to expand or elaborate answer values related to patient factors … cesses that arises from differences in clinical situations, settings, specialties, and contextual factors … that standardized defi- nitions of diagnostic safety events, contextual information, and contributing factors … A human factors and survey methodology-based design of a web-based adverse event reporting system for

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