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  1. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow_wi-intuit.pdf
    January 01, 2024 - Examine the impact of implementation strategy and contextual factors on UI-Assist’s Reach, Adoption, … Identify the impact of UI-Assist and contextual factors on patient-reported outcomes. … explain why implementation succeeded or failed for each practice and to identify relevant modifiable factors … practices with participatory design principles from community-based participatory research and human factors
  2. www.cpsi.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp1.html
    January 01, 2013 - Pediatric Units Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate Moderating Factors … Moderating Factors Flowchart Appendix F. Team Checkup Tools Appendix G. … This document is broken into four primary sections: Methods, Participation, Outcomes, and Moderating Factors … Finally, the Moderating Factors section examines variation in CLABSI rates found in the project.
  3. www.cpsi.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.
  4. www.cpsi.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
  5. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
    January 01, 2021 - The goal was to understand the factors that affect health systems’ use of patient-centered outcomes … • Develop measures of integration and identify how environmental factors influence the adoption of … • Identify factors that influence the successful deployment of effective biomedical innovations, factors … The first two projects focused on understanding internal and external factors that drive the use of … Understanding systems’ patient factors, patient engagement, and PCOR; and 6.
  6. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nyc.pdf
    November 01, 2017 - 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 … 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 … Conference, 2016] • Using Practice Facilitation in primary care settings to reduce risk factors for
  7. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
    May 20, 2016 - Though many risk factors are non-modifiable, there are factors that can be addressed by hospitals, such … Determine risk factors for postoperative wound dehiscence and identify patients at risk.1-3,7 Reduce … Recommended Practice: Wound Dehiscence Risk Assessment • Complete a preoperative assessment to identify factors … of surgery (clean vs. contaminated)  Surgical error • When possible, eliminate or mitigate risk factors … • Educate patient about risk factors of noncompliance with postoperative instructions.
  8. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_tools.docx
    August 03, 2017 - Roles RN Conducts or supervises accurate assessment and documentation of assessment of fall risk factors … Educates patient/family about fall risk factors. … LPN Conducts accurate assessment and documents assessment of fall risk factors on admission, daily, … training on documentation methods related to falls (e.g., circumstances of fall if applicable, risk factors … for falls, how those risk factors have been addressed)?
  9. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
    November 20, 2014 - perform a comprehensive skin assessment How to conduct a standardized assessment of pressure injury risk factors … How to incorporate risk factors into care planning Note: At various points during the module, we’ll … Scales Only one part of risk assessment Meant to be used in conjunction with a review of other risk factors … and clinical judgment More factors to consider Especially helpful in identifying patients at mild to … Best Practices Need to be customized: Each patient has a different set of pressure injury risk factors
  10. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool2_readm_review.docx
    September 02, 2016 - Rather than looking for the one reason for the readmission, capture all the factors that contributed … Analysis and Lessons Learned (2-3 minutes each) The purpose of a root cause analysis is to understand the factors … If those are factors, ask “why” again. … Specifically seek to identify clinical, behavioral, social, and logistical factors that might have contributed
  11. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
    September 01, 2023 - • Even though rates of harm and injury varied across patients with different risk factors, Frequent … LIMITATIONS As stated in the NPSD Data Spotlight, Falls: Associated Factors and Clinical Outcomes, there … Seniors (aged 65 and older); • Documented risk factors – previous history of falls, sensory impairment … For 56,264 (72.8%) falls, risk factors were either reported to be unknown or information regarding … patient risk factors were missing altogether.
  12. www.cpsi.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
    December 01, 2017 - 899 Human Factors 614 Human Factors 699 Leadership 815 Leadership 557 Communication 661 (82% … Health Literacy Barriers to health literacy are multifactorial: Complex healthcare system Patient factors … Describe factors that influence patient and family participation in healthcare. … Risk for developing CAUTI increases 5% for every day the catheter remains in place Slide 45 Factors … that Influence Patient Participation 3 Modifiable Factors Fixed Factors Acceptance of patient
  13. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
    January 01, 2012 - Background: This tool can be used to identify risk factors for falls in hospitalized patients. … using the scale and then plan care to address those risk factors. … Background: This tool can be used to identify risk factors for falls in hospitalized patients. … using the scale and then plan care to address those risk factors. … Your hospital unit may use these factors alone or in combination with additional factors to trigger use
  14. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-nephro.pdf
    December 13, 2013 - ■ Results from an imbalance of stone-promoting and stone-inhibiting factors. … ■ Risk factors in at risk infants: – Medications with hypercalciuric effects (furosemide, corticosteroids
  15. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/EvidenceNOW-Webinar-Practical-Solutions.pdf
    May 01, 2018 - Welcome and introduction Robert McNellis, M.P.H., P.A., Agency for Healthcare Research and Quality Factors … measure – Extraction and use of data from EHRs for research and quality improvement Factors … In-depth interviews with clinicians and other QI leaders of three exemplary organizations Factors … Quality Improvement Services Evaluation Metrics Timeline Current Status Factors and tools that promote … greater use of health IT for QI Overview of White Paper Methods Factors Supporting the Use of Health
  16. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
    May 01, 2017 - and independent input 5 AHRQ Safety Program for Perinatal Care Science of Safety 5 System-Level Factors … Affect Safety6 6 AHRQ Safety Program for Perinatal Care Science of Safety 6 System-Level Factors … Can Predict Performance Examples of Impact of System-Level Factors System Factor Effect Nurse-to-patient … Communication failure: basic components, contributing factors, and the call for structure.
  17. Spreadnotes (doc file)

    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
    August 28, 2012 - module we will: · Define spread and its role within an organization, · Examine external and internal factors … Slide 5 SAY: Several external and internal factors can influence spread success. … ASK: What are some of the external factors within your organization that can affect spread? … Slide 6 SAY: Internal factors include: · Leadership: Does the process align with the organization … ASK: What are some internal factors within your organization that can affect spread?
  18. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
    June 12, 2018 - a comprehensive skin assessment · How to conduct a standardized assessment of pressure injury risk factors … · How to incorporate risk factors into individualized care planning Timing This module will take 80 … Assessment Tools in Care Planning — AHRQ Pressure Injury Prevention Program Training Webinar · Risk Factors … . · How to incorporate risk factors into care planning. … They are meant to be used in conjunction with a review of other risk factors and clinical judgment.
  19. www.cpsi.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
  20. www.cpsi.ahrq.gov/research/findings/studies/index.html?page=1
    January 01, 2024 - using the Human Factors Analysis and Classification System-Healthcare. … Results showed that among 35 near misses/errors, incident reports described contributing factors (mean … The researchers concluded that policies addressing this disparity should consider factors beyond MELD … Keywords: Disparities, Access to Care, Sex Factors, Transplantation Wooldridge AR , Carayon … Hum Factors 2024 Jan; 66(1):271-93. doi: 10.1177/00187208221086342..

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