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Showing results for "factors".

21. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.healthcare411.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

22. Lessons from the Field: Making Performance Comparisons (pdf file)
    www.healthcare411.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.

23. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
    May 17, 2016 - Although many risk factors are nonmodifiable (e.g., emergency surgery), some factors can be addressed … Determine risk factors for postoperative wound dehiscence and identify pediatric patients at risk.2- … Hospital Quality and Safety 2 Tool D.4i o Malnutrition • When possible, eliminate or mitigate risk factors … o Reported pain (if old enough to verbalize) or increased heart rate not accounted for by other factors … Risk factors for abdominal wound dehiscence in children: a case-control study.

24. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/resources/learning-lab/index.html
    February 01, 2024 - This approach can involve evaluating the physical (built) environment, technological factors such as … Medication transitions: vulnerable periods of change in need of human factors and ergonomics . … This model showed how policies designed to affect those factors resulted in changes to outcomes. … IISE Trans Occup Ergon Hum Factors  2018;6(3-4):200-8. Das P, et al.  … In this risk score, X n represents baseline risk factors and in-hospital clinical factors, as well as

25. About the Comparative Health Systems Performance (CHSP) Initiative | Agency for Healthcare Research and Quality
    www.healthcare411.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

26. Job Aid: 5 Whys and Fishbone Diagrams (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
    May 17, 2021 - They can also be used to identify the factors contributing to exemplary performance in order to replicate … 2 Fishbone Diagrams Fishbone diagrams are another tool for helping a practice identify factors … existing category sets like this healthcare one: people, materials, methods, measurement, environmental factors

27. EvidenceNOW: Ohio Cooperative (pdf file)
    www.healthcare411.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

28. Guiding Principles Help Healthcare Community Address Potential Bias Resulting From Algorithms | Agency for Healthcare Research and Quality
    www.healthcare411.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®.

29. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.healthcare411.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.

30. Roadmap for Implementing Pediatric Quality Measures for Performance Improvement | Agency for Healthcare Research and Quality
    www.healthcare411.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

31. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
    www.healthcare411.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.

32. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    www.healthcare411.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

33. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
    www.healthcare411.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

34. PS Grantee Report | Agency for Healthcare Research and Quality
    www.healthcare411.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

35. EvidenceNow Executive Summary - New York City Cooperative (pdf file)
    www.healthcare411.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

36. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.healthcare411.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.

37. EvidenceNOW: New York City Cooperative | Agency for Healthcare Research and Quality
    www.healthcare411.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

38. Fall Prevention Toolkit (doc file)
    www.healthcare411.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)?

39. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.healthcare411.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.

40. Appendix A: Recommendations for Staff Training | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/health-literacy/professional-training/lepguide/app-a.html
    September 01, 2020 - cross-cultural skills that will enable health care providers and staff to understand the impact of sociocultural factors … Educating staff on common cultural and sociopolitical factors associated with the diverse populations … Include case examples of how cultural factors affect communication and medical errors. … Guidance on how to report and document errors related to cultural factors (if reporting systems will … be incorporating fields for the role of cultural factors in patient safety situations).