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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - will vary based on the
patient population, practice resources, current operations, and other local factors … In addition,
primary care teams should consider individual patients’ risk factors for developing postdischarge … If left
unaddressed, behavioral health and social needs are key risk factors for postdischarge adverse … previously, primary care teams should be encouraged to adjust these principles as
needed based on patient factors
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T1-Background_final.pdf
October 01, 2016 - • Antibiograms provide guidance for empiric antibiotic use in residents, but other factors including … resident characteristics and prevalence of other risk factors should be incorporated when making
therapeutic
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
July 02, 2008 - Ensure the known risk factors for pressure injuries are assessed. … Tool 5D
39
Assessment of Care Planning
All the risk factors identified in the pressure injury risk … Tailor your approach to each patient, based on the patient’s risk factors.
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www.healthcare411.ahrq.gov/pqmp/implementation-qi/index.html
August 01, 2021 - subject matter experts to identify an implementation science framework suitable for analyzing contextual factors … Collaborative conducted interviews and developed worksheets to gather information about contextual factors … The roadmap guides potential toolkit users through considering contextual factors to understand how to
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www.healthcare411.ahrq.gov/research/findings/final-reports/index.html?page=8
August 01, 2004 - 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
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www.healthcare411.ahrq.gov/practiceimprovement/delivery-initiative/mccannon/index.html
December 01, 2020 - Slide 11
A Framework
A graphic depiction of the framework showing the six factors that influence … The six factors are: current environment, foundation, framing, nature, structural context and method. … Slide 20
A Framework
A graphic depiction of the framework showing the six factors that influence … The six factors are: current environment, foundation, framing, nature, structural context and method.
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/communication-documents.pdf
February 04, 2021 - clinic’s list, need a hematologist/PCP, require an
annual TCD, have known barriers to care, or other factors … plan list, have been lost to follow-up, require
an annual TCD, have known barriers to care, or other factors
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
December 29, 2022 - Diagnostic Decision-Making JGIM
Accordingly, we use these strategies to propose specific re- Other Factors … There are other factors that disrupt decision-making that are
not included in our model such as cognitive … We also do
not account for interactions between interruptions and these
factors, such as when trying … For example, one review concluded that
there are three main disruptive factors: duration of the inter … It is challenging to disentangle all the factors
involved in diagnostic decision-making because it is
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www.healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - Ensure that known risk factors for falls are assessed. … Slide 41: Care Planning Assessment
All risk factors identified on the fall risk factor assessment … Tailored approach to each patient, based on the patient’s risk factors.
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Coordination_of_Care_2012_05_01_Transcript.pdf
January 01, 2012 - Coordination
Understanding the Factors that Affect Care Coordination
May 2012 Podcast
Speaker … https://www.cahps.ahrq.gov/News-and-Events/Podcasts.aspx
Understanding the Factors that Affect Care … It looked
http://www.cahps.ahrq.gov/
Understanding the Factors that Affect Care Coordination … http://www.cahps.ahrq.gov/
Understanding the Factors that Affect Care Coordination
May 2012 … http://www.cahps.ahrq.gov/
Understanding the Factors that Affect Care Coordination
May 2012
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
August 03, 2017 - Include in Incident Reports
Examples of Information
Reason To Collect This Information
Reporting factors … Environmental factors
Buzzer/bell available within reach before fall
Highlight whether there is an … Patient factors
Mental state
Identify those patients most vulnerable to falls because of sedation,
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
November 16, 2011 - *
Staff nurses
3G – STRATIFY Scale for Identifying Fall Risk Factors*
Staff nurses
3I – Medication … If a process does not exist (for example, there is no process to assess fall risk factors upon admission … All patients should be assessed for fall risk factors at admission, at a change in status, after a fall … Risk factors for falls include:
Parkinson’s disease
Incontinence
Previous history of falls
Delirium
11 … Education programs for staff should include the importance of fall prevention, risk factors for falls
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - further review and prepare
selected cases for committee presentation and identify
potential causative factors … review results quarterly or biannually as
appropriate to determine if there are trends in causative factors … How To Improve Hospital Quality and Safety
6 Tool D.4n
o Discussion is focused on causative factors … and preventability3:
Causative factors:
Underlying disease
Treatments and procedures, including … Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate
• Using an individualized assessment of risk factors
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www.healthcare411.ahrq.gov/hai/cusp/videos/index.html
September 01, 2019 - Identifying Contributing Factors What Will You Do to Reduce the Risk of Recurrence? … Nurse Manager as a Mentor and Coach Encourage Professional Development of Staff Work Alignment Spread Factors
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Kenyon2014.pdf
February 01, 2014 - of pediatric asthma rehospitalization, variation in rate of rehospitalization across
hospitals, and factors … Delineating risk factors for short- and long-term asthma rehospitalization may help to
target discharge … Multivariate analysis of risk factors for asthma rehospitalization
Covariate
7 d 15 d 30 d 60 d 180 … Risk factors for readmission to
hospital for asthma in childhood. Thorax 1994;49:33-6.
4. … Race, socioeconomic factors, and
area of residence are associated with asthma prevalence.
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www.healthcare411.ahrq.gov/challenges/past/sdoh/index.html
July 01, 2022 - Further, there are multiple social factors that contribute to poor quality care and increased healthcare … leveraging technology and providing innovative tools to help organizations improve their understanding of factors … Users can identify social and economic factors associated with increased mortality trends at the county
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
March 08, 2019 - • Contributions of human factors to errors that have led to harm. … • AHRQ is interested in multidisciplinary research on the topic (with a
heavy emphasis on human factors
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www.healthcare411.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - and unsafe conditions, then further examines incidents and near misses along with their contributing factors … analyses by age, deeper explorations of common activities prior to fall, and enhanced analyses of risk factors … It also features new incident-specific near misses-specific analyses that examine their contributing factors
-
www.healthcare411.ahrq.gov/evidencenow/projects/heart-health/research-results/research/collection.html
March 01, 2021 - Southwest cooperative conducted interviews with practices to understand the internal and external factors … Internal factors included: practice structure, staffing, priorities, change processes, and methods of … External factors included: concurrent/competing QI projects and health IT infrastructure. … practices’ motivations and expectations, cooperative organization, and technological and/or geographic factors
-
www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - Continuous organizational learning as a result of identification of contributing factors that might help … 30-45 business days after the event, the investigation should allow for the determination of causal factors … By focusing on system processes and factors that facilitated the event, adjustments can be made to minimize … Continuous organizational learning—this allows for identification of contributing factors that led to … Create solutions—once contributing factors and unrelated hazards are identified, sustainable and effective