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Showing results for "factors".

141. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
     www.qualitymeasures.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.

142. Exhibit 2. Literature review search terms by category | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraexh2.html
     April 01, 2018 - Age Race Insurance status Income Socio-economic status Surgical or patient-related risk factors … Surgical risk factors Procedural complications Medical errors Surgical infections Surgical

143. Chapter 1. Introduction and Program Overview | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
     December 01, 2017 - Examples of these risk factors are illustrated in Figure 3 . Figure 3. … Common fall risk factors Intrinsic factors Effects of aging on gait, balance and strength. … Extrinsic fall risk factors Environmental hazards. Unsafe equipment. … Examples of specific extrinsic risk factors Poor lighting. Cluttered living space. … Explore all possible causes and risk factors. Develop new strategies and revise plans.

144. Changing-System-Facilitator-Guide (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
     June 01, 2021 - . · List factors that may compromise patient safety. · Develop an intervention to reduce problems and … Negative contributing factors are those that caused harm or almost caused harm. … These are factors you want to change. In this case, negative contributing factors were: 1. … Positive contributing factors are those that limit or prevent harm. … In this case, positive contributing factors included— 1.

145. Health IT for Multiple Chronic Conditions (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-dorr-samal.pdf
     May 19, 2020 - Biopsychosocial factors play a significant role in MCC outcomes And the factors that may predict … Internet broadband access is associated with portal use even after controlling for sociodemographic factors … Biopsychosocial factors play a significant role in MCC outcomes And the factors that may predict outcomes

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

147. National Academy of Medicine (NAM) Reports | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

148. Transforming Care for People Living with Multiple Chronic Conditions (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
     November 17, 2020 - one mental health diagnosis, or both • Others use the term multi-morbidity to include additional factors … ► disease severity ► functional impairments and disabilities ► syndromes such as frailty ► social factors … Risk • Prevention interventions targeted at reducing the prevalence of common chronic disease risk factors

149. Fallpxtool2E (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2e.docx
     October 19, 2016 - Risk factors for falls in the acute hospital include all of the following except: 1. … All patients should be assessed for fall risk factors at admission, at a change in status, after a fall … Risk factors for falls include: 1. … Education programs for staff should include the importance of fall prevention, risk factors for falls

150. Tool 4B: Staff Roles | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/staff-roles.html
     January 01, 2013 - 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

151. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

152. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.qualitymeasures.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.

153. EvidenceNow Executive Summary - New York City Cooperative (pdf file)
     www.qualitymeasures.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

154. Fall Prevention Toolkit (doc file)
     www.qualitymeasures.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)?

155. Fallpxtool4C (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool4c.docx
     January 29, 2013 - 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)?

156. Measuring Fall and Fall-Related Injury Rates and Prevention Practices (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar5_falls_measuringratespractices.pdf
     January 01, 2013 - 5 Types of Falls Accidental falls May be caused by— • Extrinsic environmental risk factors or … Determine preventability. 7 Types of Falls Unanticipated physiological falls May be caused by— • Factors … Examine trends in fall rates such as— – Falls related to toileting needs – Falls related to risk factors … • Make sure the individualized care plan is tailored to the patient’s fall risk factors. … – Tool 3H: Morse Fall Scale for Identifying Fall Risk Factors – Tool 3I: Medication Fall Risk Scale

157. Reducing Workplace Violence with TeamSTEPPS® | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/teamstepps/events/webinars/dec-2016.html
     July 01, 2018 - Designated Leaders Slide 20: Situation Monitoring Slide 21: Precipitating Factors Slide 22: Some Examples … Return to Contents   Slide 21 Precipitating Factors Internal or external causes of an acting … out behavior over which a staff member has little or no control Understanding precipitating factors … Return to Contents   Slide 22 Some Examples of Precipitating Factors Loss of personal power. … Factors of personal space include gender, size, cultural background.

158. Fallpxtool4B (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool4b.docx
     January 29, 2013 - 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,

159. CLABSI Learning From Defects Tool (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects.docx
     April 01, 2022 - This worksheet will help your team learn what happened, identify the factors that may have contributed … What factors contributed? … Yes No Uncertain 12) Anything else, patient factors or otherwise, that may have

160. Chapter 1. Administration | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssi1.html
     April 01, 2018 - Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. … Final Risk Factors Appendix L. … Final data sheet submitted by each site that included the list of potential SSI risk factors and other … Focus Group Risk Factors Appendix Q. Surgeon Focus Group Content Analysis Appendix R.