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www.qualitymeasures.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.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiref.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. … Risk factors for mediastinitis after cardiac surgery. Ann Thorac Surg. Feb 2004;77(2):676-683. 61.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2c.docx
January 28, 2013 - assessments (e.g., when does it occur, who does it, what happens if a patient is found to have risk factors … If a process does not exist (for example, there is no process to assess fall risk factors upon admission
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.html
March 01, 2017 - (what factors contributed)
positive factors
What prevented it from being worse?
… negative factors
What happened to cause the defect?
3.
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter6c.html
June 01, 2014 - professionals to synergistically influence the patient care provided.” 1 The instrument focuses on 2 factors … Factor analysis confirmed the presence of two distinct factors measuring unique components of collaboration … or Health System Characteristics: Measure developers indicate that further testing of theory-linked factors … Factor analysis confirmed the presence of two distinct factors measuring unique components of collaboration … or Health System Characteristics: Measure developers indicate that further testing of theory-linked factors
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www.qualitymeasures.ahrq.gov/npsd/data/spotlights.html
September 01, 2023 - Falls: Associated Factors and Clinical Outcomes (PDF, 4.5 MB) examines clinical outcomes and factors
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpra3.html
April 01, 2018 - protective equipment, infectious patients, prevention of patient-to-patient transmission; assessment of risk factors … checklist to be used by the nurse during the preoperative screening phone call to ensure that major risk factors … establish stop-gap measures that prevent surgery from occurring for patients with multiple known risk factors
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
June 30, 2017 - For example, you may consider adding specific fields for contributing factors to falls (such as high-risk … Instructor’s Note: The hospital may have agreed to use another scale or a simple checklist of risk factors … Slide 41
SAY: For risk factor assessment to make a difference, all risk factors identified on the risk … on the part of staff and a tailored approach to each patient based on the individual patient’s risk factors
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
December 01, 2017 - can be easily accomplished by naming a specific room or bathroom, wheelchair, or resident with risk factors … Intrinsic Fall Risk Factors
Slide 5. Intrinsic Fall Risk Factors (continued)
Slide 6. … Intrinsic Fall Risk Factors (continued)
Slide 7. Extrinsic Fall Risk Factors
Slide 8. … Extrinsic Fall Risk Factors (continued)
Slide 9. … Extrinsic Fall Risk Factors (continued)
Slide 10. Physical Restraints
Slide 11.
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www.qualitymeasures.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
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
June 01, 2021 - stewardship team
Physician lead
Pharmacist lead
Nurse lead
Prioritize top problems
Identify all the factors … that could lead to this problem
Technical factors
Adaptive factors
How Can You Identify Problems?
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www.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter6p.html
June 01, 2014 - Questions cover two main factors: (1) structure of health care delivery (11 items) and (2) interpersonal … A principal component factor analysis was conducted and revealed two main factors (structure of health … Factor analysis was conducted and demonstrated good internal consistency reliabilities of 4 factors.
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www.qualitymeasures.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