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  1. www.qualitymeasures.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
  2. www.qualitymeasures.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
  3. www.qualitymeasures.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
  4. www.qualitymeasures.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar03/logicmodelsl.html
    July 01, 2013 - Contextual factors that may influence the intervention’s ability to produce results. … What contextual factors are likely to affect the process? … Using a logic model to explore how implementation factors related to fidelity relate to fidelity domains … Slide 25 Qualitative Analysis Reveal Implementation Factors Individuals: Program director knowledge
  5. www.qualitymeasures.ahrq.gov/sops/bibliography/index.html?page=5
    January 01, 2024 - Certified registered nurse anesthetist perceptions of factors impacting patient safety. … A comparative study on effective factors in patient safety culture from the nursing staff points of view … A cross-sectional analysis investigating organizational factors that influence near-miss error reporting … The influence of organizational factors on patient safety: Examining successful handoffs in health care
  6. www.qualitymeasures.ahrq.gov/sops/bibliography/index.html?page=2
    January 01, 2024 - Multilevel analysis of individual, organizational, and regional factors associated with patient safety … The enabling, enacting, and elaborating factors of safety culture associated with patient safety: A multilevel … Patient safety culture and associated factors among health care providers in Bale Zone hospitals, Southeast … A safety evaluation of the impact of maternity-orientated human factors training on safety culture in
  7. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/mcdonald-summit2016-breakout.pdf
    October 05, 2016 - to Patients and Their Families Kathryn McDonald Stanford University What We Know: Key Shaping Factors … Edmondson & Schein, 2011 What We Don’t Know Enabler and Show Stoppers  What organizational contextual factors … Theoretically critical for building in diagnostic safety culture Organizations What We Know:�Key Shaping Factors
  8. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-plenary.pdf
    September 28, 2016 - Workforce (including clinician burnout) Understand Health Care Risks & Hazards Clinical Factors … Work System Factors Safe Practices Patient Safety Culture Patient Engagement Alignment with … topics and potential solutions: ► Use of Data and Measurement ► Health IT’s Role ► Organizational Factors
  9. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-vick-wolff.pdf
    November 01, 2020 - utm_content=creditCopyText #2: Infrastructure 9 • How do system-level and community-level structural factors … • How do system- and community-level factors interfere with or support engagement, and how do we design
  10. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-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?
  11. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-nembhard.pdf
    January 01, 2014 - Measuring Implementation And Contextual Factors • Implementation: Office visit frequency ► CG-CAHPS … program’s early months to address outstanding care needs and self-management training • Contextual factors … 6 m on th s P < 0.001 Getting Greater Improvement In Patient Care Experiences Contextual factors … Quasi-Experiment Measuring Patient Care Experiences And Teamwork Measuring Implementation And Contextual Factors
  12. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-staff-ny.pdf
    August 23, 2018 - practices to help make changes that can improve quality of care for patients with cardiovascular risk factors … How do you help patient’s access community programs to help them deal with cardiovascular risk factors … What are the biggest challenges facing your patients with cardiovascular disease risk factors? … Small Practices and Other Contextual Factors There are a few more questions I’d like to ask about your
  13. www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssi2.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. … A strength of our approach was to rigorously differentiate between risk factors for and manifestations
  14. www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/implementation.html
    January 01, 2013 - fall risk: Developing mechanisms for the emergency department to communicate a patient's risk factors … Are data already in the system that can be used as part of a new process to assess fall risk factors? … the most logical place in the record to collect/organize/assess information about patient fall risk factors … Fall risk factor report that summarizes which patients on the unit have specific risk factors. … Strategies for dealing with such reluctance will depend on a number of factors, including the stage of
  15. www.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/safety/system-change.html
    June 01, 2021 - List factors that may compromise patient safety.
  16. www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/environ-equip-slides.html
    March 01, 2017 - Risk factors Use of common measuring device between residents with indwelling urinary catheters. … Nursing home facility risk factors for infection and hospitalization: importance of registered nurse … turnover, administration, and social factors. … Nursing home facility risk factors for infection and hospitalization: importance of registered nurse … turnover, administration, and social factors.
  17. www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraapc.html
    April 01, 2018 - and Outcome Engineering, to conduct a proactive risk assessment of the policy and clinical practice factors … This general process map will, in turn, be used to identify where potential human factors risks exist … We will then use this general process map to identify where potential human factors risks exist in surgical … What were the major risk factors encountered? Did a surgical site infection occur?
  18. Defects-Spanish (doc file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects-spanish.docx
    April 21, 2014 - Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI Kit de herramientas de seguridad para cuidados a largo plazo Aprender de los defectos Objetivo: Identificar los tipos de sistemas que contribuyeron al defecto (un suceso o una situación que usted no desea que se repita) y planificar los pasos…
  19. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/ebsitmonitor.pdf
    January 01, 2013 - Hum Factors 1995;37(1):20-31. 11. Flin R, Yule S, Paterson-Brown S, et al. … Hum Factors 1995;37(1):123-36. 16. Mohammed S, Ferzandi L, Hamilton K. … Hum Factors 1999;41(1):61-71.
  20. www.qualitymeasures.ahrq.gov/evidencenow/projects/heart-health/research-results/research/cooperative-context.html
    March 01, 2021 - This form was used by the national evaluation team to collect data from each cooperative on what factors

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