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  1. www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiexh50.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. … arrow from the SSI rate points rightward and downward to an oval labeled "ID (Infectious Disease) Risk Factors
  2. www.qualitymeasures.ahrq.gov/patient-safety/settings/emergency-dept/frequent-use.html
    July 01, 2017 - Return to Contents Study Overview The ultimate goal of this study was to identify the factors that … From the factors identified in the scan, the JHU team selected six “modifiable” factors associated with … Modifiable risk factors were those the research team judged could be alleviated or addressed through … They also created a sample User's Guide listing interventions targeting the risk factors. i Between … Screening for the first five risk factors was achieved through a combination of patient interviews and
  3. www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiexecsum.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. … The approach for screening additional risk factors, analytic results, and recommendations are presented
  4. Fallpxtool3H-Update (doc file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3h-update.docx
    March 04, 2021 - 3H: Morse Fall Scale for Identifying Fall Risk Factors Background: This tool can be used to identify … risk factors for falls in hospitalized patients. … The total score may be used to predict future falls, but it is more important to identify risk factors … using the scale and then plan care to address those risk factors. … Note that this scale may not capture the risk factors that are most important on your hospital ward,
  5. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
    September 18, 2011 - potential risk factors. … That initial list consisted of 88 risk factors for SSI. … used by his institution to identify potential risk factors. … That initial list consisted of 88 risk factors for SSI. … Risk factors identified from any surgical site were included in the list.
  6. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/carayon-summit2016.pdf
    October 05, 2016 - Health IT and Diagnostic Safety: A Human Factors and Systems Engineering Perspective 1 Health IT and … Diagnostic Safety: A Human Factors and Systems Engineering Perspective Pascale Carayon, Ph.D. … Work System and Patient Safety [SEIPS = Systems Engineering Initiative for Patient Safety] Human Factors … phenomenon  Design-Implementation-Use-Design-Implementation-… Health IT and Diagnostic Safety:�A Human Factors
  7. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
    October 01, 2017 - Falls Prevention Electronic Reports Electronic Reports Falls High-Risk Report Summary of Fall Risk Factors … (by Unit or Facility) Contextual Factors Report (by Unit or Facility) Postfall Assessment Report (by … What are the most common risk factors? Which acute change was seen most often? Least often? … Report can be used to monitor overall prevalence and trends of risk factors associated with falls on … -MEH 36 Check Your Understanding: Contextual Factors Report Quiz For the Contextual Factors Report
  8. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
    November 09, 2017 -  Contextual Factors Report (by Unit or Facility). … Report Slide 25: Summary of Falls Risk Factors Report Slide 26: Summary of Falls Risk Factors Report … Factors Report Quiz Slide 31: Contextual Factors Report Slide 32: Contextual Factors Report Slide … 33: Sample Facility-Level Contextual Factors Report by Month Slide 34: Contextual Factors Report Calculation … Details Slide 35: Sample Contextual Factors Graph Slide 36: Check Your Understanding: Contextual Factors
  9. www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
    July 01, 2023 - Slide 6: System-Level Factors Affect Safety 6 Image: Concentric circles show the layered impact of … Institutional factors, hospital factors, departmental factors, work environment factors, team factors … , individual provider factors and task factors all have an impact on patient safety. … Slide 7: System-Level Factors Can Predict Performance Examples of Impact of System-Level Factors … Communication failure: basic components, contributing factors, and the call for structure.
  10. www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/roadmap.html
    January 01, 2013 - assistants, facility engineer, hospital employee who enters patient rooms 3.3 Identify important risk factors … Vital Sign Measurement ; Word Version [32.37 KB] Tool 3G, STRATIFY Scale for Identifying Fall Risk Factors … ; Tool 3H, Morse Fall Scale for Identifying Fall Risk Factors ;  Tool 3I, Medication Fall Risk Score … Evaluation Tools ;  Staff nurses, pharmacist, nursing assistants 3.4 Use identified fall risk factors … 6.3 Identify factors need to sustain your fall prevention efforts Tool 6A, Sustainability Tool ;
  11. www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/orthostatic-vital-sign.html
    January 01, 2013 - When a patient is on a medication that may cause orthostasis and has other risk factors for falls. … Use this tool in conjunction with clinical assessment and a standard assessment of fall risk factors … (e.g., Tool 3H, "Morse Fall Scale for Identifying Fall Risk Factors," or Tool 3G, "STRATIFY Scale … for Identifying Fall Risk Factors" ) to determine a patient's risk factors for falls, and then plan care
  12. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
    June 01, 2021 - List factors that may compromise patient safety. … Review list of factors that contributed to the incident. … Check off factors that negatively contributed and positively contributed to the incident. … factors limited the impact of harm 14 Changing the System 14 What Could You Do To Reduce the … Human factors and behavioral safety. Butterworth-Heinemann. 2007; 130–1. Kamoun G, Nicho M.
  13. Fallpxtool3G (doc file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3g.docx
    January 29, 2013 - 3G: STRATIFY Scale for Identifying Fall Risk Factors Background: This tool can be used to identify risk … factors for falls in hospitalized patients. … The total score may be used to predict future falls, but it is more important to identify risk factors … using the scale and then plan care to address those risk factors. … Note that this scale may not capture the risk factors that are most important on your hospital ward,
  14. www.qualitymeasures.ahrq.gov/talkingquality/plan/subject.html
    December 01, 2022 - This page reviews the factors that should enter into your decision and suggests some strategies for dealing … Factors to Consider When Deciding Whose Quality to Report To decide who to focus on, start by considering … the five factors below. … The feasibility of measuring and reporting quality depends on multiple factors, including political obstacles
  15. www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/slides.html
    December 01, 2017 - 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. … Intrinsic Fall Risk Factors (continued) Side Effects of Medications (antidepressants, sedatives
  16. www.qualitymeasures.ahrq.gov/talkingquality/explain/support/help.html
    November 01, 2018 - Identify the factors they need to consider in making a choice. … that consumers’ decisions about health plans and providers need to take factors beyond quality into … This is one reason to offer information on other factors, such as location, hours, languages spoken, … You can address this point in a discussion of factors to consider. … important to them, but the factors that are most important—what one might call the “deal breakers.
  17. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
    June 16, 2017 - How a standardized assessment of fall risk factors should be conducted. … How risk factors should be incorporated into care planning. … Add unit-level risk factors as needed. … Choose a tool for assessing risk factors. … Develop fall prevention care plan based on identified risk factors.
  18. www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
    September 01, 2017 - How a standardized assessment of fall risk factors should be conducted How risk factors should be used … individual patient risk factors. … Add unit-level risk factors as needed. … Additional factors may be added. … risk factors in the care plan.
  19. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-factors-influencing-state-reporting.pdf
    July 01, 2016 - What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? … , organizational factors, and behavioral factors. … Examining the interplay of these factors across the cases revealed several themes. … Organizational factors History and culture of data collection and use ? - ? ? … Behavioral factors Motivation ? ? ? Demand for measures - ? ­
  20. www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
    September 01, 2017 - How risk factors should be incorporated into care planning. … Standardized assessment of fall risk factors. … Add unit-level risk factors as needed. … Choose a tool for assessing risk factors. … Develop fall prevention care plan based on identified risk factors.

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