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  1. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety …           Individual provider factors           Team factors …         Hospital factors           Institutional factors     … Focus your efforts on the most important contributing factors. … Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety
  2. www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
    July 01, 2018 - Slide 7 System-Level Factors Affect Safety9 Concentric circles show the layered system-level factors … that affect patient safety: institutional factors, hospital factors, departmental factors, work environment … factors, team factors, individual provider factors, and task factors all have an effect on patient safety … , hospital factors, departmental factors, work environment factors, team factors, individual provider … factors, and task factors all have an effect on patient safety.
  3. www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
    February 01, 2017 - Slide 16: System Factors Impact Safety 2 Image: Many system factors impact safety. … : institutional, hospital, departmental factors, work environment, team factors, individual provider, … task factors, and patient characteristics. 2. … Slide 18: LFD Tool Contributing Factors Image: Screen capture of LFD tool highlighting team factors … environment as contributing factors.
  4. www.ahrq.gov/research/findings/final-reports/ssi/index.html
    April 01, 2018 - Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. … Final Risk Factors Appendix L. … Focus Group Risk Factors Appendix Q. Surgeon Focus Group Content Analysis Appendix R. … Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. … Final Risk Factors Appendix L. Master Risk Factors Appendix M.
  5. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb.html
    October 01, 2022 - /link for more risk factors). … years without medical risk factors UFH. … Absence of medical risk factors listed above. … Major surgery, age 16-40 years with no other risk factors. … Risk Factors Prophylaxis High Acute diseases with/without VTE risk factors.
  6. www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb.html
    October 01, 2022 - /link for more risk factors). … years without medical risk factors UFH. … Absence of medical risk factors listed above. … Major surgery, age 16-40 years with no other risk factors. … Risk Factors Prophylaxis High Acute diseases with/without VTE risk factors.
  7. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.html
    October 01, 2014 - There are many risk factors for falls. Using the HEAR ME tips can help reduce falls. … There are many risk factors for falls. … The risk factors for falls are many, and they relate to individual residents and their environment. … Risk factors are always present. We all have risk factors for falls. … tailored to those risk factors.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866907/psn-pdf
    October 09, 2024 - A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners … ' reports using the Human Factors Analysis and Classification System for Healthcare October 9, 2024 … A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners … ' reports using the Human Factors Analysis and Classification System for Healthcare. … Using data from 2009 to 2018, researchers used the Human Factors Analysis and Classification System
  9. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
    November 01, 2017 - Quarterly Summary of Falls Risk Factors by Unit or Facility . … Sample Quarterly Summary of Falls Risk Factors by Unit On-Time Quarterly Summary of Falls Risk Factors … Identify resident risk factors that may have caused a fall. … Report Description The Quarterly Summary of Fall Risk Factors Report is a count of risk factors … Sample Monthly Contextual Factors Report by Facility Monthly Contextual Factors Report                                          
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
    December 01, 2017 - Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety … Individual provider factors Team factors Work environment … Departmental factors Hospital factors Institutional factors … Focus your efforts on the most important contributing factors. … Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety
  11. www.ahrq.gov/research/findings/final-reports/ssi/ssiapu.html
    September 01, 2018 - Initial Risk Factors Appendix J. Additional Risk Factors Appendix K. … Final Risk Factors Appendix L. … Identifying Potential Risk Factors: Surgeon PI used experience with SSIs and a list of risk factors … Risk factors were procedure-specific. … Probably should focus only on nonmodifiable risk factors (eg, obesity) and not surgeon factors (duration
  12. www.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
  13. www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
    February 01, 2017 - Departmental factors, such as staffing levels and managerial support. … Here is an example of a contributing factors chart from the LFD tool. … Slide 18: LFD Tool Contributing Factors Say: Repeat this exercise and document any team factors … Ask: What factors contributed to, minimized, or prevented harm? … Slide 19: LFD Tool Contributing Factors Say: Do the same with factors in your local environment
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
    January 01, 2017 - SAY: The following are all factors that impact safety in the health care system: · Institutional factors … support · Work environment factors, such as shift patterns and equipment maintenance · Team factors, … Slide 17 LFD Tool Contributing Factors SAY: Repeat this exercise and document any team factors that … ASK: What factors contributed to, minimized, or prevented harm? … Slide 18 LFD Tool Contributing Factors SAY: Do the same with factors in your local environment.
  15. www.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.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866736/psn-pdf
    September 18, 2024 - Human errors in emergency medical services: a qualitative analysis of contributing factors. … Human errors in emergency medical services: a qualitative analysis of contributing factors. … ://psnet.ahrq.gov/issue/human-errors-emergency-medical-services-qualitative-analysis-contributing- factors … This qualitative study analyzed factors contributing to human errors among paramedics and emergency … Researchers identified three main categories of contributing factors: (1) the changing work environment
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33578/psn-pdf
    September 15, 2024 - Human Factors Engineering September 15, 2024 Human Factors Engineering. PSNet [internet]. 2019. … https://psnet.ahrq.gov/primer/human-factors-engineering PSNet primers are regularly reviewed and updated … Human factors engineering is the discipline that attempts to identify and address these issues. … In essence, human factors engineering focuses on how systems work in actual practice, with real—and … Applications of Human Factors Engineering to Improving Safety The very nature of human factors engineering
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44431/psn-pdf
    October 21, 2015 - Use of a human factors classification framework to identify causal factors for medication and medical … Use of a human factors classification framework to identify causal factors for medication and medical … https://psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication … https://psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical … https://psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866953/psn-pdf
    October 16, 2024 - Factors junior learners consider when deciding whether to call their supervisor. … Factors junior learners consider when deciding whether to call their supervisor. … https://psnet.ahrq.gov/issue/why-didnt-you-call-me-factors-junior-learners-consider-when-deciding-whether … - call-their Medical students and residents must consider several factors when deciding to contact … Both groups identified several patient- and learner-related factors that would influence the decision
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866166/psn-pdf
    June 19, 2024 - Understanding risk factors for complaints against pharmacists: a content analysis. … Understanding risk factors for complaints against pharmacists: a content analysis. … https://psnet.ahrq.gov/issue/understanding-risk-factors-complaints-against-pharmacists-content-analysis … A myriad of factors can increase the risk for medication errors. … The findings highlight the importance of considering environmental and system factors, in addition to