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psnet.ahrq.gov/node/42446/psn-pdf
May 19, 2014 - The Human Factors Analysis Classification System
(HFACS) applied to health care. … The Human Factors Analysis Classification System (HFACS) applied
to health care. … https://psnet.ahrq.gov/issue/human-factors-analysis-classification-system-hfacs-applied-health-care … This study reports on one health system's experience using the Human Factors Analysis
Classification … https://psnet.ahrq.gov/issue/human-factors-analysis-classification-system-hfacs-applied-health-care
https
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psnet.ahrq.gov/node/40050/psn-pdf
September 24, 2016 - Going blank: factors contributing to interruptions to
nurses' work and related outcomes. … Going blank: factors contributing to interruptions to nurses'
work and related outcomes. … https://psnet.ahrq.gov/issue/going-blank-factors-contributing-interruptions-nurses-work-and-related- … https://psnet.ahrq.gov/issue/going-blank-factors-contributing-interruptions-nurses-work-and-related-outcomes … https://psnet.ahrq.gov/issue/going-blank-factors-contributing-interruptions-nurses-work-and-related-outcomes
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psnet.ahrq.gov/node/42860/psn-pdf
March 20, 2014 - Eight critical factors in creating and implementing a
successful simulation program. … Eight critical factors in creating and implementing a successful
simulation program. … https://psnet.ahrq.gov/issue/eight-critical-factors-creating-and-implementing-successful-simulation-program … This commentary outlines key factors to consider when designing simulation initiatives to enhance human … https://psnet.ahrq.gov/issue/eight-critical-factors-creating-and-implementing-successful-simulation-program
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psnet.ahrq.gov/node/35383/psn-pdf
January 02, 2017 - North Mississippi Medical Center: a focus on quality,
safety, and financial critical success factors … North Mississippi Medical Center: a focus on quality, safety, and
financial critical success factors … psnet.ahrq.gov/issue/north-mississippi-medical-center-focus-quality-safety-and-financial-critical-
success-factors … psnet.ahrq.gov/issue/north-mississippi-medical-center-focus-quality-safety-and-financial-critical-success-factors … psnet.ahrq.gov/issue/north-mississippi-medical-center-focus-quality-safety-and-financial-critical-success-factors
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psnet.ahrq.gov/node/37693/psn-pdf
April 16, 2008 - Family perceptions of medication administration at
school: errors, risk factors, and consequences. … Family perceptions of medication administration at school: errors, risk
factors, and consequences. … https://psnet.ahrq.gov/issue/family-perceptions-medication-administration-school-errors-risk-factors-and … https://psnet.ahrq.gov/issue/family-perceptions-medication-administration-school-errors-risk-factors-and-consequences … https://psnet.ahrq.gov/issue/family-perceptions-medication-administration-school-errors-risk-factors-and-consequences
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psnet.ahrq.gov/node/42375/psn-pdf
July 10, 2013 - Clinical relevance of and risk factors associated with
medication administration time errors. … Clinical relevance of and risk factors associated with medication
administration time errors. … https://psnet.ahrq.gov/issue/clinical-relevance-and-risk-factors-associated-medication-administration-time … https://psnet.ahrq.gov/issue/clinical-relevance-and-risk-factors-associated-medication-administration-time-errors … https://psnet.ahrq.gov/issue/clinical-relevance-and-risk-factors-associated-medication-administration-time-errors
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
November 01, 2019 - Making
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
1
Objectives
Identify relevant factors … factors – Factors that limited the impact of harm for the patient (want to keep these)
11
Changes … Associated With Adverse Events
Five categories of factors that contribute to adverse events
Patient factors … Associated With Adverse Events
Types of factors
Health care worker factors are related to individual … Negative Contributing Factors Positive Contributing Factors
Vancomycin unnecessarily started empirically
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ce.effectivehealthcare.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
…
Work environment
Departmental factors
Hospital factors …
Institutional factors
III. … Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context.pdf
June 01, 2013 - Community
(a) What are the community factors that affected recruitment? … Health Care System
(a) What are the health care system factors that affected recruitment? … Historical Factors of Recent Events
(a) What are the historical factors or recent events that affected … Other
(a) What are the other factors that affected recruitment? … :
Other Factors:
Recruitment Experience from another Perspective:
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context.pdf
June 01, 2013 - Community
(a) What are the community factors that affected recruitment? … Health Care System
(a) What are the health care system factors that affected recruitment? … Historical Factors of Recent Events
(a) What are the historical factors or recent events that affected … Other
(a) What are the other factors that affected recruitment? … :
Other Factors:
Recruitment Experience from another Perspective:
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context.pdf
June 01, 2013 - Community
(a) What are the community factors that affected recruitment? … Health Care System
(a) What are the health care system factors that affected recruitment? … Historical Factors of Recent Events
(a) What are the historical factors or recent events that affected … Other
(a) What are the other factors that affected recruitment? … :
Other Factors:
Recruitment Experience from another Perspective:
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context.pdf
June 01, 2013 - Community
(a) What are the community factors that affected recruitment? … Health Care System
(a) What are the health care system factors that affected recruitment? … Historical Factors of Recent Events
(a) What are the historical factors or recent events that affected … Other
(a) What are the other factors that affected recruitment? … :
Other Factors:
Recruitment Experience from another Perspective:
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context.pdf
June 01, 2013 - Community
(a) What are the community factors that affected recruitment? … Health Care System
(a) What are the health care system factors that affected recruitment? … Historical Factors of Recent Events
(a) What are the historical factors or recent events that affected … Other
(a) What are the other factors that affected recruitment? … :
Other Factors:
Recruitment Experience from another Perspective:
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context.pdf
June 01, 2013 - Community
(a) What are the community factors that affected recruitment? … Health Care System
(a) What are the health care system factors that affected recruitment? … Historical Factors of Recent Events
(a) What are the historical factors or recent events that affected … Other
(a) What are the other factors that affected recruitment? … :
Other Factors:
Recruitment Experience from another Perspective:
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context-external.pdf
January 01, 2016 - This
includes paying attention to factors that affect what happens during the study and considering … Identifying these factors will help future investigators and implementers
understand what affected the … We plan to report relevant contextual factors and how they affected important processes and outcomes. … We also leave space for you to fill in any “Other” factors that these categories might not
encompass … (e.g., partner strengths, stakeholder
relationships with practices)
Other Factors
What other factors
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context-external.pdf
January 01, 2016 - This
includes paying attention to factors that affect what happens during the study and considering … Identifying these factors will help future investigators and implementers
understand what affected the … We plan to report relevant contextual factors and how they affected important processes and outcomes. … We also leave space for you to fill in any “Other” factors that these categories might not
encompass … (e.g., partner strengths, stakeholder
relationships with practices)
Other Factors
What other factors
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context-external.pdf
January 01, 2016 - This
includes paying attention to factors that affect what happens during the study and considering … Identifying these factors will help future investigators and implementers
understand what affected the … We plan to report relevant contextual factors and how they affected important processes and outcomes. … We also leave space for you to fill in any “Other” factors that these categories might not
encompass … (e.g., partner strengths, stakeholder
relationships with practices)
Other Factors
What other factors
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context-external.pdf
January 01, 2016 - This
includes paying attention to factors that affect what happens during the study and considering … Identifying these factors will help future investigators and implementers
understand what affected the … We plan to report relevant contextual factors and how they affected important processes and outcomes. … We also leave space for you to fill in any “Other” factors that these categories might not
encompass … (e.g., partner strengths, stakeholder
relationships with practices)
Other Factors
What other factors
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context-external.pdf
January 01, 2016 - This
includes paying attention to factors that affect what happens during the study and considering … Identifying these factors will help future investigators and implementers
understand what affected the … We plan to report relevant contextual factors and how they affected important processes and outcomes. … We also leave space for you to fill in any “Other” factors that these categories might not
encompass … (e.g., partner strengths, stakeholder
relationships with practices)
Other Factors
What other factors
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context-external.pdf
January 01, 2016 - This
includes paying attention to factors that affect what happens during the study and considering … Identifying these factors will help future investigators and implementers
understand what affected the … We plan to report relevant contextual factors and how they affected important processes and outcomes. … We also leave space for you to fill in any “Other” factors that these categories might not
encompass … (e.g., partner strengths, stakeholder
relationships with practices)
Other Factors
What other factors