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www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool5a1.html
April 01, 2018 - Tracking and Improving Screening for Colorectal Cancer Intervention
5.a-1 Master Patient Database Elements
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Table of Contents
Tracking and Improving Screening for Colorectal Cancer Intervention
I. Introduction
II. Background
III. Intervention Steps and Tools
IV. Refere…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap2a.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
Appendix 2-A. Suggested Slides for Module 2
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Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in …
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www.ahrq.gov/research/shuttered/acfselection/appendixc.html
July 01, 2018 - Disaster Alternate Care Facilities: Report and Interactive Tools
Appendix C: Alternate Care Facility Questionnaire
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Table of Contents
Disaster Alternate Care Facilities: Report and Interactive Tools
Executive Summary
Chapter 1. Objectives
Chapter 2. Background
Chapter …
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program3.html
April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs
Chapter 3. Qualitative Analysis of Consumer Perspectives
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Table of Contents
Environmental Scan of Patient Safety Education and Training Programs
Introduction
Chapter 1. Environmental Scan
Chapter 2. Ele…
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www.ahrq.gov/talkingquality/translate/compare/order.html
November 01, 2018 - Ordering Health Care Organizations in a Quality Report
In what order will different health plans or providers be presented in your report? Consider the following four options:
Alphabetical Ordering.
Rank Ordering by Performance.
Ordering Within Cost Tiers.
Providing Users with Ordering Options.
Al…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix C
Visual Model
The model above is one major output from the in-depth review findings. This format helps to utilize the information found in the investigation to understand why the event occurred. The boxes represent different categories of contributing factor…
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www.ahrq.gov/patient-safety/settings/hospital/match/table-5.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 5: Identifying Challenges and Addressing Barriers
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introducti…
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www.ahrq.gov/sops/events/webinars/sops-primer.html
December 01, 2023 - Understanding SOPS Surveys: A Primer for New Users
October 23, 2018
Summary
Speakers and Presentation Slides
Recording
Transcript
Related Material
Understanding SOPS™ Surveys: A Primer for New Users October 2018 Highlights (PDF, 329 KB)
Summary
On Tuesday, October 23…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix B
Detailed Review Timeline
Event Type:
Individuals Interviewed:
NAME
TITLE/ROLE
Nurse #1
Charge nurse
Nurse #2
RN
CNA X
Nursing tech
Manager MS
Manager
Pertinent Interview Findings
There was only one certifi…
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www.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 6: Categories of Medication Error Classification
Previous Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chap…
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www.ahrq.gov/antibiotic-use/long-term-care/safety/improve-use.html
June 01, 2021 - Improving Antibiotic Use Is a Patient Safety Issue
After viewing or presenting this presentation viewers will be able to—
Discuss the potential harms associated with antibiotic use.
Recognize that patient harm is largely preventable.
Recognize that changes to the system, not just to the behavior of …
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix E
Gap Analysis Report Template
The purpose of the Gap Analysis report is to call attention to common themes among the groups, as well as variations among the groups in their perceptions and degree of commitment to CANDOR principles. Findings should be used for target…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apd.html
August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix D
Anonymous Reporting Tool
The Gap Analysis process relies heavily on key informant interviews and perspectives, which often take place in a focus group setting. Many times individuals have additional, more sensitive information to share, or information/observations …
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apf.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix F
Solutions Meeting Announcement Template
On behalf of (insert executive sponsor name), we would like you to participate in our upcoming solutions meeting related to (describe safety event).
The solutions meeting will take place at (time) (date) (location).
…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apg.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix G
Data Measurement Plan
Contributing Factor
Definition / Description
Current State
Goal State
Data Source
How will data be collected?
Who will collect the data?
Proposed dates for measure- ment
Long-term followup plan
Notes
Bottles…
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www.ahrq.gov/sops/events/webinars/sops-primer.021920.html
May 01, 2022 - Understanding SOPS Surveys: A Primer for New Users
February 19, 2020
Summary
Speakers and Presentation Slides
Recording
Transcript
Summary
This AHRQ webcast provided an overview of the Surveys on Patient Safety Culture™ (SOPS™). Speakers described the SOPS program, surveys, supplemental item…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix C
Gap Analysis Structured Interview Guide
To produce more consistently useful results, use structured interview questions. The facilitator should review the questions in advance to determine which questions are appropriate for each focus group session. It may help to…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix B
Gap Analysis Structured Interview Questions
The Gap Analysis Structured Interview Questions allow the facilitator to lead participants through a set of questions designed to elicit participant views on a variety of key policies and practices.
Leadership and Cul…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix I
Glossary
Adverse safety event: a deviation from generally accepted performance standards that reaches the patient and results in moderate to severe harm or death.
Anchoring bias: the tendency to make all information fit into a preconceived story, causing…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/aph.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix H
Hierarchy of Solutions
Do solutions meet the following criteria:
Address the root cause/contributing factor.
Are specific and concrete.
Can be understood and implemented by a reader unfamiliar with the situation.
Will be tested or simulated prior to…