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61. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
    August 01, 2022 - CANDOR Policies & Processes Yes Inconsistent/ Unsure No Comments Leadership and Culture

62. Making It Work Tip Sheet: Partnering With Patients and Families To Prevent CLABSI and CAUTI (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/partnering-patients-family.pdf
    April 01, 2022 - Urinary (Foley®) Catheter • CDC Clean Hands Count Campaign • Communication and Optimal Resolution (CANDOR … Communication and Optimal Resolution (CANDOR). … https://www.ahrq.gov/patient-safety/capacity/candor/index.html. Accessed November 29, 2021. 2. … https://www.cdc.gov/handhygiene/campaign/promotional.html https://www.ahrq.gov/patient-safety/capacity/candor … patient-safety/reports/engage/interventions/teachback.html https://www.ahrq.gov/patient-safety/capacity/candor

63. Followup to the PSML Demonstration Projects | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/followup.html
    August 01, 2022 - second project, a comprehensive disclosure and resolution program (Communication and Optimal Resolution [CANDOR … evaluation is assessing the usability of the tools, as well as each hospital’s ability to implement the CANDOR

64. Improving Value and Efficiency in Hospitals and Medical Offices: A Resource List for Users of the AHRQ SOPS Value and Efficiency Supplemental Item Sets (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/hospital-efficiency-resources.pdf
    May 01, 2023 - Communication and Optimal Resolution (CANDOR) https://www.ahrq.gov/professionals/quality-patient-safety … /patient-safety- resources/resources/candor/index.html CANDOR is a process that healthcare institutions … This AHRQ toolkit, based on the CANDOR process, is intended to assist hospitals in implementing communication … index.html https://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/candor … Communication and Optimal Resolution (CANDOR) 2.

65. Event Investigation and Analysis Guide: Appendix C | Agency for Healthcare Research and Quality
    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…

66. Event Investigation and Analysis Guide: Appendix B | Agency for Healthcare Research and Quality
    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…

67. Event Investigation and Analysis Guide: Appendix A | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
    August 01, 2022 - Event Investigation and Analysis Guide: Appendix A Five Whys In this example, there is only one path shown, but answers can create multiple paths and more questions. Event Summary:   The wrong concentration of potassium (K+) was used in the compounding of TPN. This was discovered almost 2 months later. 1s…

68. Event Investigation and Analysis Guide: Appendix F | Agency for Healthcare Research and Quality
    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). …

69. Event Investigation and Analysis Guide: Appendix G | Agency for Healthcare Research and Quality
    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…

70. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
    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…

71. Event Investigation and Analysis Guide: Appendix I | Agency for Healthcare Research and Quality
    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…

72. Event Investigation and Analysis Guide: Appendix H | Agency for Healthcare Research and Quality
    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…

73. Event Investigation and Analysis Guide: Appendix E | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/ape.html
    August 01, 2022 - Event Investigation and Analysis Guide: Appendix E Confirmation and Consensus Meeting Announcement Template As you may know, a patient care incident occurred on (insert date) involving (brief description of event). On behalf of (insert executive sponsor name), we are asking you to participate in our upcoming …

74. Improving Value and Efficiency in Hospitals and Medical Offices: A Resource List for Users of the AHRQ SOPS Value and Efficiency Supplemental Items (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valueresourcelist.pdf
    January 01, 2019 - Communication and Optimal Resolution (CANDOR) https://www.ahrq.gov/professionals/quality-patient-safety … /patient-safety- resources/resources/candor/index.html CANDOR is a process that healthcare institutions … This AHRQ toolkit, based on the CANDOR process, is intended to assist hospitals in implementing communication … index.html https://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/candor … at the Right Time Building Employee Engagement Choosing Wisely Communication and Optimal Resolution (CANDOR

75. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/index.html
    February 01, 2025 - Quality & Patient Safety Programs by Setting: Hospital Communication and Optimal Resolution (CANDOR … Like similar programs in place in other organizations, CANDOR gives hospitals and health systems the … the Agency's $23 million Patient Safety and Medical Liability grant initiative launched in 2009, the CANDOR

76. Demonstration Grants Final Evaluation Report | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/index.html
    August 01, 2022 - Demonstration Grants Final Evaluation Report Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned From Implementation Challenges Followup to the…

77. Detailed Findings | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
    August 01, 2022 - Demonstration Grants Final Evaluation Report Detailed Findings Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned From Implement…

78. Conclusion | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/conclusion.html
    August 01, 2022 - Demonstration Grants Final Evaluation Report Conclusion Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned From Implementation C…

79. Contributions to Patient Safety and Medical Liability | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/contributions.html
    August 01, 2022 - Demonstration Grants Final Evaluation Report Contributions to Patient Safety and Medical Liability Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liabil…

80. Evaluation Issues | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/issues.html
    August 01, 2022 - Demonstration Grants Final Evaluation Report Evaluation Issues Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned From Implement…