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www.ahrq.gov/patient-safety/settings/hospital/candor/videos/app-disclosure.html
August 01, 2022 - Video
AHRQ Communication and Optimal Resolution Toolkit
Communication and Optimal Resolution (CANDOR … YouTube embedded video: https://www.youtube-nocookie.com/embed/my36tJsxIgM
Return to CANDOR Contents
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
April 01, 2016 - conversation, which should
occur within 60 minutes after a Communication and Optimal Resolution Toolkit (CANDOR … Resolution Toolkit
Complete
3
Part I – Initial Disclosure Conversation
■ Within 60 minutes after the CANDOR … family.
2 – Disclosure Checklist
■ Rehearse (in person or by phone) the discussion with another CANDOR … After the Conversation
■ Debrief the conversation with colleagues who were present and the CANDOR Disclosure … If you are not certain what to document, contact a CANDOR Disclosure Lead or risk
manager.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix D
CANDOR Tool
PROCESS
QUESTIONS TO
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psnet.ahrq.gov/node/863227/psn-pdf
February 28, 2024 - harmed-patients-gaining-voice-challenging-dominant-perspectives-construction-medical-harm-and
https://psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit … https://psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - Contents
Introduction
A Systems Approach
Event Review Process
Activation of the CANDOR Response … Appendix A: Five Whys
Appendix B: Detailed Review Timeline
Appendix C: Visual Model
Appendix D: CANDOR … Return to Contents
Event Review Process
Return to Contents
Activation of the CANDOR Response … The reviewer will then share the CANDOR tool which explores contributing factors. … Return to Contents
Proceed to Appendix A
Return to CANDOR Contents
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psnet.ahrq.gov/node/74704/psn-pdf
January 26, 2022 - healthcare-response
Healthcare systems have implemented communication-and-resolution programs (CRPs) (aka CANDOR … communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
https://psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
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psnet.ahrq.gov/node/45386/psn-pdf
November 23, 2016 - https://psnet.ahrq.gov/issue/balancing-doctor-egos-and-errors
Disclosure and candor with patients after … balancing-doctor-egos-and-errors
https://psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apd.html
August 01, 2022 - Do you have any advice for leadership about the best way to get staff on board with the CANDOR process
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix A
CANDOR Gap Analysis Document Review Checklist
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
August 01, 2022 - YES NO
Return to CANDOR Contents
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
August 01, 2022 - Return to Contents
Return to CANDOR Contents
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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
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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
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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
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psnet.ahrq.gov/issue/comparison-health-care-worker-satisfaction-vs-after-implementation-communication-and-optimal
December 09, 2020 - AHRQ's Communication and Optimal Resolution (CANDOR) program provides tools to guide the disclosure … This study aimed to identify associations with CANDOR implementation and HCP job satisfaction. … Results indicate implementation of CANDOR increased some measures of HCP job satisfaction and trust in
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/clinical-care-protocol.pdf
January 01, 2024 - disclosure and offer programs, disclosure apology and offer programs, early
resolution programs, CANDOR … Communication and Optimal Resolution (CANDOR). … Module 1: An Overview of the CANDOR Process. Content last reviewed August 2022. … /index.html
https://www.ahrq.gov/patient-safety/settings/hospital/candor/index.html
https://betahg.com … /modules/notes1.html
https://www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
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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.
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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/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/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…