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81. 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…

82. 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…

83. 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…

84. 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…

85. Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients during Clinical Care (pdf file)
    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

86. 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.

87. 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

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45314/psn-pdf
    September 01, 2018 - observational study described the effect of implementing the AHRQ Communication and Optimal Resolution (CANDOR … psnet.ahrq.gov/primer/disclosure-errors https://psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45319/psn-pdf
    September 01, 2018 - observational study showcased how implementation of AHRQ's Communication and Optimal Resolution toolkit (CANDOR … seven-pillars-response-patient-safety-incidents-effects-medical-liability-processes-and https://psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit

90. Clinical-Care-Rapid-Review-Appendix-C (xls file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/clinical-care-rapid-review-appendix-c.xlsx
    January 01, 2018 - Acronym Definition AHRQ Agency for Healthcare Research and Quality AMC academic medical center CANDOR … (SE ), p<0.0001 Regression for difference in time trend between pre- and postintervention periods CANDOR … (SE ), p<0.0001 Regression for difference in time trend between pre- and postintervention periods CANDOR … SD 2.78) Change in slope, β: -0.146 Change in intercep, β: -0.024 NA Models With a One-Quarter Lag CANDOR … Comparator: Arm 1 Difference in trend (pre vs post): -0.028 (95% CI: -0.054 to -0.001), p=0.04 No CANDOR

91. 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

92. Appendix B. References | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appb.html
    August 01, 2022 - Planning Grants Final Evaluation Report Appendix B. References Previous Page   Table of Contents Planning Grants Final Evaluation Report Executive Summary Introduction Methodology Findings Appendix A. Grantee Profiles Appendix B. References 1. Mincer SL, Lee MJ, Bransfor…

93. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
    August 01, 2022 - Planning Grants Final Evaluation Report Appendix A. Grantee Profiles Previous Page Next Page Table of Contents Planning Grants Final Evaluation Report Executive Summary Introduction Methodology Findings Appendix A. Grantee Profiles Appendix B. References Carilion Medical …

94. Findings | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
    August 01, 2022 - Planning Grants Final Evaluation Report Findings Previous Page Next Page Table of Contents Planning Grants Final Evaluation Report Executive Summary Introduction Methodology Findings Appendix A. Grantee Profiles Appendix B. References Improving Communication Four planni…

95. Introduction | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/intro.html
    August 01, 2022 - Planning Grants Final Evaluation Report Introduction Previous Page Next Page Table of Contents Planning Grants Final Evaluation Report Executive Summary Introduction Methodology Findings Appendix A. Grantee Profiles Appendix B. References On September 9, 2009, President O…

96. Methodology | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/methodology.html
    August 01, 2022 - Planning Grants Final Evaluation Report Methodology Previous Page Next Page Table of Contents Planning Grants Final Evaluation Report Executive Summary Introduction Methodology Findings Appendix A. Grantee Profiles Appendix B. References AHRQ commissioned James Bell Assoc…

97. Communication Assessment Guide: Appendix 2 | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/ap2.html
    August 01, 2022 - Communication Assessment Guide: Appendix 2 Scoring Rubric and Examples Overview of Part I—Role Impressions Tasks: Part I of the survey asks participants to think of two people whom they know well, one liked and one disliked. The participant must then describe each of these people, in as much detail as possi…

98. Communication Assessment Guide: Appendix 1 | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/ap1.html
    August 01, 2022 - Communication Assessment Guide: Appendix 1 The Communication Assessment Questionnaire 1. Your Name: _____________________________ The purpose of this questionnaire is to help us understand how you approach interpersonal communication. The questionnaire has two parts. The first part asks you to describe two …

99. Executive Summary | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/summary.html
    August 01, 2022 - Planning Grants Final Evaluation Report Executive Summary Previous Page Next Page Table of Contents Planning Grants Final Evaluation Report Executive Summary Introduction Methodology Findings Appendix A. Grantee Profiles Appendix B. References On September 9, 2009, Presid…

100. Communication Assessment Guide: Appendix 3 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/ap3.html
     August 01, 2022 - Communication Assessment Guide: Appendix 3 Results Template Name: ___________________________________   ID#: _______________________   Date: _____________________ Part I: Role Impressions Tasks Impression of Liked Other: [Insert original participant response here] Total Number of Concepts: __…