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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/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…
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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 …
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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
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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
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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
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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
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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
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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…
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Detailed Findings
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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…
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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…
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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
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Table of Contents
Demonstration Grants Final Evaluation Report
Executive Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liabil…
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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…
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Executive Summary
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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…
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/lessons.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Lessons Learned From Implementation Challenges
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
L…
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/index.html
August 01, 2022 - Planning Grants Final Evaluation Report
Next Page
Table of Contents
Planning Grants Final Evaluation Report
Executive Summary
Introduction
Methodology
Findings
Appendix A. Grantee Profiles
Appendix B. References
Longitudinal Evaluation of the Patient Safety and Medical Liab…
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Appendix A. Grantee Profiles
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Table of Contents
Demonstration Grants Final Evaluation Report
Executive Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liability
Lessons Learned Fro…