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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/mod02-business-case-worksheet.pdf
April 01, 2016 - Purpose: To provide guidance to leaders and staff who are building a business case for implementing the
Communication and Optimal Resolution (CANDOR) process in their organization.
Who should use this tool? Leaders (administrators, director of nursing, medical director, etc.) and any staff who are
leading the imple…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-acknowledgments.pdf
June 02, 2025 - CANDOR Acknowledgments
CANDOR ACKNOWLEDGMENTS
Acknowledgments
The Communication and Optimal Resolution (CANDOR) process was funded by AHRQ and is based on
input from experts, key stakeholders, and lessons learned from the agency’s $25 million Patient Safety
and Medical Liability (PSML) Grant Initiative lau…
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www.ahrq.gov/patient-safety/resources/learning-lab/imaging-quality-long-desc.html
April 01, 2021 - Patient Imaging Quality and Safety Laboratory (PIQS Lab)
Principal Investigator: Leora Horwitz, M.D., New York University (NYU), New York, NY
AHRQ Grant No.: HS24376
Project Period: 09/30/15-06/30/20
Description: The goal of the PIQS Lab was to be a dynamic learning environment focused on improving sa…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects Tool—Sample
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
What Is a Defect?
A defect is any clinical or operational event or situation that you would not want to happen again. This could include i…
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www.ahrq.gov/sites/default/files/2024-07/etchegaray2-report.pdf
January 01, 2024 - Final Progress Report: Parent Perceptions of NICU Safety Culture: Parent-Centered Safety Culture Tool
Parent Perceptions of NICU Safety Culture: Parent-Centered Safety Culture Tool
Project Team: Jason M. Etchegaray, PhD (PI; RAND Corporation); Madelene J. Ottosen, PhD (The
University of Texas Medical School at Hous…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-notes.docx
April 01, 2022 - Building an Engaged CUSP Team Facilitator Guide
CUSP Module: Building an Engaged CUSP Team
Facilitator Guide
Slide Number and Image
This module, titled “Building an Engaged CUSP Team,” is part of the Agency for Healthcare Research and Quality, or AHRQ, Safety Program for Intensive Care Units: Preventing Central…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impmaterials.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Implementation Materials: Self-Assessment Worksheet for Pressure Ulcer Prevention
Three implementation documents are used to help the nursing home change team integrate the pressure ulcer prevention reports they choose to use into day-…
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www.ahrq.gov/teamstepps-program/curriculum/intro/overview.html
July 01, 2023 - Section 1: Overview of Key Concepts and Tools
This section provides an overview of the key concepts in the Introduction. More extensive explanations and illustrations are provided in section 2 ; methods for teaching the introduction's concepts are in section 3 . Each of the four modules that follow also inclu…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-new-sops-workplace-safety-ginsberg.pdf
June 02, 2025 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - Ginsberg
AHRQ’s Surveys on Patient Safety Culture™
(SOPS®) Program
Caren Ginsberg, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
6
AHRQ’s SOPS Program
• Initiated and funded by AHRQ since 2001 to advance the understanding,
measu…
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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/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-15.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.15. Major Factors that Inhibited Lean Success at Central
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healt…
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section6.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Sustainability
Previous Page Next Page
Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Devices and Complications
Examples of P…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-19.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.19. Major Factors that Inhibit Lean Success
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case …
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www.ahrq.gov/nursing-home/learning-modules/index.html
March 01, 2023 - 5-Minute Learning Modules for Frontline Staff
These brief videos offer self-paced learning for those on the front lines of nursing home care. This includes nursing assistants, housekeeping, dietary, and maintenance staff, and others.
Emotional and Organizational Support for Staff series
This series of three…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/berry.html
April 01, 2015 - appointments; monitor patients with chronic conditions; coordinate referrals and hospitalizations; and communicate
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-berry.pdf
April 01, 2015 - appointments; monitor patients with chronic conditions; coordinate referrals and
hospitalizations; and communicate
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/sheridan_screening_overuse.pdf
January 01, 2014 - We tested a number of formats to communicate harms:
Using words such as “rare”, “unlikely”, “likely
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-engagement-ed.pptx
September 01, 2014 - decisions
Shared decision processes support informed patients
Informed patients make better choices and communicate
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/conflict_resolution-slides/Conflict-Resolution-Oct-12-2010-508.ppt
January 01, 2010 - e.g., duties, decisionmaking technique) B to N
Goal of Conflict Resolution
Confront problems, communicate
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
December 01, 2017 - Yes _X_ No ___
Section 3: Communication Practices
We are interested in how you communicate … Change in fluid intake
___ Change in mobility
___ Change in continence
___ Change in ability to communicate … If you decide a new meeting will be needed to communicate the information, I'll help you through that … Yes ___ No ___
Section 3: Communication Practices
We are interested in how you communicate … Change in fluid intake
___ Change in mobility
___ Change in continence
___ Change in ability to communicate