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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 REVIEW
Y/N
CONTRIBUTING OR CAUSAL FACTOR Y/N
FINDINGS /
COMMENTS
COMMUNICATION
Did all caregivers have access to all pertinent information needed to make the best decisions for the patient? (e.g.,…
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psnet.ahrq.gov/node/36754/psn-pdf
August 09, 2011 - Improving patient safety and communication through care
rounds in a pediatric oncology outpatient clinic.
August 9, 2011
Blough CA, Walrath JM. Improving patient safety and communication through care rounds in a pediatric
oncology outpatient clinic. J Nurs Care Qual. 2007;22(2):159-63.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/39643/psn-pdf
December 21, 2014 - A systematic quantitative assessment of risks associated
with poor communication in surgical care.
December 21, 2014
Nagpal K, Vats A, Ahmed K, et al. A systematic quantitative assessment of risks associated with poor
communication in surgical care. Arch Surg. 2010;145(6):582-8. doi:10.1001/archsurg.2010.105.
http…
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psnet.ahrq.gov/node/37150/psn-pdf
January 02, 2017 - Using the Communication and Teamwork Skills (CATS)
assessment to measure health care team performance.
January 2, 2017
Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS)
Assessment to measure health care team performance. Jt Comm J Qual Patient Saf. 2007;33(9):549-58.
https:…
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psnet.ahrq.gov/node/50805/psn-pdf
January 15, 2020 - Advancing safety with closed-loop communication of test
results.
January 15, 2020
Quick Safety. December 17, 2019;(52):1-3.
https://psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results
Incomplete or delayed test result communication is a known factor in diagnostic error. This article shares…
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psnet.ahrq.gov/node/40658/psn-pdf
August 03, 2011 - Development and validation of a tool to improve
paediatric referral/consultation communication.
August 3, 2011
Stille CJ, Mazor KM, Meterko V, et al. Development and validation of a tool to improve paediatric
referral/consultation communication. BMJ Qual Saf. 2011;20(8):692-7. doi:10.1136/bmjqs.2010.045781.
https:…
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psnet.ahrq.gov/node/37703/psn-pdf
February 18, 2011 - Reducing diagnostic errors through effective
communication: harnessing the power of information
technology.
February 18, 2011
Singh H, Naik AD, Rao R, et al. Reducing Diagnostic Errors through Effective Communication: Harnessing
the Power of Information Technology. J Gen Intern Med. 2008;23(4). doi:10.1007/s11606-…
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www.ahrq.gov/hai/cusp/modules/patient-family-engagement/alt-text-tab.html
September 01, 2013 - Patient Family Engagement PowerPoint Content and Alternate Text
CUSP Toolkit
The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected and are aimed …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
July 01, 2023 - Patient and Family Engagement for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Patient and Family Engagement for Perinatal Safety
Slide 2: Learning Objectives
Image: Four ascending steps show the learnin objectives:
Explore the role of p…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-1.pdf
January 31, 2024 - • The dissemination working group is responsible for ongoing communications to Michigan
stakeholders … Day (Altarum Institute) and oversees regular
communications about HH4M efforts to Michigan stakeholders … • The Marketing and Communications Team leads the implementation of the website, podcast,
and social … • The Marketing and Communications Team is led by Catherine Sullivan, MS, RD (MetroHealth),
and … They will have access to the website and other
regular communications.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d8_combo_projectevaluation.pdf
June 02, 2025 - Project Evaluation and Debriefing
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.8
Project Evaluation and Debriefing
What is the purpose of this tool? The purpose of the project evaluation is to:
• Identify factors that contributed to the team’s success.
•…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
July 01, 2023 - Patient and Family Engagement for Perinatal Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Patient and Family Engagement for Perinatal Safety
Say:
The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand w…
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psnet.ahrq.gov/web-mm/hard-swallow
April 26, 2023 - Hard to Swallow
Citation Text:
Driver J. Hard to Swallow. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/mental-health-and-emotional-wellbeing.pdf
March 01, 2022 - Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff
Best Practices for Promoting Mental Health and
Emotional Well-Being Among Nursing Home Staff
Nursing home staff routinely face stressful and emotionally draining working co…
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www.ahrq.gov/antibiotic-use/ambulatory-care/strategies/index.html
October 01, 2022 - Learn Strategies for Communicating With Colleagues, Patients, and Families About Antibiotic Prescribing
In ambulatory care, reaching consensus on how a practice will manage antibiotic prescribing can help create a standard approach to prescribing so patients receive the same message from all clinicians in the p…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/Comparison_of_CG-CAHPS_v3_and_v2.pdf
July 01, 2015 - Comparability of Results for the 2.0 and 3.0 Versions of the CAHPS Clinician & Group Survey
Page 1 of 4
Comparability of Results for the 2.0 and 3.0 Versions of the CAHPS
Clinician & Group Survey
In July 2015, the Agency for Healthcare Research and Quality (AHRQ) released version 3.0 of the CAHPS
Clinici…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shachak-et-al-2009
January 01, 2009 - Shachak A et al. 2009 "Primary care physicians' use of an electronic medical record system: a cognitive task analysis."
Reference
Shachak A, Hadas-Dayagi M, Ziv A, et al. Primary care physicians use of an electronic medical record system: a cognitive task analysis. J Gen Intern Med 2009;24(3):341-348.…
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psnet.ahrq.gov/node/39785/psn-pdf
October 13, 2010 - Supporting patient safety: examining communication
within delivery suite teams through contrasting
approaches to research observation.
October 13, 2010
Berridge E-J, Mackintosh NJ, Freeth DS. Supporting patient safety: Examining communication within
delivery suite teams through contrasting approaches to research o…
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psnet.ahrq.gov/node/37862/psn-pdf
April 22, 2011 - Impact of patient communication problems on the risk of
preventable adverse events in acute care settings.
April 22, 2011
Bartlett G, Blais R, Tamblyn R, et al. Impact of patient communication problems on the risk of preventable
adverse events in acute care settings. CMAJ. 2008;178(12):1555-62. doi:10.1503/cmaj.070…
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psnet.ahrq.gov/node/39657/psn-pdf
July 07, 2010 - Health literacy and the quality of physician–patient
communication during hospitalization.
July 7, 2010
Kripalani S, Jacobson TA, Mugalla IC, et al. Health literacy and the quality of physician-patient
communication during hospitalization. J Hosp Med. 2010;5(5). doi:10.1002/jhm.667.
https://psnet.ahrq.gov/issue/he…