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  1. Candor-Impguide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
    April 01, 2016 - (Track, analyze, and compare adverse events managed pre-CANDOR process, then follow up with additional
  2. www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
    January 01, 2024 - 11 Delay in transfer of care not related to bed availability 7 Incomple te discharge 2 Inadequate follow-up
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
    May 01, 2017 - commitment to a common mission · These techniques can allow staff the ability and safe environment to “speak up
  4. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
    June 01, 2013 - of Field Options Multiple Select Results Program Name [Write-In] Not Applicable Program Sponsor Up … query results. 18 Field Name Example of Field Options Multiple Select Results Content Area Up … on the lessons learned throughout this project, AIR recommends that AHRQ consider some important follow-on
  5. www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
    January 01, 2024 - setting staffing levels or to institute policies that accommodate a larger on-call pool in order to flex up … A likely follow-up to this study would be to perform research on the root causes of the errors that
  6. www.ahrq.gov/patient-safety/reports/liability/pichert.html
    August 01, 2017 - PARS beginning in 2009 after learning CPPA had by that time supported several thousand initial and follow-up … These involve an individual up the recipient’s chain of command (e.g., Department Chair, Chief Medical … scheduled sharing of PARS progress and aggregated data to keep all levels of leadership aware of and up
  7. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-slides.pptx
    November 01, 2019 - Follow-up protected specimen brushes to assess treatment in nosocomial pneumonia.
  8. www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
    July 05, 2023 - roles and responsibilities of individuals on diagnostic teams and [ Figure 1 ] ensuring appropriate follow-up … history-taking, physical exam- ination, testing and referral-related processes, test result interpretation, and follow-up
  9. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-236-fullreport.pdf
    October 01, 2018 - are out-of-State pediatricians, each with fewer than five visits per year pertaining to neonatal follow-up … Accuracy of Provider Specialty Identification Data Sources There is no single comprehensive, accurate, up-to-date
  10. www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirementapd.html
    July 01, 2018 - The eligible population 8 Denominator Exclusions No more than one gap in enrollment of up
  11. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3b.html
    July 01, 2018 - These tools included high-level information discussed in more detail in other tools (e.g., speaking up … hospital but also in ambulatory care and pharmacy settings), how to take medications safely (e.g., follow … category of tools related to Component 1 provided general guidance to patients about the need to speak up … example, the widely known National Patient Safety Foundation's "Ask Me 3" and Joint Commission's "Speak Up … the font was difficult to read, or there was too much content on the page without headings to break up
  12. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
    June 01, 2021 - Slide 14 Urinary Catheters SAY: One common question that often comes up about urinary catheters
  13. www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
    February 01, 2017 - patients didn’t have any activity as defined by sitting on the bed, sitting in the chair, ambulating up
  14. www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
    January 01, 2024 - Have an opportunity to bring up any other issues that would benefit from group discussion.
  15. www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
    January 01, 2025 - Follow-up interviews with home health staff and managers, combined with review of agency management … Sensemaking or “making sense of events,”27,28 within HHAs may follow when patients experience unplanned
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
    December 01, 2017 - Slide 8 Why Don’t Clinicians Follow the Guidelines SAY: The driving force behind the TRiP methodology … SAY: One framework to use in understanding why clinicians don’t follow the guideline is the “Three As … Recognize those with the courage to speak up and stop a patient from being harmed.
  17. www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
    October 01, 2020 - Slide 9: Why Don’t Clinicians Follow the Guidelines? … Say: One framework to use in understanding why clinicians don’t follow the guideline is the “Three … Recognize those with the courage to speak up and stop a patient from being harmed.
  18. www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
    January 01, 2024 - The three specific aims of this study follow: Page 2 Specific Aim 1: Assess EMT-P performance deficits … example in an alcohol hangover protocol, the demand characteristics of the test situation might set up … the importance of having all subjects serve in all three conditions, the payment schedule was set up … Because this study was set up as a model test situation to evaluate the deficit conditions in a way … Hangover The general approach to induction of hangover will follow methods similar to those used previously
  19. www.ahrq.gov/sites/default/files/2025-07/weinger3-report.pdf
    January 01, 2025 - Prior to each study day, each participant signed informed eConsent and answered questions from an up … The platform accommodates up to four video uploads, intelligently merged into a split-screen view for
  20. www.ahrq.gov/patient-safety/resources/learning-lab/index.html
    August 01, 2025 - Scale up effective solutions across the health system and disseminate them among safety-net health systems … Most of the significant DPFs (63.3%) occurred during the “Diagnostic Information and Patient Follow-up … Description: This project addressed diagnostic errors in primary care often caused by failures to followup (close the loop) on diagnostic tests, referrals, and symptoms. … 23-6/30/27 Description: The goal of this learning lab is to advance the care of pediatric patients (up

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