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  1. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
    August 01, 2022 - System-Focused Event Investigation and Analysis Guide AHRQ Communication and Optimal Resolution Toolkit Purpose : To help teams adopt a system-focused approached to event investigation and analysis. Who should use this tool? Event Reporting, Investigation, and Analysis Team. How to use this tool : Review…
  2. 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…
  3. www.ahrq.gov/patient-safety/reports/hotline/eval4.html
    May 01, 2016 - mistake, patients and caregivers categorized six safety concerns as having a negative effect that did not involve
  4. www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apa.html
    August 01, 2022 - Implementation Guide for the CANDOR Process: Appendix A Building the Business Case Worksheet Purpose: To provide guidance to leaders and staff who are building a business case for implementing the CANDOR process in their organization. Who should use this tool?   Leaders (administrators, director of nursing…
  5. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/worksheet2.html
    August 01, 2022 - Building the Business Case for CANDOR Worksheet AHRQ Communication and Optimal Resolution Toolkit 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?   …
  6. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
    January 01, 2021 - the distribution of residual harm to the distribution of no residual harm by whether Fall Incidents involve … the nature of the patient safety concern could not be attributed to the hospital, did not appear to involve
  7. www.ahrq.gov/teamstepps-program/curriculum/team/teach/two-day.html
    February 01, 2024 - Two-Day Training Content The Team Leadership Module provides an overview of what teams are as well as how to lead teams effectively. The overview of teams can be taught in about 40 minutes using the approach described  The Team Leadership Module provides an overview of what teams are as well as how to lead te…
  8. www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
    July 05, 2023 - framework, and rapidly gauge (as a “temperature check”) stakeholder perceptions and ideas around payer involve
  9. www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf3.html
    October 01, 2014 - Section 3. Appendix Additional Prevention Materials and Resources from AHRQ When you use The Guide to Clinical Preventive Services 2009 in the classroom or in practice, here are some additional products AHRQ developed based on the recommendations that you may find helpful. These items can be printed from yo…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nieva.pdf
    January 07, 2005 - Partnerships that involve knowledge broker organizations (e.g., Institute for Healthcare Improvement
  11. 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…
  12. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
    August 01, 2022 - Module 1: An Overview of the CANDOR Process AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: The CANDOR Toolkit is composed of eight distinct modules that can be used to teach users about the CANDOR process. Module 1 provides an overview of the steps to implement the CANDOR…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
    April 05, 2013 - Also think about other leaders to involve (e.g., unit directors and nurse managers).
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-final-es.pdf
    September 01, 2019 - 2018 National Healthcare Quality and DIsparities Report c2015 National Healthcare Quality and Disparities Report and National Quality Stategy 5th Anniversary Update NATIONAL HEALTHCARE QUALITY & DISPARITIES REPORT 2018 This document is in the public domain and may be used and reprinted without permission. Ci…
  15. www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
    May 01, 2011 - This would involve development of a data collection instrument to gather information on a particular … Most identified systems involve voluntary reporting. … This would involve development of a data collection instrument to gather information on a particular … For example, errors resulting in patient harms may involve multiple health care providers, systems, … This may involve passwords, data encryption, and secure severs (e.g., computers that can be accessed
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
    May 01, 2011 - This would involve development of a data collection instrument to gather information on a particular … Most identified systems involve voluntary reporting. … This would involve development of a data collection instrument to gather information on a particular … For example, errors resulting in patient harms may involve multiple health care providers, systems, … This may involve passwords, data encryption, and secure severs (e.g., computers that can be accessed
  17. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily4.html
    July 01, 2018 - Guide to Patient and Family Engagement Summary and Discussion Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft K…
  18. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilysum.html
    July 01, 2018 - Guide to Patient and Family Engagement Executive Summary Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft Key In…
  19. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses1.html
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Introduction Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Introduction The Theory of Distributed Cognition Nu…
  20. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/tools.html
    July 01, 2023 - Teamwork Tools and Strategies AHRQ Safety Program for Perinatal Care, Phase 2 Each of the two tiers is arranged around 10 teamwork tools and strategies, including content related to the following strategies and tools from AHRQ's evidence-informed Team Strategies and Tools to Enhance Performance and Patient S…

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