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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
August 01, 2022 - Improving Communication—Lessons Learned
Building robust disclosure and resolution programs involves … This challenge exists because the non-academic hospital setting involves an elaborate web of risk relationships … An RCT is a strong research design; it involves intervention sites and similar control sites that do
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www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
December 01, 2012 - Learn from Defects Tool
CUSP Toolkit
Health care organizations can increase the extent to which they learn from defects.
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be h…
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www.ahrq.gov/news/newsroom/press-releases/sepsis-report-to-congress.html
September 01, 2024 - AHRQ Issues Report to Congress on Burden of Sepsis in U.S. Hospital Care
Report finds the emergence of COVID-19 significantly changed the epidemiology of sepsis
Press Release Date: September 16, 2024
The number of sepsis-related inpatient stays at non-federal acute care hospitals in the United States increased …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
July 23, 2010 - and hospital staff all work together as partners to improve the quality and safety of hospital care
Involves
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
March 31, 2008 - Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative
Relationship Between Patient Harm and
Reported Medical Errors in Primary Care:
A Report from the ASIPS Collaborative
David R. West, PhD; Wilson D. Pace, MD; L. Miriam Dickinson, PhD;
Daniel M. H…
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www.ahrq.gov/news/newsroom/case-studies/cquips1301.html
November 01, 2012 - Newman Memorial Hospital Implements AHRQ's Patient Safety Culture Survey
Search All Impact Case Studies
November 2012
Newman Memorial Hospital, a 79-bed acute hospital in Oklahoma, first implemented AHRQ's "Hospital Survey on Patient Safety Culture" in 2006, when concern about the hospital's patient safety …
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex57.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Exhibit 5-7. Measure 7: Information about area (community) resources is offered by clinician (Wrap-Around Observation Form-2)
Previous Page Next Page
Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Ackno…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_1_Be_Partner_508.docx
June 02, 2025 - Strategy 2: Communicating for Improve Quality (Tool 1)
Be a Partner in Your Care
Strategy 1: Working with Patients & Families as Advisors
[Type text] [Type text] [Type text]
Strategy 2: Communicating to Improve Quality (Tool 1)
Guide to Patient and Family Engagement :: 1
Guide to Patient and Family Engagement
We w…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.docx
January 28, 2011 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook)
Working With Patient and Families as Advisors Implementation Handbook
Strategy 3: Bedside Shift Report (Implementation Handbook)
[Type text] [Type text] [Type text]
Strategy 1: Working With Patient and Families as Advisors (Implementat…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_11_PPT_508.pptx
January 01, 2008 - and hospital staff all work together as partners to improve the quality and safety of hospital care
Involves
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
January 01, 2024 - 2024 Network of Patient Safety Databases Chartbook
2024 Network
of Patient Safety
Databases
Chartbook:
Medication and Other
Substance Events
2024 NETWORK OF PATIENT SAFETY DATABASES
CHARTBOOK: MEDICATION AND OTHER SUBSTANCE
EVENTS
U.S. DEPARTMENT OF
…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-2-slides.pptx
June 02, 2025 - TeamSTEPPS Team Leadership Module 2
Team Leadership
Module 2
1
Understanding Teams and Team Structure
2
Objectives: Team Structure
Team Leadership
Understand the benefits of teamwork and clear team structure.
Define a “team.”
Identify the roles of patients and family caregivers within the care team.
Desc…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.pdf
January 28, 2011 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook)
Strategy 1: Working With Patient and Families as Advisors (Implementation Handbook)
Guide to Patient and Family Engagement
Working With Patient and
Families as Advisors
Implementation Handbook
Strategy 1: Working With Pa…
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
August 01, 2022 - Planning Grants Final Evaluation Report
Findings
Previous Page Next Page
Table of Contents
Planning Grants Final Evaluation Report
Executive Summary
Introduction
Methodology
Findings
Appendix A. Grantee Profiles
Appendix B. References
Improving Communication
Four planni…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
December 01, 2017 - Engaging patients and family members in every day care involves some really specific how-to strategies
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-transcript.doc
April 09, 2013 - Engaging patients and family members in every day care involves some really specific how-to strategies
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
July 01, 2023 - Sensemaking has five attributes:
First, Sensemaking involves a conversation among team members.
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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? …
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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…