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  1. 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
  2. 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…
  3. 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 …
  4. 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
  5. 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…
  6. 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 …
  7. 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…
  8. 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…
  9. 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…
  10. 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
  11. 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 …
  12. 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…
  13. 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…
  14. 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…
  15. 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…
  16. 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
  17. 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
  18. 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.
  19. 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?   …
  20. 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…

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