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  1. 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…
  2. 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…
  3. www.ahrq.gov/ncepcr/tools/case-studies/fillmore.html
    April 01, 2022 - Involving experienced online instructional design support during course development is crucial. … Involving experienced online instructional design support during course development is crucial.
  4. www.ahrq.gov/sites/default/files/publications/files/chipra-final-report_0.pdf
    February 21, 2016 - Strategies included involving practices in data collection (via manual extraction of data from EHRs … Projects involving the development of electronic screening methods were able to achieve their objectives … However, they themselves needed support when they were faced with crises involving their own children … 18 neonatal intensive care units (NICUs), an initiative involving 106 hospitals to improve accuracy … of 17 key birth certificate variables, and an initiative involving 28 NICUs to improve the quality
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
    January 01, 2004 - course of action, he or she must activate a response within the context of the system as a whole, involving
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
    July 23, 2008 - other; the suggestion of a specialized central line service; and facilitating patient care conferences involving
  7. 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…
  8. 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…
  9. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
    August 01, 2025 - with the Michigan Surgical Quality Collaborative implemented a stepped wedge cluster randomized trial involving … the occurrence of adverse events and medical errors in general; sponsor three demonstration projects involving
  10. www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-10.html
    October 01, 2013 - Potential Measures for Clinical-Community Relationships A-10. Measure 7: Information about area (community) resources is offered by clinician Previous Page Next Page Table of Contents Potential Measures for Clinical-Community Relationships Acknowledgements Executive Summary Introduction Pote…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/physengagement-slides/Physician-Engagement-Sept-13-2011-508.ppt
    January 01, 2011 - Project Report - Lean Sigma Physician Engagement * Story of cardiac surgeon not doing check list. Cardiac SICU one year zero infections, then BAM! two infections linked to one noncompliant cardiac surgeon. Or other example story of physicians not being engaged in QI * One of the issues we hear our teams talk ab…
  12. www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/choosing/index.html
    June 01, 2020 - Choosing Quality Measures Child Health Care Quality Toolbox The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. Choosing the most useful quality measures is one critical step toward success, no matter what your planned uses. This section: …
  13. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/slides.html
    December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Introduction to Pressure Ulcer Healing Reports Slide Presentation: AHRQ’s Safety Program for Nursing Homes Text version of slide presentation. Slide 1: Introduction to Pressure Ulcer Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pr…
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiig.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …
  15. www.ahrq.gov/research/shuttered/acfselection/appendixc.html
    July 01, 2018 - Disaster Alternate Care Facilities: Report and Interactive Tools Appendix C: Alternate Care Facility Questionnaire Previous Page Next Page Table of Contents Disaster Alternate Care Facilities: Report and Interactive Tools Executive Summary Chapter 1. Objectives Chapter 2. Background Chapter …
  16. www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Chapter 2. Determining Surgical Site Infection Rates Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary C…
  17. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_pilotstudyreport.pdf
    November 01, 2021 - SOPS Workplace Safety Pilot Study Report Pilot Study Results From the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Workplace Safety Supplemental Items for Hospitals Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 2085…
  18. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-presenters-notes.pdf
    January 13, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 3 Communication - Facilitator’s Notes Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                        …
  19. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-communication.pptx
    January 13, 2022 - Module 3: Communication Module 3 Communication To Improve Diagnosis TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 3, Communication To Improve Diagnosis, that you will review as the facilitator. Individuals who plan to take the …
  20. www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool2a-1.html
    April 01, 2018 - Tracking and Improving Screening for Colorectal Cancer Intervention 2.a-1 Preintervention Survey of Clinicians and Practice Staff Previous Page Next Page Table of Contents Tracking and Improving Screening for Colorectal Cancer Intervention I. Introduction II. Background III. Intervention Steps…

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