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41. Communication Assessment Guide | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
    August 01, 2022 - Communication and Optimal Resolution (CANDOR) Implementation Team, Disclosure Lead(s), Disclosure Communicators

42. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
    August 01, 2022 - However, safety science shows that these types of recommendations do not consistently lead to sustained … develop skills necessary for conducting successful event reviews, improve discovery and learning, and lead … Just Culture "People make errors, which lead to accidents. Accidents lead to deaths. … It is essential that employees feel comfortable sharing openly, as that will lead to a more accurate … Very often the answer to a question will lead you to another question.

43. AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
    August 01, 2022 - Regardless of the setting, diagnostic errors can derail proper care and may lead to severe injury or … All of AHRQ’s efforts in diagnostic safety – its lead role among Federal agencies, its research investments

44. NAC Member Biography: Jeana Reyes | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/cpi/about/organization/nac/reyes.html
    July 01, 2023 - serves as the key business owner for developing clinical strategies and quality program models that lead

45. Biosketches | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
    September 01, 2016 - Arnold helps lead the Agency’s efforts to develop the knowledge, tools, and data needed to improve the … He also served as associate editor to the Journal of Patient Safety , lead editor of two AHRQ four-volume … Ling has served as the lead coordinator and facilitator of the CCSQ Measures Forum. Dr. … Ling also serves as the clinical sub-group lead for the HHS National Alzheimer's Project Act. Dr.

46. TeamSTEPPS - Table of Contents (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/contents.pdf
    March 21, 2014 - TeamSTEPPS - Table of Contents Table of Contents TAB A COURSE MANAGEMENT GUIDE TAB B FUNDAMENTALS INSTRUCTIONAL MODULES Module 1: Introduction • Evidence Base • TeamSTEPPS Implementation Worksheet Module 2: Team Structure • Evidence Base • Teams and Teamwork Exercise Sheet Module 3: Communication • Evidenc…

47. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
    August 01, 2022 - Implementation Team Structure Key characteristics of team members should include: Authority to lead … The CANDOR Implementation Team should have three subgroups with a Team Lead for each subgroup. … The Disclosure Team Lead is responsible for implementing the disclosure communication process in the … The Care for the Caregiver Team Lead is responsible for implementing a Care for the Caregiver program

48. A Boost for Health Services Research | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/news/blog/ahrqviews/boost-health-services-research.html
    June 01, 2022 - possible, the healthcare system and individual providers need real-time, actionable data that will lead … AHRQ is uniquely positioned to advance HSR to tell the stories that will lead to system improvement and

49. Understanding SOPS® Surveys: A Primer for New Users - Ginsberg (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-ginsberg.pdf
    September 01, 2022 - ► The lead Federal agency charged with improving the safety and quality of America’s health care

50. Federal Interagency Workgroup--Diagnostic Safety: November Meeting Summary (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2022.pdf
    March 01, 2023 - researchers have reported that the performance of pulse oximeters among minority patient groups may lead … www.nibib.nih.gov/news-events/newsroom/pulse-oximeter-performance-among-minority-patient-groups-may-lead-reduced-delivery-supplemental-oxygen

51. NQMC Measure Domain Definitions | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/gam/summaries/domain-definitions/index.html
    July 01, 2018 - had a visit with a primary care practitioner in the past year (based on evidence that annual visits lead … Example: The proportion of children with elevated blood lead levels whose homes undergo lead remediation … , and whose blood lead levels are subsequently reduced to normal levels.

52. newbref
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module11/m11impguide.pptx
    February 03, 2006 - Implementation Plan Timeline Step Lead Completion Date Resources Required 1. … Plan TEAMSTEPPS 05.2 Page ‹#› Implementation Guide 14 Page ‹#› Change Team Meetings Purpose Lead

53. Grand Rounds Presentation | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - doesn't communicate, or the communication doesn't meet the patients' or families' expectations, it may lead … Potential decrease in adverse events being litigated, which can potentially lead to lower malpractice … Resolution should lead to a settlement of issues related to the adverse event,but doesn’t always lead

54. Patient Safety Research Summaries | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/research-summaries/index.html
    March 01, 2024 - Education & Training Resources Patient Safety Research Summaries As the lead

55. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
    August 01, 2022 - The Care for the Caregiver Program Lead How to use this tool: Use this guide as a checklist to ensure … YES  NO       Team Lead Who is the most appropriate individual to lead the team?

56. Designing Innovative Health Information Technology to Reduce Healthcare Disparities | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/funding/grantee-profiles/grtprofile-valdez.html
    June 01, 2022 - The aim of her doctoral dissertation was to create a design strategy specifically to lead to culturally-informed … “Technology that better meets patients' needs may lead to better self-management of health conditions

57. Long COVID is a Case Study of Our Fractured Healthcare System | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/news/blog/ahrqviews/long-covid.html
    March 01, 2023 - Poorly conceived payment policies lead to perverse incentives. … believe that a research-driven agenda committed to equity and restoring Americans’ trust can inform, lead

58. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
    August 01, 2022 - The CANDOR Response Team is also responsible for notifying the CANDOR Communication Lead that a CANDOR … Ideally, the CANDOR Response Team and/or CANDOR Communication Lead are responsible for the initial communication … The CANDOR Communication Lead coordinates all communications, and ensures that all caregivers are consistent

59. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/diagnostic-safety/workgroup/index.html
    March 01, 2024 - of dedicated research into improving medical diagnosis and in particular, diagnostic failures that lead

60. COVID-19 What's New | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/coronavirus/whats-new.html
    March 01, 2024 - COVID-19 What's New The Agency for Healthcare Research and Quality (AHRQ) is the lead