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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step1.html
March 01, 2019 - Checking whether other organizations have already identified key gaps in the quality of child health … Reaching out to policymakers, academic institutions, providers and their professional organizations, … Are there existing organizations or coalitions that already represent the key stakeholders? … If so, which organizations are seen as most credible? … to in a more general health organization?
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www.ahrq.gov/cpi/about/organization/nac/hernandez-cancio.html
February 01, 2025 - presented at national events across the country and has served on numerous advisory committees for organizations
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/change.html
June 01, 2023 - Many organizations endorse the need for a patient safety culture, but to achieve this aim requires comprehensive … Regrettably, some organizations acquire a sense of urgency only when a tragic and publicized patient … In some cases, inconveniences are not taken seriously by healthcare organizations and harm results (e.g … Most organizations or operating units have a Guiding Coalition, or a team of individuals who lead the … Especially in larger organizations, a Change Team should be in place in each unit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - Morbidity and Mortality Forums
HSOPS
Peer Review
Event Reviews
Regulatory Bodies
Patient Safety Organizations … CANDOR Event Checklist
Module 4
7
The CANDOR Event Review Checklist helps organizations … Many organizations implement the best practice of creating a hotline for staff to call when they feel … Module 4
13
This diagram depicts the traditional Event Investigation and Analysis process in many organizations … Occurs within 72 hours after the event
The CANDOR Process for Event Investigation and Analysis helps organizations
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Prologue_Battles_Vol2.pdf
June 02, 2025 - Battles, PhD
The articles in this volume explore issues of culture and the redesign of organizations … Only recently
have instruments become available for use by organizations to assess their patient safety … Many
organizations are finding that an assessment of the safety climate of culture within both
individual … Several of the
articles in this first section explore the characteristics of the organization relative … The lack of a complete understanding of the organization at both the
macro and micro levels will limit
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
April 01, 2022 - Health care organizations are caring for people who are almost always anxious and afraid, so the stakes … What differentiates member- or patient-focused organizations from others is whether and how they handle … complaining, even though they may have significant problems with the delivery of care. 2 , 3
Health care organizations … Organizations with good customer service and service recovery programs are proactive and let the CEO, … Service recovery in health services organizations. Hosp Health Serv Adm 1993 Spring;38(1):3-21.
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www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil3.html
April 01, 2018 - What: Define the Council's Goals and Objectives
Organizations that are just beginning to bring patients … To do that, organizations should:
Select a specific process or aspect of care that is focused and … Working with external community organizations through communications, meetings, and presentations. … organizations, such as Kiwanis, Rotary Club, Lions, Elks. … Review literature and examples from other organizations that undertook similar councils.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
September 01, 2016 - How PSOs Help Health Care Organizations Improve Patient Safety Culture
How PSOs Help Health Care Organizations … In an organization with a strong safety culture that
fosters trust, clinicians are comfortable reporting … Rory Jaffe
Executive Director
California Hospital Patient
Safety Organization (CHPSO)
“If you don … but
across organizations. … In order for an
organization to
advance and sustain
patient safety culture,
senior leadership
must
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www.ahrq.gov/cpi/about/organization/nac/carter.html
February 01, 2025 - NABP is an international organization whose membership includes the State boards of pharmacy in all 50
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www.ahrq.gov/patient-safety/reports/hotline/appd.html
May 01, 2016 - from you and your experiences in order to improve the current hotline and recommend lessons for other organizations … What were the biggest tasks or challenges the organization faced?
… including what you could have done differently, how encouraging or discouraging would you be to other organizations … FOR EXAMPLE: Run out of a Patient Safety Organization?
A different type of organization? … A government agency or organization?
A not-for-profit or for-profit organization?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
August 20, 2015 - Organizations can sustain the program by using the knowledge and momentum from CANDOR process analyses … By engaging staff in stories and demonstrating concern for staff experiences, organizations can build … In summary, sustainability can help organizations embed processes into their organizational culture, … Organizations need to address external and internal factors that can benefit or impede sustainability … to caregivers following a patient safety event.
16
Module 8
Here are some examples of success from organizations
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Person-Level-Variables-2024.pdf
January 01, 2024 - - March MDCD_MCO_ENRLMT_3 X NUM 3
Medicaid Managed Care
Organization (MCO)
Enrollment - April … _5 X NUM 3
Medicaid Managed Care
Organization (MCO)
Enrollment - June MDCD_MCO_ENRLMT_6 X NUM … Managed Care
Organization (MCO)
Enrollment - August MDCD_MCO_ENRLMT_8 X NUM 3
Medicaid Managed … Care
Organization (MCO)
Enrollment - September MDCD_MCO_ENRLMT_9 X NUM 3
Medicaid Managed Care … Organization (MCO)
Enrollment - October MDCD_MCO_ENRLMT_10 X NUM 3
Medicaid Managed Care
Organization
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
January 01, 2003 - We
conclude with implications for health care organizations seeking to achieve
durable, organization-wide … What these organizations hope for are enduring,
organization-wide improvements; but what they most often … But few
organizations have transformed themselves without following these principles. … Development, transition or
transformation: the question of change in
organizations. … The ambidextrous
organization: managing evolutionary and
revolutionary change.
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www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
January 01, 2024 - Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery
Program Director/Principal … Final Progress Report
Title of Project: Organization of Care and Outcomes in Cardiac
Surgery
Principal … Pronovost, MD, PhD
Organization: Massachusetts General Hospital
Inclusive Dates of Project: 9/29/06 … Key Words: ICU Physician Staffing, Intensivist, Nurse Staffing, Multidisciplinary Rounds,
Organization … A descriptive analysis of the organization of
care in cardiac surgical intensive care units in the US
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
August 01, 2022 - AHRQ Communication and Optimal Resolution Toolkit
Purpose: To help you identify members of your organization … Individuals who are effective Disclosure Leads or Communicators will be experienced members of the organization … Understanding that s/he speaks for the organization, not an individual unit or department, and thus conveys … personal experience, recommendations, performance reviews, professional experience, position within the organization … The number of people selected for this role will depend on the size of the organization and the resources
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
January 01, 2011 - This tool provides information on tools developed by other
organizations that may be used instead of … In addition, many organizations
have developed tools during their
improvement efforts and are making … them
available on IHI.org for others to use or adapt
in their own organizations. … , to other organizations, and to
the larger community. … These
guidelines can help organizations arrange and
run a visit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
June 01, 2015 - belong to national, State, or local membership
organizations. … National membership organizations. … State membership organizations. … Care management organization: In contrast, the physician organization in the third site
was a key … External resources add value to an organization when they bring expertise not
contained in the organization
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www.ahrq.gov/cpi/about/organization/nac/kripalani.html
February 01, 2025 - NAC Member Biography: Sunil Kripalani
Sunil Kripalani, M.D., M.Sc., SFHM, FACP Professor of Medicine Director Center for Health Services Research Director Center for Clinical Quality and Implementation Research Vanderbilt University Medical Center Sunil Kripalani, M.D., M.Sc., SFHM, FACP , is a professor of med…
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www.ahrq.gov/cpi/about/organization/nac/hickman.html
February 01, 2025 - NAC Member Biography: Sharon Weidner Hickman
Sharon Weidner Hickman, M.B.A., CPHQ, CPPS, MCPC, LSSMBB President and Chief Operating Officer Adaptient, LLP Sharon Weidner Hickman, M.B.A., CPHQ, CPPS, MCPC, LSSMBB, is a healthcare executive with a demonstrated track record of achievement in strategic development,…
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www.ahrq.gov/cpi/about/organization/nac/emert.html
February 01, 2025 - NAC Member Biography: Mason B. Emert
Mason B. Emert, M.P.H. Epidemiologist Choctaw Nation Health Services Authority Mason B. Emert, M.P.H. , is an enrolled member of the Choctaw Nation of Oklahoma and currently serves as Choctaw Nation's tribal epidemiologist. He has worked to establish Choctaw Nation's first d…