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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
    April 01, 2016 - Purpose: To evaluate the extent to which current processes align with the Communication and Optimal Resolution (CANDOR) process and includes; ■ Identifying the existing process ■ Identifying the existing outcome(s) ■ Identifying the desired outcome(s) ■ Identifying and documenting the gap(s) Who should use t…
  2. www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
    January 01, 2024 - Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs Title Page Title of Project: Risks Of Inaccurate Or Incomplete Preoperative Assessments In Freestanding ASCs Principal Investigator: Nancy Kupka DNSc, MPH, RN - The Joint Commission Team Members: Diana Bickham, …
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Learning From Defects SAY: Welcome to this presentation on Learning From Defects as part of an o…
  4. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 6. Horizon Hospital—Lakeview Healthcare Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Centra…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
    January 01, 2003 - This requires a concomitant processing and cognitive storage of information.11 Information in the RN
  6. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 7. Tools and Resources Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…
  7. www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 7. Tools and Resources Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…
  8. www.ahrq.gov/patient-safety/reports/hotline/eval4.html
    May 01, 2016 - Processing of the Patient and Caregiver Reports In 34 of the 37 reports, the respondent agreed to … enabled several different options for reporting (e.g., anonymous, de-identified), the back-end review and processing
  9. www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
    January 01, 2024 - Recent examples show that processing the healthcare facility information together with the medical
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
    August 24, 2015 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR) Toolkit Module 7: Resolution Module 7 of the CANDOR Toolkit describes the resolution phase of the CANDOR process. 1 Objectives Define the CANDOR Resolution component and its importance in the CANDOR process. List the steps of the resolution pr…
  11. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/index.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Case 3. Grand Hospital Center Case 4. Suntown …
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation Presenter: Timothy B. McDonald, MD, JD This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond…
  13. www.ahrq.gov/sites/default/files/wysiwyg/npsd/Blood_Dashboard_Data_2024.xlsx
    January 01, 2024 - Blood Dashboard Data Introduction Introduction-Blood or Blood Product The tables in this workbook present data on Blood or Blood Product reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2023. They include the relative frequen…
  14. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case1.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 1. Lakeview Healthcare Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Case…
  15. www.ahrq.gov/sites/default/files/2025-03/mahajan-manojlovich-report.pdf
    January 01, 2025 - Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED A. Title Page Project Title: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED Principal Investigator Information: PRASHANT MAHAJAN, MBA, MD, MPH …
  16. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Learning From Defects ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Learning From Defects SAY: Welcome to this presentation on Learning From Defects (LFD) as part of an overall approach to preventing MRSA in ICU and non-ICU settings. Slide 1 Educational…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
    June 02, 2025 - Monitoring Progress for Sustainable Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Monitoring Progress for Sustainable Impro…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/e1_pdi_monitorprogress.pdf
    June 02, 2025 - Monitoring Progress for Sustainable Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool E.1 Monitoring Progress for Sustainable Improvement What is the purpose of this tool? This tool provides guidance on how to monitor and report your progres…
  19. www.ahrq.gov/patient-safety/settings/hospital/match/chapter-2.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Chapter 2. Building the Project Foundation: Project Teams and Scope Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation …
  20. www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-2.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Chapter 2. Building the Project Foundation: Project Teams and Scope Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation …

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