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421. An Overview of the CANDOR Process
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
     August 20, 2015 - University of Missouri: Following development of a Care for the Caregiver program, the organization reported

422. Creating an Improvement Culture (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Creating_an_Improvement_Culture_2011_10_01_Transcript.pdf
     January 01, 2011 - the right-hand side there, you’ll see that in 2002, 11.5% of the folks in our primary service area reported

423. Staff Training Instructor Guide | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.html
     October 01, 2020 - All 18 reported situations where an interpreter was needed but was not present.

424. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
     March 01, 2019 - between 1995 and 2005, ineffective communication was identified as the root cause of 66 percent of reported

425. Emergency Visits for Opioid Use Rose White Treatment for Illicit Drug Use Remained Unchanged (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-opioids-edvisits-tx.pdf
     August 11, 2021 - These data complement a recent study of commercially insured adults, which reported that use of medication-assisted

426. Health Literacy Universal Precautions Toolkit, Third Edition (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/pdsa-worksheet.pdf
     March 01, 2024 - • Upon self report, most nurses reported they were good with pointing out or handing the patient the

427. Webinar #1: Fuzzy Set Analysis (Slide Presentation) | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysets_slides.html
     July 01, 2013 - phone Practice+phone Practice+phone Patient access All BCBS BCBS Diabetes BCBS All All All; BCBS focus Reported

428. Strategies for Improving Patient Experience with Ambulatory Care: Service Recovery Programs (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-p.pdf
     November 02, 2017 - approximately 18% of members of Medicaid health plans and 13% of members of Medicare health plans reported

429. Specific Tools To Support Change (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
     January 01, 2011 - CAHPS Hospital Survey: Individual Items The survey includes two individual items that can be reported … can help create an infrastructure for reporting, collecting, and analyzing data about voluntarily reported

430. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
     April 02, 2020 - One limitation of current patient reporting systems is the lack of validated patient-reported questions … , akin to those intended for use by clinicians, are another potential mechanism to collect patient-reported … Diagnostic error in medicine: analysis of 583 physician-reported errors.

431. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
     January 01, 2021 - Patients reported feeling lost on how to obtain- home care providers, transportation, stable housing,

432. AHRQ Slide Template 2004 (ppt file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar01/sl_fuzzyset.ppt
     May 14, 2013 - + phone Practice + phone Patient access All BCBS BCBS Diabetes BCBS All All All; BCBS focus Reported

433. Mod03-Gap-Analysis-Guide (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
     April 01, 2016 - These reports should be completed without associating individual participants with their reported remarks

434. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
     April 01, 2011 - all U.S hospitals for at least two of three conditions (heart failure, heart attack, and pneumonia) reported … Nurses on 3-South also reported being more aware of issues related to discharge, including patients’

435. TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ) Manual | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.html
     April 01, 2017 - In both cases, we examined agreement for the day and night shifts separately because many staff reported

436. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
     December 01, 2017 - Below the photos is a table showing by department how many days since the last infection was reported

437. Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (pdf file)
     healthcare411.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
     January 01, 2024 - used to evaluate Fall TIPS’ effect on hospitals and society are listed in the table below and are reported

438. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
     healthcare411.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
     January 01, 2024 - the mobile workstation, because the 11 unit requires a power outlet for charging, and some staff reported

439. Enhancing Safety for Patients with Limited English Proficiency Train-the-Trainer Instructor Guide
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pptx
     November 19, 2008 - All 18 reported situations where an interpreter was needed but was not present.

440. Speaking Plainly: Communicating the Patient’s Role in Health Care Safety (pdf file)
     healthcare411.ahrq.gov/downloads/pub/advances/vol4/Miranda.pdf
     July 01, 2004 - Beneficiaries also reported the assumption that the health care system takes certain error-checking