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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 - An Overview of the CANDOR Process
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 4: Event Reporting,
Event Investigation and Analysis
Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process.
1
Objectives
Define the key elements …
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Executive Summary
Previous Page Next Page
Table of Contents
Demonstration Grants Final Evaluation Report
Executive Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liability
Lessons Learned From Implement…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - Say:
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 to medical harm. The CANDOR process aims to
change that.
Slide 1
Say:
To get started, let’s watch this video.
Video: Do Less…
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www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - Grand Rounds Presentation
AHRQ Communication and Optimal Resolution Toolkit
Say:
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 to medical harm. The CANDOR process a…
-
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…
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www.ahrq.gov/news/events/nac/2019-11-nac/nacmtg01121-minutes.html
March 01, 2020 - Meeting Minutes, November 2019
Minutes from the November 21, 2019, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of July 24, 2019, Meeting Summary
AHRQ Accomplishments
Budget Update
Challenges and Opportunities To L…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
June 11, 2003 - A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences
71
A Nonpunitive, Computerized System for
Improved Reporting of Medical Occurrences
Dale A. Arroyo
Abstract
To improve the patient safety program at the Naval Hospital at Oak Harbor, the
facility instituted a new computerized s…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
March 01, 2023 - Implementation Guide for Automatic Referral: Building, Implementing, and Troubleshooting and Automatic Referral for Cardiac Rehabilitation
Implementation Guide for
Automatic Referral
Introduction
Acronym List
Term Abbreviation
AHRQ Agency for Healthcare Research and Quality
AR Automatic referral
CABG Corona…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/study-methods.html
June 01, 2020 - 2. Study Methods
Health Services and Primary Care Research Study: Comprehensive Report
In this chapter, we describe the research methods used in this study. We first present the definitions of HSR and PCR that were used to identify relevant federally supported research projects and to develop a research domai…
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www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
January 01, 2024 - Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use
Title Page
EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use
Principal Investigator: Danielle M. McCarthy, MD, MS
Co-Investigators: Mike S. Wolf, PhD, MPH, Kenzie A. Cameron, PhD, MP…
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www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
January 01, 2024 - Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention
Labor and Delivery Nurse Staffing: A Patient Safety Intervention
Team members:
Barbara L. Wilson, PhD, RN
Principal Investigator (PI)
Associate Professor
University of Utah College of Nursing
Barbara.wilson@nurs.utah.edu
R…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
July 01, 2004 - Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings
225
Development of a Multipurpose
Dataset to Evaluate Potential Medication
Errors in Ambulatory Settings
K. Arnold Chan for the HMO Research Network
CERT Patient Safety Investigators
Abstract
Ten health m…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ptmgmt/ptmgmt.pdf
November 01, 2007 - This situation is challenging for providers who are
developing Requests for Proposals (RFPs) for programs
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-design.pdf
February 18, 2021 - e.g., checking State prescription drug database);
− Patient visits (e.g., calculating MED);
− Refill requests … with those few patients who have demonstrated unusual behaviors, such as early
prescription refill requests
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-fullreport.pdf
November 01, 2019 - Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Report
Overuse of Computed Tomography Scans for the
Evaluation of Children with a First Generalized
Afebrile, Atraumatic Seizure
Section 1. Basic Measure Information
1.A. Measure Name
Ove…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-117-fullreport.pdf
October 18, 2017 - Timely Temperatures Upon Arrival in Level 2 or Higher Nurseries for Low Birthweight Neonates
Timely Temperatures Upon Arrival in Level 2 or Higher
Nurseries for Low Birthweight Neonates
Section 1. Basic Measure Information
1.A. Measure Name
CAPQuaM PQMP Perinatal 2: Timely temperatures upon arrival in Level 2 or…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-2.pdf
September 01, 2011 - ADAPT to Adult-Focused Health Care
ADolescent Assessment of Preparation for Transition (ADAPT) to
Adult-Focused Health Care
Detailed Measure Specifications
Center of Excellence for Pediatric Quality …
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www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
January 01, 2024 - Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine
Principal Investigator/Program Director (Last, First, Middle): Fairbanks, Rollin Jonathan
1. title page
The ED Pharmacist as a Safety Measure in Emergency Medicine
Supported by: Agency for Healthcare Research and Quality
Grant N…
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www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
January 01, 2024 - Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth
1
AHRQ Final Progress Report
Title: What about mom? Using Administrative Data to Develop Measures for Monitoring
Healthcare Quality in Pregnancy & Childbirth
Principal In…
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www.ahrq.gov/sites/default/files/publications2/files/takeheart-executive-summary.pdf
August 01, 2023 - team’s direct and early involvement in implementation and prolonged (up to
several months) wait of CR requests