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  1. 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 …
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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…
  9. 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…
  10. 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…
  11. 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…
  12. 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…
  13. 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
  14. 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
  15. 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…
  16. 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…
  17. 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 …
  18. 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…
  19. 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…
  20. 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

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