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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - The team immediately placed a call to the risk management department, and they responded immediately … Distinguishes between human error (console), at-risk behavior (coach), reckless behavior (punish). … Risk of depression.
Risk of suicide. … Risk of depression.
Risk of suicide. … CANDOR will train risk managers, organization leaders in approaching these difficult discussions.
40
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - The team immediately placed a call to the risk management department, and they responded immediately … Distinguishes between human error (console), at-risk behavior (coach), reckless behavior (punish). … Risk of depression.
Risk of suicide. … Risk of depression.
Risk of suicide. … CANDOR will train risk managers, organization leaders in approaching these difficult discussions.
40
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - The team immediately placed a call to the risk management department, and they responded immediately … Distinguishes between human error (console), at-risk behavior (coach), reckless behavior (punish). … Risk of depression.
Risk of suicide. … Risk of depression.
Risk of suicide. … CANDOR will train risk managers, organization leaders in approaching these difficult discussions.
40
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - The team immediately placed a call to the risk management department, and they responded immediately … Distinguishes between human error (console), at-risk behavior (coach), reckless behavior (punish). … Risk of depression.
Risk of suicide. … Risk of depression.
Risk of suicide. … CANDOR will train risk managers, organization leaders in approaching these difficult discussions.
40
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - The team immediately placed a call to the risk management department, and they responded immediately … Distinguishes between human error (console), at-risk behavior (coach), reckless behavior (punish). … Risk of depression.
Risk of suicide. … Risk of depression.
Risk of suicide. … CANDOR will train risk managers, organization leaders in approaching these difficult discussions.
40
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - The team immediately placed a call to the risk management department, and they responded immediately … Distinguishes between human error (console), at-risk behavior (coach), reckless behavior (punish). … Risk of depression.
Risk of suicide. … Risk of depression.
Risk of suicide. … CANDOR will train risk managers, organization leaders in approaching these difficult discussions.
40
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - The team immediately placed a call to the risk management department, and they responded immediately … Distinguishes between human error (console), at-risk behavior (coach), reckless behavior (punish). … Risk of depression.
Risk of suicide. … Risk of depression.
Risk of suicide. … CANDOR will train risk managers, organization leaders in approaching these difficult discussions.
40
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - The team immediately placed a call to the risk management department, and they responded immediately … Distinguishes between human error (console), at-risk behavior (coach), reckless behavior (punish). … Risk of depression.
Risk of suicide. … Risk of depression.
Risk of suicide. … CANDOR will train risk managers, organization leaders in approaching these difficult discussions.
40
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - The team immediately placed a call to the risk management department, and they responded immediately … Distinguishes between human error (console), at-risk behavior (coach), reckless behavior (punish). … Risk of depression.
Risk of suicide. … Risk of depression.
Risk of suicide. … CANDOR will train risk managers, organization leaders in approaching these difficult discussions.
40
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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 - The team immediately placed a call to the risk management department, and they responded immediately … Distinguishes between human error (console), at-risk behavior (coach), reckless behavior (punish). … Risk of depression.
Risk of suicide. … Risk of depression.
Risk of suicide. … CANDOR will train risk managers, organization leaders in approaching these difficult discussions.
40
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - concern about a patient's high risk for surgery. … (It was also fortunate that the CMO was knowledgeable about the risks of spinal anesthesia in patients … Suicide Risk Assessment in Emergency and Primary Care Settings
January 7, 2022 … Intensive Care Unit
December 1, 2012
Ireland investigates cervical cancer screening … WebM&M Cases
Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/fibromyalgia_research-protocol.pdf
April 03, 2014 - dizziness, nausea, fatigue, dry mouth, weight gain,
difficulty concentrating, hypertension, thoughts of suicide … Citations
determined potentially eligible by either investigator will undergo full text screening for … For randomized clinical trials (RCTs), we will assess the risk of bias using a modified
Cochrane Risk … Similar to risk of bias for RCTs, the overall summary risk of bias will
be weighted towards low for … good studies (low risk of bias) for high strength of evidence.
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psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying-adverse-events
May 24, 2017 - December 18, 2019
Randomized trial of reducing ambulatory malpractice and safety risk … June 29, 2022
An e-Delphi study to obtain expert consensus on the level of risk associated … root cause analysis and action: integrating human factors to create strong interventions and reduce risk … November 30, 2022
Safety of elderly fallers: identifying associated risk factors for … December 20, 2023
Risk-adjusted cumulative sum for early detection of hospitals with
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psnet.ahrq.gov/issue/incidence-prescription-errors-patients-discharged-emergency-department
March 30, 2022 - March 4, 2009
The physiology of failure: identifying risk factors for mortality in emergency … August 12, 2020
Keeping patients at risk for self-harm safe in the emergency department … April 28, 2021
Analysis of risk factors for patient safety events occurring in the emergency … March 1, 2023
The emergency department trigger tool: a novel approach to screening for … February 15, 2012
Risk from delayed or missed care and non-COVID-19 outcomes for older
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psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center
July 14, 2021 - July 21, 2021
The physiology of failure: identifying risk factors for mortality in emergency … February 16, 2022
Analysis of risk factors for patient safety events occurring in the … March 23, 2022
Risk from delayed or missed care and non-COVID-19 outcomes for older patients … June 8, 2022
I-PASS illness diversity identifies patients at risk for overnight clinical … Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening
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psnet.ahrq.gov/issue/association-adverse-effects-medical-treatment-mortality-united-states-secondary-analysis
October 19, 2022 - mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk … Mortality in the United States: A Secondary Analysis of the Global Burden of Diseases, Injuries, and Risk … to the adverse effects of medical treatment (AEMT) from the Global Burden of Diseases, Injuries, and Risk … August 12, 2015
Multilevel factors associated with time to biopsy after abnormal screening … June 19, 2019
Strategies to identify patient risks of prescription opioid addiction when
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psnet.ahrq.gov/issue/assessment-health-information-technology-related-outpatient-diagnostic-delays-us-veterans
February 16, 2022 - The study identified five high-risk areas for diagnostic delays involving HIT: managing electronic health … June 8, 2022
Quality measures for patients at risk of adverse outcomes in the Veterans … October 14, 2020
Long-term risk of overdose or mental health crisis after opioid dose … Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening … Improving Patient Safety
March 29, 2023
Safety risks and workflow implications
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psnet.ahrq.gov/web-mm/dependence-vs-pain
October 30, 2019 - Suicide Risk Assessment in Emergency and Primary Care Settings
January 7, 2022 … June 28, 2017
Misdiagnoses: a hidden risk of genetic testing. … January 31, 2007
When surgery goes wrong: weighing up the risks. … Presentation
March 27, 2024
WebM&M Cases
The Risks … WebM&M Cases
Walking Out of a Hospital After Attempted Suicide
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effectivehealthcare.ahrq.gov/products/fibromyalgia/research-protocol
April 03, 2014 - dizziness, nausea, fatigue, dry mouth, weight gain, difficulty concentrating, hypertension, thoughts of suicide … Citations determined potentially eligible by either investigator will undergo full text screening for … For randomized clinical trials (RCTs), we will assess the risk of bias using a modified Cochrane Risk … Similar to risk of bias for RCTs, the overall summary risk of bias will be weighted towards low for studies … good studies (low risk of bias) for high strength of evidence.
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psnet.ahrq.gov/issue/identification-errors-pathology-and-laboratory-medicine
October 19, 2022 - April 21, 2010
Risk of adverse drug events in neonates treated with opioids and the effect … November 26, 2008
Transparent and open discussion of errors does not increase malpractice risk … Implications for decision support and error reduction. … February 2, 2022
Emergency departments are higher-risk locations for wrong blood in tube … October 31, 2018
WebM&M Cases
Failed Interpretation of Screening