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41. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb2.html
    January 01, 2020 - Variations: Variation: Many hospitals include critically ill patients in ICU settings to highest

42. Chapter 1. The Framework for Improvement | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide1.html
    February 01, 2016 - What are the existing practices for standardizing care transitions between settings (e.g., emergency … Hold the gains and spread the initiative to other units, hospitals, and/or settings ( Chapter 8 ). … many ways to get this wrong, and only two or three ways that seem to work reliably across a variety of settings

43. Environmental Scan of Primary Care-Based Efforts To Reduce Readmissions | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions-prim-envscan.html
    March 01, 2020 - Environmental Scan of Primary Care-Based Efforts To Reduce Readmissions This environmental scan reviews the evidence-based literature from the primary care setting. While emerging literature addresses primary care-based transition programs, a gap remains in what is known in the hospital setting. To address t…

44. Communication and Optimal Resolution (CANDOR) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/index.html
    August 01, 2022 - Communication and Optimal Resolution (CANDOR) C ommunication and O ptimal R esolution (CANDOR) is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm. This AHRQ toolkit, based on the CANDOR process, is intended …

45. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
    August 01, 2022 - Communication and Optimal Resolution (CANDOR) Toolkit What is the Communication and Optimal Resolution Process? The Communication and Optimal Resolution (CANDOR) process is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpecte…

46. Family-Centered Rounds Toolkit | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/engage-tool.html
    July 01, 2022 - Family-Centered Rounds Toolkit Family-centered rounding (FCR) is a key patient engagement strategy for hospitalized children. FCRs have become the standard of care, despite the limited evaluation of benefits or interventions to support high-quality delivery. The FCR Toolkit was designed to increase family en…

47. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
    August 01, 2022 - Implementation Guide for the CANDOR Process Communication and Optimal Resolution Toolkit Purpose: The Toolkit Implementation Guide is a reference for organizational leaders who are committed to improving their response to unexpected patient harm events. The guide describes the CANDOR process, implementatio…

48. Acknowledgments | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
    August 01, 2022 - Acknowledgments AHRQ Communication and Optimal Resolution Toolkit The Communication and Optimal Resolution (CANDOR) process was funded by AHRQ and is based on input from experts, key stakeholders, and lessons learned from the agency's $25 million Patient Safety and Medical Liability (PSML) Grant Initiative la…

49. Communication and Optimal Resolution (CANDOR) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/index.html
    August 01, 2022 - Communication and Optimal Resolution (CANDOR) C ommunication and O ptimal R esolution (CANDOR) is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm. This AHRQ toolkit, based on the CANDOR process, is inten…

50. Transforming Hospitals | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
    December 01, 2017 - environments affects patients and staff. 4,5 Key characteristics of evidence-based design in hospital settings

51. Clinical Care | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/esrd/resource/clinicalcare.html
    January 01, 2015 - Clinical Care ESRD Toolkit The Clinical Care module of the ESRD Toolkit summarizes why proper clinical care is important in preventing vascular access infections, explains practices staff members can follow during site access to reduce infection risk, and describes ways to evaluate infection control practices…

52. Patient and Family Engagement | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/esrd/resource/engagement.html
    December 01, 2014 - Patient and Family Engagement ESRD Toolkit The Patient and Family Engagement module of the ESRD Toolkit defines patient engagement in the context of end-stage renal disease facilities, discusses how to recognize and overcome obstacles to patient engagement, explains how to engage patients and their families i…

53. Creating a Culture of Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/esrd/resource/cultureofsafety.html
    January 01, 2015 - Creating a Culture of Safety ESRD Toolkit The Creating a Culture of Safety module of the ESRD Toolkit discusses the importance of a comprehensive, unit-based approach to safety and its impact on improving patient care and reducing harm in dialysis centers. Presentation Slides ( PPTX, 20 M B) Facilitator …

54. How To Use the ESRD Toolkit | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/esrd/resource/tooluse.html
    October 01, 2020 - How To Use the ESRD Toolkit ESRD Toolkit The toolkit consists of four instructional modules that a facilitator can use to teach dialysis center team members specific ways to create a culture of safety. The modules are modifiable to meet individual dialysis center training needs. Modules of the ESRD Toolkit …

55. Using Checklists and Audit Tools | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/esrd/resource/checklist.html
    January 01, 2015 - Using Checklists and Audit Tools ESRD Toolkit The Using Checklists and Audit Tools module of the ESRD Toolkit explains the importance of using data in the quality assurance and performance improvement process, and explains how implementing checklists and audit tools aligns with the principles of safe design. …

56. About the Toolkit Development | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/esrd/resource/tooldev.html
    January 01, 2015 - About the Toolkit Development ESRD Toolkit The ESRD Toolkit was developed during a 2-year project called the National Opportunity To Improve Infection Control in End-Stage Renal Disease Facilities, conducted through a partnership that brought together subject matter experts and providers in the field. Backg…

57. Undermining a Culture of Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/esrd/resource/underminingsafety.html
    July 01, 2019 - Undermining a Culture of Safety This video vignette shows a fictional scenario of a dialysis center with a culture that endangers patient safety. Staff members can use it to learn from the safety defects portrayed. YouTube embedded video: https://www.youtube-nocookie.com/embed/SS_Gbg0cDb8 Undermining a Cultu…

58. Fostering a Culture of Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/esrd/resource/fostersafety.html
    April 01, 2014 - Fostering a Culture of Safety This video vignette shows a fictional scenario in which a positive culture of safety overcomes multiple commonly seen barriers to infection prevention in dialysis facilities. Fostering a Culture of Safety YouTube embedded video: https://www.youtube-nocookie.com/embed/TLeHkU34_…

59. AHRQ Safety Program for End-Stage Renal Disease Facilities Video Downloads | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/esrd/resource/download.html
    January 01, 2015 - AHRQ Safety Program for End-Stage Renal Disease Facilities Video Downloads Five video vignettes were created to supplement the change package. These videos may be downloaded for use without an Internet connection. Video Vignettes Videos linked from this page are compressed in WinZip® format to facilit…

60. Patient Engagement in Infection Prevention | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/esrd/resource/infectionpx.html
    November 01, 2014 - Patient Engagement in Infection Prevention This video vignette illustrates how to engage dialysis patients in infection prevention.   ESRD Toolkit Modules The four modules are: Creating a Culture of Safety Clinical Care Using Checklists and Audits Patient and Family Engagement…