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2361. Identifying Key Areas for Delivery Systems Research | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/casalino/index.html
      December 01, 2017 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2362. Implementing Team Approaches for Improving Diabetes Care in Health Centers | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/rodriguez/index.html
      December 01, 2020 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2363. The Spread Problem | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/mccannon/index.html
      December 01, 2020 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2364. Federal Register Notices | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/funding/policies/polfrnot/index.html
      July 01, 2014 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2365. Exhibit 3. Reporting of patient safety events | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh3.html
      August 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2366. Exhibit 2. Components of consumer reporting systems | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh2.html
      August 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2367. Exhibit 5. Consumer reporting systems inputs and analytic capabilities | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh5.html
      August 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2368. Exhibit 4. Consumer reporting systems-Organizational structure and characteristics | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh4.html
      August 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2369. Exhibit 1. Consumer reporting system summary design features | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh1.html
      August 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2370. Design Options for a Self-Management Support Program (continued) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptmgmt/design2.html
      July 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2371. Table 1. Four Models of Self-management Support | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptmgmt/design-table1.html
      July 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

2372. Spanish Medical Office Survey on Patient Safety Culture Items and Dimensions (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/resources/modim_sp.pdf
      December 01, 2011 - Spanish Medical Office Survey on Patient Safety Culture Items and Dimensions D-1 Spanish Translation of AHRQ’s Medical Office Survey on Patient Safety December 2011 This document explains the process that was used to develop a Spanish translation of the Agency for Healthcare Research and Quality (AHRQ) Medica…

2373. FileNewTemplate
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module9.pptx
      March 07, 2019 - FileNewTemplate Module 9: Change Management Office-Based Care Online Course Welcome to the Welcome to the TeamSTEPPS for Office-Based Care Online Course. This is Dr. Brigetta Craft. This presentation will cover Module 9, Change Management, that you, as a practice facilitator, will review. 1 The Materials You …

2374. The Role of Patient Safety in the Device Purchasing Process (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Johnson.pdf
      January 01, 2004 - Facility Reporting, that addresses usability issues from time to time; device alerts that include usage error … the medical devices most commonly used in hospitals, and they are well represented in medical device error … Section 7 surveyed the subject’s attitudes toward errors and error prevention. … It involved a medical error scenario and several followup questions regarding factors that may have … contributed to the error and actions that might be taken to prevent a recurrence.

2375. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
      March 23, 2008 - The Institute of Medicine (IOM) definitions of medical error and adverse event were adapted for study … A medical error was defined as “the failure to complete a planned action as intended or the use of a … An adverse event was defined as “an injury caused by medical management error rather than the patient … Emergency medicine: A practice prone to error? Can J Emerg Med 2001; 3: 271-276. 15. … Promoting patient safety and preventing medical error in emergency departments.

2376. Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
      February 12, 2004 - Authorization Act of Fiscal Year 2001(NDAA 01), sections 742 and 754, established a centralized patient care error … reporting systems similar to the Veteran Health Administration (VHA) Patient Safety Reporting Program for error … Since no comparable national medical error incident reporting system was in place, a new system needed … The PSWG defines a near miss as: “any process variation or error that could have resulted in harm to … The system has helped to identify patterns of error and areas that need to be addressed in the forthcoming

2377. TeamSTEPPS 2.0 Module 8: Change Management
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule8.pptx
      March 28, 2006 - TeamSTEPPS 2.0 Module 8: Change Management Module 8: Change Management Online Master Trainer Course Welcome to the Welcome to module eight of the TeamSTEPPS 2.0 online master trainer course, Change Management: How to Achieve a Culture of Safety. This is Dr. Brigetta Craft, and I'll be guiding you through thi…

2378. An Overview of the CANDOR Process
      ce.effectivehealthcare.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 - well as information on Event Investigation and Analysis. 3 “The single greatest impediment to error … testimony before Congress on health care quality improvement that “The single greatest impediment to error … system processes and factors that facilitated the event, adjustments can be made to minimize human error

2379. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
      January 01, 2004 - this article, the term patient safety event is synonymous with the terms incident, adverse event, and error … made available to every employee.6 The best person to report an event is the person who commits the error … If the event was a medication error, would the area nurse manager and a pharmacy manager each review … Comprehensive policies and guidelines regarding error disclosures should be developed by each HCO to … Anonymous error reporting as an adjunct to traditional incident reporting: improves error detection

2380. Presentation: Science of Improving Patient Safety and Identifying Defects
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
      December 01, 2017 - not want to happen again—an unsafe condition, a patient fall, a venous thromboembolism, a medication error