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2421. Figure B-1. Key Steps Used to Identify Measure Set from Atlas Measures (Text Description) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpaccfigb1txt.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 …

2422. Table C-11. Adult Primary Care Measures for Consideration in Step 2 | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctabc11.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 …

2423. Table 4. Companion Measure Options (not for accountability purposes) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctab4.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 …

2424. Table B-1. Priority Groups of Survey Measures Based on Feasibility and Degree of Focus on Care Coordination | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctabb1.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 …

2425. Table 1. Recommendation for the Care Coordination Accountability Measures | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctab1.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 …

2426. Table 2. Summary of Recommendations for the Care Coordination Accountability | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctab2.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 …

2427. Figure B-1. Key Steps Used to Identify Measure Set from Atlas Measures | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpaccfigb1.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 …

2428. Figure B-2. General Process for Narrowing the Field of Measures | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpaccfigb2.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 …

2429. Table C-9. Adult Primary Care Measures Applicable to Patients with General Chronic Conditions* | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctabc9.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 …

2430. Figure C-1. Narrowing the Field of Pediatric Primary Care Measures | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpaccfigc1.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 …

2431. Table C-3. Pediatric Primary Care Measures for Consideration in Step 2 | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctabc3.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 …

2432. Table C-6. Recommendation for Care Coordination Accountability Measures for Primary Care Practice | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctabc6.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 …

2433. Policy Projects | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/professionals/clinicians-providers/resources/rice/ceproj.html
      October 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 …

2434. Care Coordination Accountability Measures for Primary Care Practice | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/index.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 …

2435. 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.

2436. 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

2437. 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.

2438. 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…

2439. 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

2440. 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