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2461. Table 5. Other EHR-based Care Coordination Measures | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/chapter4tab5.html
      June 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 …

2462. Figure 3. Frequency of Care Coordination Domains Measured by EHR-Based Measures (Text Description) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/chapter4fig3txt.html
      June 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 …

2463. Figure 5. Types of Cross-Setting Transitions Evaluated by EHR-based Measures (Text Description) | Agency for Healthcare Research and Quality
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      June 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 …

2464. Figure 4. Frequency of Communicate Domains and Sub-Domains Measured by EHR-Based Measures (Text Description) | Agency for Healthcare Research and Quality
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      June 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 …

2465. Chapter 6. Measure Maps and Profiles (continued, 25) | Agency for Healthcare Research and Quality
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2466. Chapter 6. Measure Maps and Profiles (continued, 24) | Agency for Healthcare Research and Quality
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2467. Chapter 6. Measure Maps and Profiles (continued, 26) | Agency for Healthcare Research and Quality
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2468. Appendix C: Example Implementation Plan | Agency for Healthcare Research and Quality
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      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 …

2469. Appendix A: Guide to Online Resources Successfully Used by Hospitals to Improve Patient Flow | Agency for Healthcare Research and Quality
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      April 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 …

2470. Appendix B: Implementation Plan Template | Agency for Healthcare Research and Quality
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      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 …

2471. Section 5. Preparing to Launch | Agency for Healthcare Research and Quality
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2472. Section 3. Measuring Emergency Department Performance | Agency for Healthcare Research and Quality
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2473. Section 4. Identifying Strategies | Agency for Healthcare Research and Quality
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2474. Executive Summary | Agency for Healthcare Research and Quality
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2475. Acknowledgments | Agency for Healthcare Research and Quality
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      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 …

2476. 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

2477. 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…

2478. 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.

2479. 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

2480. 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