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  1. monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar01/sl_fuzzyset.ppt
    May 14, 2013 - AHRQ Slide Template 2004 Advanced Methods in Delivery System Research – Planning, Executing, Analyzing … , and Reporting Research on Delivery System Improvement Webinar #1: Fuzzy Set Analysis Presenter: … Harrison, PhD Sponsored by AHRQ’s Delivery System Initiative in partnership with the AHRQ PCMH program … Harrison, PhD Sponsored by AHRQ’s Delivery System Initiative in partnership with the AHRQ PCMH program … Register for this and other events in our series on advanced methods in delivery system research, here
  2. monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - Essentially, distributed cognition describes how information is transformed and propagated throughout a system … The physical organization of work influences how information flows throughout a system. … itself is a specific category of distributed cognition because it defines the mechanism by which a system … This case revealed numerous system failures that contributed to the initial misdiagnosis and needless … Blame the pa- tient, blame the doctor or blame the system?
  3. monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
    January 01, 2013 - About Patient Safety and LEP The Institute of Medicine Report To Err Is Human: Building a Safer Health System … To err is human: building safer health system. Washington: National Academies Press; 2000. … Crossing the quality chasm: a new health system for the 21st century.
  4. monahrq.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
    March 01, 2017 - makes a mistake, it's viewed as an opportunity for the entire team to learn and improve the process or system … Hierarchies within teams should be eliminated, as it creates a system in which one person's input is … Slide 24: Just Culture 8,9 Say: The term "Just Culture" refers to a system of shared accountability … System design Humans are not perfect and occasionally make mistakes, either through unintentional errors … Slide 25: A Just Culture Say: A system of Just Culture recognizes that people make mistakes.
  5. monahrq.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2015_hp-chartbook.pdf
    January 01, 2015 - Chartbook are compiled from detailed data displays reported in the CAHPS Database Online Reporting System … Plan Survey Database are provided access to a secure, password-protected area of the online reporting system … The CAHPS Database Online Reporting System is updated annually with new data submitted by CAHPS Health … CAHPS Database Online Reporting System The CAHPS Database Online Reporting System is a Web-based platform … The reporting system consists of two major components: (1) a public site available to anyone with access

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