+++   Read about Developing a Culture of Safety

+++    Understand Pennsylvania state law relative to Patient Safety  
      --   Read about PA Patient Safety Authority, and medical error reporting

+++   Read about error and error types

+++    Understand how to perform a Root Cause Analysis 
     --   Review an overview of VA RCA tool

+++    Understand the basics of FMEA  

   --     Read about FMEA

   --     Complete and submit the FMEA exercise
          http://www.patientsafety.gov/SafetyTopics.html#HFMEA

+++   Understand the role of AHRQ in Patient Safety and Quality    
   --   Read a brief overview about AHRQ
   --    Visit the AHRQ PSNet Home Page
         Sign up for safety updates

+++  Understand the role of the IHI in patient safety   
        Read about the IHI

+++  Watch a video that describes the harmonization of all quality markers   

+++  Understand role of The Joint Commission
        Click here for an introduction to performance measures (read all links)  
        Click here for JCAHO statements on performance measurement          
        Watch how JCAHO has structured the unannounced survey process    
        Watch how performance measurement is incorporated into the JCAHO survey   
        Watch how the JCAHO ‘Quality Reports’ are intended to assist patients               

+++  Error Reporting at AMH

+++   Read about efforts to provide more rapid Door to Balloon Times for PCI

+++    Read and complete introductory modules on quality improvement work  
      --    Complete and submit post test  (register) 

+++    Register as a new user of the Institute of Healthcare Improvement (IHI)
          website   Read all the links from the IHI’s ‘How to Improve section’   (see
          required links screenshot)

+++   Understand the basics of Pay for Performance (P4P)    
    --  Read an insiders account to one Pay for Performance experience

+++   Understand the role of the IOM in Performance Measurement  
   --    Read about the IOM

+++  Understand the activities and purpose behind the Leapfrog (and its use of the  
        NQF safe practices) group
        Watch a video overview of the Leapfrog group
        Watch a video overview of the Leapfrog groups survey utilizing the NQF 30 Safe
        Practices and watch another on how to score it
        Read about the 30 safe practices

+++ Understand the CAHPS survey
+++ Complete and submit Narrative Medicine exercise