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181. Understand the Science of Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
     July 01, 2018 - Program (CUSP) Project Summary How to Use CUSP Content Calls Modules Learn … Learn From Defects Slide 14. Exercise Slide 15. … Safe Design The three principles of safe design are standardize, create independent checks, and learn … Learn from defects. … The principles of safe design are standardize when you can, create independent checks, and learn from

182. Explain and Motivate Complete Checklist (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-explain-and-motivate.doc
     December 26, 2018 - To learn more, go to Communicating Key Information Upfront in a Quality Report. … To learn more, go to Providing Detail in Quality Reports for Those Who Want It. … To learn more, go to Sharing Additional Information and Resources in Quality Reports. … Learn about ways to Incorporate Decision Aids. · Some consumers would benefit from access to an informed … To learn more, go to Supporting Consumers in Using Information on Health Care Quality.

183. Learning From Narratives About Diagnostic Experience | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-4.html
     June 01, 2023 - But additional research may help further enhance our capacity to learn from patient experiences with … The first involves potentially fine-tuning elicitation techniques to learn from experiences of patients … with their clinicians to verify this speculation. 36 Research is needed to understand how best to learn

184. HCA: How a Large Healthcare System Is Looking Beyond the Electronic Health Record (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_hca.pdf
     April 01, 2019 - address a patient’s immediate need but also repurposing the data “byproducts” in a broader context to learn … data warehouse is our savings account, and it’s bringing analytics to all the accounts that help us learn … What can we learn? What’s driving that positive variation?” … culture of learning, HCA has also put in place the right people to ensure the health system is set up to learn … , for example, brought together 1,500 people from various facilities to discuss best practices and learn

185. CUSP: A Framework for Success (Slide Presentation) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
     October 01, 2014 - Learn from one defect per quarter 5. … An intervention to learn from mistakes and improve safety culture. … Learn from mistakes. Apply strategies to both technical work and teamwork. … Learn from one defect per quarter; share or post lessons. … Evaluate - Learn from Defects 167 Competencies.

186. Know Your Options | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/shared-decision/tools/options-poster.html
     September 01, 2020 - Learn about the benefits and risks of your treatment options: https://www.ahrq.gov/patients-consumers … /treatmentoptions Learn about questions to ask your provider: https://www.ahrq.gov/questions

187. PQMP Measure Implementation and Quality Improvement | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/index.html
     August 01, 2021 - Learn more and access the Lessons from the Field reports . … Learn more and access the toolkits . … Learn more and access the Implementation Science Roadmap .

188. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
     August 01, 2022 - What Will My Organization Learn? … Investigate and analyze an adverse event to learn from it and prevent future adverse events. … Boothman, J.D., Chief Risk Officer, University of Michigan Health System How Can I Learn More

189. Understand the Science of Safety for Perinatal Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
     May 01, 2017 - As a result, providers must increase their ability to learn from mistakes and implement procedures … principles of safe design are (1) standardize when possible, (2) create independent checks, and (3) learn … Learn from defects This principle calls for L&D unit teams to evaluate their processes and learn from … defects and, when possible, to share what they learn with other similar care settings. … • The principles of safe design are standardize when you can, create independent checks, and learn

190. The EvidenceNOW Key Driver Diagram (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/KeyDriver_onepager.pdf
     January 01, 2019 - Select any of the key drivers or change strategies to learn more about them. … Learn more about the EvidenceNOW Key Driver Diagram and how it was developed at: https://www.ahrq.gov

191. Clarifying Objectives When Promoting a Health Care Quality Report | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/talkingquality/distribute/promote/clarify.html
     November 01, 2018 - (Learn more about key messages in Communicating Key Information Upfront .) … Learn about helping consumers use your report in Supporting Consumers in Using the Information . … Learn about establishing objectives in What Are Your Objectives? … Learn about evaluating your progress towards achieving these objectives in Assess Your Reporting Project

192. Engaging the Nurse, Physician, Patient/Family, CUSP- Learn From Defects | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-slides.html
     August 01, 2018 - Information for Specialty Audiences Engaging the Nurse, Physician, Patient/Family, CUSP- Learn … Decolonization Protocol Engaging the Nurse, Physician, Patient/Family, CUSP- Learn … Defects Slide Presentation Slide 1 Engaging The Nurse, Physician, Patient/Family; CUSP – Learn … Engaging Doctors in Leadership: What Can We Learn from International Experience and Research Evidence … http://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/index.html Slide 53 Learn From

193. Explain and Motivate Complete Checklist (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-explain-and-motivate.pdf
     December 26, 2018 - To learn more, go to Communicating Key Information Upfront in a Quality Report. … To learn more, go to Providing Detail in Quality Reports for Those Who Want It. … To learn more, go to Sharing Additional Information and Resources in Quality Reports. … Learn about ways to Incorporate Decision Aids. … To learn more, go to Supporting Consumers in Using Information on Health Care Quality.

194. Medication Error Reporting Systems: Challenges, Lessons, Future Direction (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/cousins-report.pdf
     January 01, 2024 - Network with other users; learn better ways to use the MEDMARX system. 2. … I expect to be able to learn how other systems are reporting errors and sharing information with staff … Learn what other organizations used MEDMARX and how it has improved medication safety. 8. … I expected to learn more about MEDMARX and also to network with others regarding medication errors. … I was hoping to learn more about PSO guidelines.

195. Plan-Do-Study-Act Worksheet (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/pdsa-worksheet.pdf
     August 20, 2018 - _______________________________________________________________________________ STUDY What did you learn … Who will collect the evaluation data: Todays Date_2: What actually happened 2: What did you learn

196. Frameworks for Change and Improvement | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/guides/implguide-pt2.html
     October 01, 2015 - Through use of the Learn From Defects tool, it provides a way to help analyze and reduce the risk of … prevails to a culture of safety—a learning environment in which errors are treated as an opportunity to learn … The 10 CUSP Toolkit modules are— Learn About CUSP : Provides an overview of the CUSP model and resources … Implementing Change Learn From Defects Generate Short-Term Wins Challenge the Process Improve … Spread Learn From Defects Consolidate Gains and Produce More Change N/A When CAUTI prevention

197. Strategy 6J: Support Groups and Self-Care | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6j-support-self-care.html
     March 01, 2020 - programs are usually highly structured educational forums where patients with a chronic condition may learn … form of face-to-face meetings or on-line chat groups operating under the principle that patients can learn … Participants typically learn about self-care programs and support groups through referrals, fliers left

198. The Science of Improving Patient Safety and Identifying Defects: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
     December 01, 2017 - Learn from defects. Improve teamwork and communication. … Learn from defects. Apply these principles to technical work as well as teamwork. … Learn from defects. Slide 12: Standardize When You Can In this video, we learn more from Dr. … Learn from defects. Improve teamwork and communication. … Learn from defects. Teams make wise decisions when there is diverse input.

199. Advancing Patient-Centered Care for People Living With Multiple Chronic Conditions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/mcc.html
     July 01, 2023 - framing the Agency's path to achieving its vision was development and publication in 2018 of the Care-and-Learn … The Care-and-Learn Model starts by placing the patient at the center of care. … View these materials to learn more about this exciting 2-day event, or visit the Summit webpage : … —Victor Montori, M.D., M.Sc., Mayo Clinic AHRQ-Funded MCC Research Select to learn more about AHRQ-funded

200. Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/index.html
     January 01, 2007 - Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events … Helping healthcare organizations detect, analyze, and learn from diagnostic safety events. … Areas of Interest Research on Diagnostic Safety and Quality Learn about AHRQ's