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1. Learn-Facilitator-Guide (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
   May 01, 2017 - AHRQ Safety Program for Perinatal Care Learn About the Comprehensive Unit-Based Safety Program for Perinatal … Safety Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety SAY: This module … Slide 5 SAY: In addition to this Learn About CUSP module, the first program pillar includes the … following modules: Assemble the Team/Engage Leadership Understand the Science of Safety Sensemaking and Learn … Slide 30 AHRQ Publication No. 17-0003-1-EF May 2017 AHRQ Safety Program for Perinatal Care Learn

2. Learn From Defects Tool (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
   December 01, 2017 - Learn From Defects Tool AHRQ Safety Program for Surgery Learn From Defects Tool – Perioperative Setting … Too few perioperative teams take the opportunity to learn how the defect happened at a systems level, … It shares a based-on-real-life story about a surgical safety team using the Learn From Defects tool to … AHRQ Safety Program for Surgery Learn From Defects—Perioperative 2 II. … Too few perioperative teams take the opportunity to learn how the defect happened at a systems level,

3. Learn-From-Defects-Facilitator-Guide (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
   May 01, 2017 - AHRQ Safety Program for Perinatal Care Sensemaking and Learn From Defects for Perinatal Safety Sensemaking … and Learn From Defects for Perinatal Safety SAY: The Sensemaking and Learn From Defects module of … Slide 2 SAY: Some of the tools that will help CUSP teams identify and learn from defects include— … The Learn From Defects Form, which provides a standardized means to assess where defects occur and to … Sensemaking is a way for a L&D unit to learn from and prevent mistakes.

4. Learn from Defects Tool | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
   December 01, 2012 - Learn from Defects Tool CUSP Toolkit Health care organizations can increase the extent to which … they learn from defects. … Problem statement: Health care organizations can increase the extent to which they learn from defects … 5 (High)                   Alternate Formats Learn

5. Learn About CUSP | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/cusp/modules/learn/sl-cusp.html
   December 01, 2012 - Learn About CUSP CUSP Toolkit The Learn about CUSP module of the CUSP Toolkit offers an outline … Toolkit Modules Learn About CUSP. Assemble the Team. Engage the Senior Executive. … Provide opportunities for staff to learn and practice using teamwork and communication tools. … Note: This module combines the CUSP steps Identify Defects and Learn from Defects . … Learn how Just Culture principles can augment CUSP. Review key steps of the CUSP Toolkit .

6. Learn about CUSP | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/cusp/modules/learn/index.html
   July 01, 2018 - Learn about CUSP The Learn about CUSP module of the CUSP Toolkit offers an outline and brief … Accessible Version ) Presentation Slides (PowerPoint File, 2.4 MB) ( Accessible Version ) Video Learn

7. Learn From Defects | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/cusp/videos/04e-learn-defects/index.html
   June 01, 2018 - Learn From Defects CUSP Toolkit The CUSP toolkit includes training tools to make care safer … Learn From Defects [2 min. 58 sec.]

8. Learn About CUSP, Facilitator Notes | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/cusp/modules/learn/fac-cusp.html
   December 01, 2012 - Learn About CUSP, Facilitator Notes CUSP Toolkit The Learn about CUSP module of the CUSP Toolkit … Cover Slide     Say: The "Learn About CUSP" module of the Comprehensive Unit-based Safety … Toolkit Modules   Learn About CUSP. Assemble the Team. Engage the Senior Executive. … Say: The CUSP Toolkit's modules are the following: Learn About CUSP. Assemble the Team. … Note: This module combines the CUSP steps Identify Defects and Learn from Defects .

9. Learn Module Alternate Text | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
   April 01, 2013 - Learn Module Alternate Text Slide Number and Title Slide Content Content for Alternative … Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The ‘Learn About CUSP’ module … complete tools to support units in improving culture   Slide 12 Toolkit Modules Learn … Nurse managers Educate staff on the science of safety Provide opportunities for staff to learn … members Work load   Slide 27 Apply CUSP Introduce Just Culture principles Learn

10. Measure Dx: A Tool To Identify, Analyze, and Learn From Diagnostic Safety Events | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/ideas-project/measure-dx.html
    March 01, 2025 - Measure Dx: A Tool To Identify, Analyze, and Learn From Diagnostic Safety Events As part of a … create a quality improvement (QI) team that will commit to using a resource to help them track and learn … How can I learn more? What is Measure Dx? … supports QI teams with all levels of experience at healthcare organizations to implement processes to learn … How can I learn more?

11. How To Learn About the Audience for a Health Care Quality Report | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/plan/your-audience/learn-about.html
    July 01, 2011 - How To Learn About the Audience for a Health Care Quality Report Here are some things you can

12. AHRQ Safety Program for Perinatal Care: Learn About the Comprehensive Unit-based Safety Program
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp.pptx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Learn About the Comprehensive Unit-based Safety Program AHRQ … Safety Program for Perinatal Care Learn About the Comprehensive Unit-based Safety Program for Perinatal … Safety AHRQ Publication No. 17-0003-1-EF May 2017 1 CUSP and Perinatal Safety 2 Learn About CUSP … 4 Learn About CUSP AHRQ Safety Program for Perinatal Care   4 Safety Program for Perinatal Care 5 … Learn About CUSP AHRQ Safety Program for Perinatal Care SPPC CUSP Modules Learn About CUSP Assemble

13. PowerPoint Presentation: Learn From Defects for Sustainability
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
    December 01, 2017 - PowerPoint Presentation: Learn From Defects for Sustainability Sustainability: Learning From Defects … Dig into the literature to learn how others have faced similar defects. … Learn from defects on a regular basis. … A practical tool to learn from defects in patient care. … Learn From Defects ‹#› AHRQ Safety Program for Surgery – Sustainability 25

14. Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
    February 01, 2017 - A practical tool to learn from defects in patient care. … An arrow points at "Learn from defects." … Learn from defects. … Select a defect to learn from. … A practical tool to learn from defects in patient care.

15. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
    July 01, 2023 - Sensemaking and Learn From Defects for Perinatal Safety AHRQ Safety Program for Perinatal Care … Slide 1: AHRQ Safety Program for Perinatal Care Sensemaking and Learn From Defects for Perinatal … Staff Safety Assessment Discovery Form Safety Issues Worksheet Root Cause Analysis Learn … From Defects Form Causal Tree Worksheet Coding defects or failures Learn From Defects Form … Slide 20: Summary: Sensemaking and Learn From Defects Sensemaking and Learn From Defects share

16. What To Learn About the Audience for a Health Care Quality Report | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/plan/your-audience/what-to-know.html
    November 01, 2018 - What To Learn About the Audience for a Health Care Quality Report You could learn many things … As you learn about the ethnic and racial groups in your intended audience, try to identify their information … To learn more about making materials culturally appropriate, go to Tips on Writing a Quality Report … Finally, when gathering information about your audience, you may learn that a significant segment is

17. Learn About Patient Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/about/concepts-of-patient-safety.html
    January 01, 2025 - Learn About Patient Safety These resources can help you learn the basics about safety and … Advancing Patient Safety: A Decade of Evidence, Design, and Implementation (1999-2010): learn about

18. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
    May 01, 2017 - and Learn From Defects for Perinatal Safety AHRQ Publication No. 17-0003-5-EF May 2017 SAY: The … Care Sensemaking & Learn From Defects 2 • The Learn From Defects Form, which provides a standardized … Sensemaking is a way for a L&D unit to learn from and prevent mistakes. … Care Sensemaking & Learn From Defects 12 • Step 2. … & Learn From Defects 14 SAY: After working through the Sensemaking and Learn From Defects processes

19. Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
    May 01, 2017 - Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Safety Program for … Perinatal Care Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ … Slide 5 Learn About Comprehensive Unit-Based Safety Programs for Perinatal Safety AHRQ Safety … Program for Perinatal Care Learn About CUSP 3 SAY: In addition to this Learn About CUSP module, … Program for Perinatal Care Learn About CUSP 8 How were these at-risk behaviors handled?

20. PowerPoint Presentation: Learn From Defects Through Sensemaking
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
    December 01, 2017 - PowerPoint Presentation: Learn From Defects Through Sensemaking Learning From Defects Through Sensemaking … 3 Standardize Care Create Independent Checks Learn From Defects Problem-Solving Hierarchy … Asking people to read, learn, and apply the learning enables people to form memories of the process. … In the first month, you learn that only 15 out of 30 patients had the proper body temperature. … A practical tool to learn from defects in patient care.