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  1. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide AHRQ Safety Program … for Perinatal Care Slide 1: Sensemaking and Learn From Defects for Perinatal Safety Say: The … Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify … Sensemaking is a way for a L&D unit to learn from and prevent mistakes. … Create a one-page summary answering the four Learn From Defects questions.
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
    December 01, 2017 - Accessible Facilitator Guide: Learn From Defects for Sustainability Slide Title and Commentary Slide … Dig into the literature to learn how others have faced similar defects. … Keep in mind the principles of safe design: · Standardize care · Create independent checks · Learn from … That momentum will help your team learn from more complex defects and garner resources to address them … Learn from defects on a regular basis.
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Sensemaking and Learn from Defects … AHRQ Safety Program for Perinatal Care Sensemaking and Learn From Defects for Perinatal Safety AHRQ … 0003-5-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Sensemaking & Learn … Model 4 AHRQ Safety Program for Perinatal Care Sensemaking & Learn from Defects Identify Defects … from Defects 19 Summary: Sensemaking and Learn From Defects Sensemaking and Learn From Defects share
  4. www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
    February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide AHRQ Safety … Program for Mechanically Ventilated Patients Slide 1: Learn From Defects in Care of Mechanically Ventilated … This module focuses specifically on the fourth step, which is to learn from defects. … Asking people to read, learn, and apply the learning enables people to form memories of the process.
  5. www.ahrq.gov/sites/default/files/wysiwyg/lhs/how_learning_health_systems_learn.pdf
    November 06, 2019 - How Learning Health Systems Learn: Lessons from the Field Evidence generators Evidence curators … curators Evidence adopters Evidence disseminators Evidence managers How Learning Health Systems Learn … : Lessons from the Field e 1 How Learning Health Systems Learn: Lessons from the Field A … AHRQ conducted site visits at a few leading organizations to learn about the steps they have taken to
  6. www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    May 01, 2017 - Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide AHRQ Safety Program … for Perinatal Care Slide 1: Sensemaking and Learn From Defects for Perinatal Safety Say: The … Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify … Sensemaking is a way for a L&D unit to learn from and prevent mistakes. … Create a one-page summary answering the four Learn From Defects questions.
  7. www.ahrq.gov/data/monahrq/myqi/safety.html
    November 01, 2020 - Safety Information for Patients My Quality Improvement (MyQI) Learn what you can do before, during … Learn how to be a more informed patient Learn how to find reliable online health information Top …   Be prepared for your hospital stay Learn what to do before being admitted Top   Be prepared … Learn about personal medical records Use this tool to create your own personal medical record Top … Tips on how to communicate with your provider Learn the right questions to ask build your own list
  8. www.ahrq.gov/news/action-alliance.html
    January 01, 2023 - Learn about the National Healthcare System Action Alliance to Advance Patient Safety For more than … Select to learn more about the National Healthcare System Action Alliance to Advance Patient Safety.
  9. www.ahrq.gov/cahps/helpful-resources/index.html
    September 01, 2024 - Survey Design and Administration Review general guidance on CAHPS survey design and administration to learn … Analyzing CAHPS Survey Data Learn about programs and guidance available to support users in analyzing … to Code Patient Experience Narratives Capabilities and Challenges Modifying and Naming CAHPS Surveys Learn … Managing a CAHPS Survey Project Learn about managing a CAHPS survey project to ensure that your survey
  10. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - Learn From Defects Tool—Perioperative Setting AHRQ Safety Program for Surgery What … 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 … Too few perioperative teams take the opportunity to learn how the defect happened at a systems level, … The Learn From Defects (LFD) process is known as "second-order" problem solving because it addresses
  11. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.html
    March 01, 2017 - Learn From Defects AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Purpose:
  12. www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
    January 01, 2025 - Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report … Leveraging Existing Assessments of Risk Now (LEARN) Final Report PI: Donna Woods, … Methods: The LEARN method consists of a meta-analysis of existing risk assessment. … The LEARN review revealed common risks. … LEARN (Leveraging Existing Assessment of Risks Now) A Meta-Analysis of Risk Results.
  13. www.ahrq.gov/talkingquality/translate/organize/composites.html
    November 01, 2018 - Learn more about Combining Measures Into Composites or Summary Scores . … Learn how to test alternative displays of composite scores with your audience in The Purpose and Process … Learn more about layering information in a report .
  14. www.ahrq.gov/talkingquality/assess/what-you-evaluate/process.html
    November 01, 2018 - Just as important, you can learn which ones did not work as well and what could or should be done differently … It is designed to help you learn and improve by answering a number of important questions. … Questions About the Development of the Report What did you learn about your audience? … Did you learn enough to target your report to their needs and preferences?
  15. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
    July 01, 2023 - Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety AHRQ Safety Program … for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Learn About the Comprehensive … Slide 6: SPPC CUSP Modules Learn About CUSP. Assemble the Team/Engage Leadership. … Sensemaking and Learn From Defects. Implement Teamwork and Communication.
  16. www.ahrq.gov/diagnostic-safety/tools/index.html
    August 01, 2024 - This resource provides structured exercises and tools to help clinicians learn from reviewing their clinical … Learn more about the importance of patient and family engagement with this infographic (PDF, 392 KB … Measure Dx : A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events is a resource to … help healthcare organizations detect, analyze, and learn from diagnostic safety events. … When implementing TeamSTEPPS for Diagnosis Improvement, teams will learn about the four skills and how
  17. www.ahrq.gov/policymakers/chipra/demoeval/evaluate-more/index.html
    March 01, 2019 - Sources Demonstration Projects by Grant Category Evaluation Questions Evaluation Design Plan LearnLearn More About the CHIPRA Quality Demonstration Learn more about the demonstration projects from … To learn about each of the grant categories, please use the left navigational bar, organized by 5 areas … Learn more about the projects in each demonstration State.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
    January 01, 2017 - Presentation: Program Overview Learn From Defects in Care of Mechanically Ventilated Patients AHRQ … No. 16(17)-0018-34-EF January 2017 Learn From Defects ‹#› AHRQ Safety Program for Mechanically Ventilated … A practical tool to learn from defects in patient care. … A practical tool to learn from defects in patient care. … Learn From Defects ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 35
  19. www.ahrq.gov/sdoh/practice-improvement.html
    August 01, 2023 - Learn about Federal sources of data that can inform health systems about the community context. … Learn about AHRQ's tools and resources on forming clinical-community linkages . … Learn about AHRQ's tools and resources on care coordination . … Learn about AHRQ's tools and resources for delivering health literate care . … Learn more on AHRQ’s About SDOH in Healthcare page.
  20. www.ahrq.gov/antibiotic-use/ambulatory-care/index.html
    October 01, 2022 - prescribing Develop and improve antibiotic stewardship activities in your practice Learn best … Review the content in “Learn best practices for diagnosing and managing common infectious syndromes and … Prescribing Clinicians:  At a minimum, it is recommended that you review the content in “Learn strategies … for communicating with colleagues, patients, and families around antibiotic prescribing,” “Learn best … Learn more about the project and the participating ambulatory care facilities in the report  (PDF, 6

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