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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/14-engaging-stakeholders.pptx
June 01, 2023 - Surgical Care and Recovery
1
Visit AHRQ’s Comprehensive Unit-Based Safety Program (CUSP) website to learn … Multidisciplinary Approach
AHRQ Safety Program for Improving Surgical Care and Recovery
2
What Can We Learn
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/114-tenn-heart-health-newsletter.pdf
November 01, 2021 - press-releases/
Tennessee Heart Health Network Newsletter November 2021
2/4
Visit our website to learn … Learn More
https://www.uthsc.edu/research/tn-population-health-consortium/data-network.php
http://tnhearthealth.org
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www.ahrq.gov/antibiotic-use/ambulatory-care/strategies/index.html
October 01, 2022 - Learn Strategies for Communicating With Colleagues, Patients, and Families About Antibiotic Prescribing
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/128-what-are-4es-one-pager.docx
April 01, 2025 - Learn from mistakes. … Evaluate progress as data are collected, analyzed, and reported.1-6
Learn from errors and defects and
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/christopher_sellers.pdf
January 01, 2014 - As relates to transition of care
Child Hospital CAHPS
• Seeking CMS guidance
32
What Did We Learn … What Did We Learn?
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
August 01, 2022 - The goal is for the organization to continually improve and learn. … to be improved
A culture of improvement and engaged staff
Formal programs to prepare people to learn … Formal programs to prepare people to learn and apply new skills —The CANDOR process educational resources … frontline staff with ongoing education and training in the CANDOR process, the organization can continue to learn
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
June 01, 2017 - We expect to modify the huddle, learn by doing, and try it again.”
12. … What do we want to learn in the next cycle(s)?
… What do we want to learn in the next cycle(s)?
What new questions do we have?
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www.ahrq.gov/talkingquality/plan/quality-measures.html
November 01, 2018 - Learn About Measures
To learn about quality measures for consumer reports, go to Select Measures to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
January 01, 2017 - SAY:
CUSP is an adaptive intervention that helps teams identify and learn from mistakes, improve safety … CUSP is designed to improve safety culture and help teams learn from mistakes. … In the fourth step, teams learn a process through which they can learn from the defects that occur in … We can learn from staff reports of safety concerns and event reporting, but we can also be proactive … Slide 23
Preparing to Lead
SAY:
In a postmortem, an autopsy is performed to learn why a patient died
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www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
February 01, 2017 - Say:
CUSP is an adaptive intervention that helps teams identify and learn from mistakes, improve safety … CUSP is designed to improve safety culture and help teams learn from mistakes. … In the fourth step, teams learn a process through which they can learn from the defects that occur in … We can learn from staff reports of safety concerns and event reporting, but we can also be proactive … Slide 24: Preparing to Lead
Say:
In a postmortem, an autopsy is performed to learn why a patient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/example-pdsa-form.docx
May 01, 2017 - We expect to modify the huddle, learn by doing, and try it again.”
12. … What do we want to learn in the next cycle(s)?
What new questions do we have? … What do we want to learn in the next cycle(s)?
What new questions do we have?
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess3.html
October 01, 2014 - To do this, we need to learn to watch residents, noticing and thinking clearly about what is going on … We need to see how things work, notice when they aren't working right, learn how to fix problems, and … learn how to recover when things do go wrong. … We learn best when we talk about how things might or did go wrong. … Everyone—residents and staff—does better when people support discussion and learn from near misses and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursing.pptx
July 07, 2012 - responsibilities of the nurse manager
Understand the leadership and management roles of the nurse manager
Learn … about key business and health care quality improvement frameworks
Learn about the quality improvement … Tools
Background Quality Improvement Team Information Form
Culture Check-up Tool
Daily Goals Checklist
Learn
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/pdsa-form.html
June 01, 2017 - We expect to modify the board, learn by doing, and try it again.”
13. … What do we want to learn in the next cycle(s)?
… What do we want to learn in the next cycle(s)?
What new questions do we have?
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www.ahrq.gov/news/newsroom/case-studies/cquips1303.html
April 01, 2013 - Learn how two hospitals in Colombia have implemented an AHRQ tool, the Hospital Survey on Patient Safety … Learn how two hospitals in Colombia have implemented an AHRQ tool, the Hospital Survey on Patient Safety
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www.ahrq.gov/takeheart/about/initiative/index.html
December 01, 2022 - In response, TAKEheart formed a workgroup of experts and practitioners to learn more about rapidly evolving … Learn more about the Cardiac Rehabilitation Change Package.
Ready to Get Started?
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www.ahrq.gov/talkingquality/resources/writing/tip2.html
July 01, 2011 - Learn more about recommended content for the front page of a report card . … Learn more:
About general principles for organizing content: Understanding and using the “Toolkit
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www.ahrq.gov/talkingquality/plan/partners/healthcare-org.html
July 01, 2011 - (Learn more about NCQA’s database .) … for QI, you can encourage their participation by offering opportunities to share best practices and learn
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/engage/rfe-brochure.pdf
March 01, 2017 - role in your individual
care or in the care of your family member
• Talk to and listen to staff to learn … Support staff and physician educa-
tion in how to work with residents
and family members as partners
• Learn
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/learncusp.pptx
April 01, 2011 - others to provide complete tools to support units in improving culture
11
11
Toolkit Modules
Learn … activities
Nurse managers
Educate staff on the science of safety
Provide opportunities for staff to learn … tools
Discuss how to share findings
Note: This module combines the CUSP steps
Identify Defects and Learn … directions
Change in team members
Work load
26
26
Apply CUSP
Introduce Just Culture principles
Learn