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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 Not Blame. | PSNet
   psnet.ahrq.gov/issue/learn-not-blame
   November 14, 2011 - Multi-use Website Learn Not Blame. Citation Text: Learn Not Blame. … Linkedin Copy URL Cite Citation Citation Text: Learn … review of trauma crew resource management training: what can the United States and the United Kingdom learn

5. Hospitals learn to say sorry. | PSNet
   psnet.ahrq.gov/issue/hospitals-learn-say-sorry
   October 24, 2012 - Newspaper/Magazine Article Hospitals learn to say sorry. … Citation Text: Hospitals learn to say sorry. Lerner M. … Copy URL Cite Citation Citation Text: Hospitals learn

6. 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

7. 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 … from defects Improve teamwork and communication ADAPTIVE COMPONENTS OF PROGRAM Learn 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.

8. 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.]

9. Learn About the Submit an Innovation Process | PSNet
   psnet.ahrq.gov/innovations-video
   August 09, 2025 - Learn About the Submit an Innovation Process PSNet’s Submit an Innovation feature allows organizations … Watch the video below to learn more about the Submit an Innovation process.    

10. Learn About PSNet’s CME Without a Fee | PSNet
    psnet.ahrq.gov/cme-video
    August 11, 2025 - Learn About PSNet’s CME Without a Fee Learn more about how to take advantage of PSNet’s Continuing

11. Teaching smart people how to learn. | PSNet
    psnet.ahrq.gov/issue/teaching-smart-people-learn
    September 05, 2012 - Study Classic Teaching smart people how to learn. … Citation Text: Teaching smart people how to learn. Argyris C. … Argyris, a Harvard Business School professor, theorizes that companies and organizations must learn in … order to continually improve and succeed, but that most professionals do not know how to learn. … Cite Citation Citation Text: Teaching smart people how to learn

12. 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

13. 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.

14. 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

15. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
    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.

16. 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

17. Measure Dx: A Tool To Identify, Analyze, and Learn From Diagnostic Safety Events – Enrollment Closed | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/ideas-project/measure-dx.html
    July 01, 2025 - Measure Dx: A Tool To Identify, Analyze, and Learn From Diagnostic Safety Events – Enrollment Closed … 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?

18. Learn About PSNet New User Account Registration | PSNet
    psnet.ahrq.gov/personalization
    Learn About PSNet New User Account Registration Learn more about how to register and create your profile

19. Doctors learn to say 'I'm Sorry.' | PSNet
    psnet.ahrq.gov/issue/doctors-learn-say-im-sorry
    August 17, 2016 - Newspaper/Magazine Article Doctors learn to say 'I'm Sorry.'

20. Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review. | PSNet
    psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how-can-informal
    March 14, 2012 - Review Informal learning from error in hospitals: what do we learn, how do we learn … Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning … This commentary examines opportunities to learn from errors in hospitals and outlines recommendations … Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning