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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864381/psn-pdf
    March 13, 2024 - Patient safety near misses – still missing opportunities to learn. … Patient safety near misses – still missing opportunities to learn. … https://psnet.ahrq.gov/issue/patient-safety-near-misses-still-missing-opportunities-learn Near-miss … https://psnet.ahrq.gov/issue/patient-safety-near-misses-still-missing-opportunities-learn https://psnet.ahrq.gov

  2. State at a Glance: Georgia | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/demostates/ga.html
    March 01, 2019 - State at a Glance: Georgia Learn more about the CHIPRA quality demonstration projects being implemented … quality demonstration projects on this page: Overview Georgia's Objectives Evaluation Questions Learn … Top of Page Learn More This information is current as of February 2014, slightly more than 4 … To learn more about the projects that Georgia is implementing under the CHIPRA Quality Demonstration … DBHDD) 2 Peachtree Street, NW Atlanta, GA 30303 23-272 404-463-0979 lalucas@hr.state.ga.us To learn

  3. Understanding Physicians' and Patients' Views of Harms and Clinical Preventive Services (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/vu_physician_patient_harms.pdf
    June 02, 2025 - Understanding Physician’s and Patient’s View of Harms and Clinical Preventive Services What Did We Learn … Where to Learn More To learn more about this project please visit www.smart-screening.org http://www.smart-screening.org … Physicians’ and Patients’ Views of Harms and Clinical Preventive Services Big Questions What Did We Learn … Where to Learn More UNC Research Center for Excellence in Clinical Preventive Services Center Location

  4. State at a Glance: Wyoming | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/demostates/wy.html
    March 01, 2019 - State at a Glance: Wyoming Learn more about the CHIPRA quality demonstration projects being implemented … Implementation Guide 2: Designing Care Management Entities for Youth with Complex Behavioral Health Needs Learn … quality demonstration projects on this page: Overview Wyoming's Objectives Evaluation Questions Learn … Top of Page Learn More This information is current as of February 2014, slightly more than 4 … To learn more about the projects being implemented in Wyoming under the CHIPRA Quality Demonstration

  5. Tip 7. Test a Health Care Quality Report With Your Audience | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/resources/writing/tip7.html
    November 01, 2019 - Informative Than Focus Groups Although some people use focus groups to test a draft report, you can learn … Plus you learn nothing about what meaning they are taking from the information you present—only their … Using What You Learn Your interviews with readers will help you look at the draft report from your … Use what you learn to make improvements to the language and other aspects of your report. … Learn More About Testing How will you test aspects of your health care quality report?

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866245/psn-pdf
    July 10, 2024 - Assessing nourishment problems at a hospital: what can we learn from them? … Assessing nourishment problems at a hospital: what can we learn from them? … https://psnet.ahrq.gov/issue/assessing-nourishment-problems-hospital-what-can-we-learn-them Patient … https://psnet.ahrq.gov/issue/assessing-nourishment-problems-hospital-what-can-we-learn-them https://psnet.ahrq.gov

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60634/psn-pdf
    January 01, 2021 - Quality & safety in the time of coronavirus--design better, learn faster. … Quality and safety in the time of Coronavirus: design better, learn faster. … https://psnet.ahrq.gov/issue/quality-safety-time-coronavirus-design-better-learn-faster This article … https://psnet.ahrq.gov/issue/quality-safety-time-coronavirus-design-better-learn-faster https://psnet.ahrq.gov

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838142/psn-pdf
    September 21, 2022 - A health system that won't learn from its mistakes. September 21, 2022 Keller C. … A health system that won't learn from its mistakes. Health Aff (Millwood). 2022;41(9):1353-1356. … https://psnet.ahrq.gov/issue/health-system-wont-learn-its-mistakes Communication failures due to hierarchy … https://psnet.ahrq.gov/issue/health-system-wont-learn-its-mistakes https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors

  9. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-slides.html
    February 01, 2017 - Learn from defects. Improve teamwork and communication. Adaptive components of CUSP. … A practical tool to learn from defects in patient care. … Learn from defects. Improve teamwork and communication. Adaptive components of CUSP. … Is followed up with the Learn From Defects tool. … A practical tool to learn from defects in patient care.

  10. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
    July 01, 2023 - As a result, providers must increase their ability to learn from mistakes and implement procedures to … Learn from defects. … 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. … Slide 11: Learn From Defects Do: Play the video.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39136/psn-pdf
    November 25, 2009 - We may remember but what did we learn? … WE MAY REMEMBER BUT WHAT DID WE LEARN? … https://psnet.ahrq.gov/issue/we-may-remember-what-did-we-learn-dealing-errors-crimes-and- misdemeanours-around-adverse … into historical context and discusses their effect on both organizational and individual ability to learn … https://psnet.ahrq.gov/issue/we-may-remember-what-did-we-learn-dealing-errors-crimes-and-misdemeanours-around-adverse

  12. A tragic death: a time to blame or a time to learn? | PSNet

    psnet.ahrq.gov/issue/tragic-death-time-blame-or-time-learn
    March 23, 2011 - Commentary A tragic death: a time to blame or a time to learn? … A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2. … A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2.

  13. "Doctor Jazz": lessons that medical professionals can learn from jazz musicians. | PSNet

    psnet.ahrq.gov/issue/doctor-jazz-lessons-medical-professionals-can-learn-jazz-musicians
    August 10, 2022 - Review "Doctor Jazz": lessons that medical professionals can learn from jazz musicians … "Doctor Jazz": Lessons that medical professionals can learn from jazz musicians. … "Doctor Jazz": Lessons that medical professionals can learn from jazz musicians.

  14. Researching a Quality Report's Audience for Promotional Purposes | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/distribute/promote/act-early/learn-about/index.html
    July 01, 2011 - Learn more: What You Might Want To Know About Your Audience . … How To Learn About Your Audience . … You need to learn: Where does your primary audience go to find information on health and health care

  15. Why Choose a CUSP Approach? | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mrsa-prevention/surgery/why-cusp.html
    April 01, 2025 - – Facilitator Guide (DOCX, 4 MB) Tools and Resources Learn About CUSP (Core CUSP Toolkit) To learn about … this subject in more detail, follow this link to the Learn About CUSP topic of the Core CUSP Toolkit

  16. State at a Glance: Vermont | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/demostates/vt.html
    March 01, 2019 - State at a Glance: Vermont Learn more about the CHIPRA quality demonstration projects being implemented … Learn more about Vermont’s CHIPRA quality demonstration projects on this page: Overview Vermont's … Objectives Evaluation Questions Additional Resources Learn More   Overview Vermont … Top of Page   Learn More This information is current as of February 2014, slightly more than 4 … To learn more about the projects being implemented in Vermont under the CHIPRA Quality Demonstration

  17. How Will You Test Aspects of Your Health Care Quality Report? | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/plan/needs-and-testing/index.html
    May 01, 2019 - To learn more about that aspect of a project, go to Assess Your Health Care Quality Reporting Project … How will you use what you learn to improve the report? … Similarly, you may want to learn whether the audience is interpreting the data displays accurately. … For example: In the first round of testing, you may learn that respondents are confused by a table … Learn more about The Purpose and Process of Cognitive Testing .

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837037/psn-pdf
    May 04, 2022 - Humanizing harm: using a restorative approach to heal and learn from adverse events. … Humanizing harm: Using a restorative approach to heal and learn from adverse events. … https://psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events … https://psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events

  19. Presentation: Program Overview

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-slides.pptx
    January 01, 2017 - CUSP STEPS Educate staff on the Science of Safety Identify defects Partner with a senior executive Learn … A practical tool to learn from defects in patient care. … //www.ahrq.gov/professionals/education/curriculum-tools/cusptoolkit/videos/04d_indchecks/index.html Learn … Should be completed twice a year Is followed up with the Learn From Defects tool Tip: The Staff Safety … A practical tool to learn from defects in patient care.

  20. SOPS Additional Resources | Agency for Healthcare Research and Quality

    www.ahrq.gov/sops/resources/index.html
    January 01, 2025 - Data Entry and Analysis Tools Learn about data entry and analysis tools that use Microsoft® Excel® … Learn more about these success stories for the SOPS Surveys . … Webcasts, Podcasts, and Announcements Learn more about the AHRQ-sponsored webcasts, podcasts, and
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