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www.ahrq.gov/talkingquality/distribute/promote/timing.html
March 01, 2016 - Learn about scheduling a report’s distribution in Timing . … Learn about Using Multiple Promotion Strategies . … (Learn more in Affect the Behaviors of Health Care Consumers .) … (Learn what you can do to Build Trust in the Report Sponsor .) … (Learn how you can Tell a Story To Engage Users .)
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psnet.ahrq.gov/node/851055/psn-pdf
June 28, 2023 - How do we learn about error? A cross-sectional study of
urology trainees. … How do we learn about error? A cross-sectional study of urology trainees. … https://psnet.ahrq.gov/issue/how-do-we-learn-about-error-cross-sectional-study-urology-trainees
While … https://psnet.ahrq.gov/issue/how-do-we-learn-about-error-cross-sectional-study-urology-trainees
https
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-assess-reporting-project.pdf
December 26, 2018 - Learn about Evaluating the Process. … Learn about Evaluating the Results. … Learn about Evaluating Cost-Effectiveness. … What do you want to learn?
Type your response here. … To learn more, go to Elements of an Evaluation Plan.
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-assess-reporting-project.doc
December 26, 2018 - Learn about Evaluating Cost-Effectiveness. … To learn more, read:
· Why Evaluate a Health Care Quality Reporting Project? … What do you want to learn?
Type your response here. … To learn more, go to Elements of an Evaluation Plan. … To learn more, go to Applying Lessons Learned from Evaluating a Quality Report.
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psnet.ahrq.gov/node/42990/psn-pdf
March 05, 2014 - What do nursing students learn about patient safety? An
integrative literature review. … What do nursing students learn about patient safety? an
integrative literature review. … https://psnet.ahrq.gov/issue/what-do-nursing-students-learn-about-patient-safety-integrative-literature … -
review
This literature review found that nurses learn about patient safety through formal curricula … https://psnet.ahrq.gov/issue/what-do-nursing-students-learn-about-patient-safety-integrative-literature-review
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www.ahrq.gov/evidencenow/projects/heart-health/about/index.html
April 01, 2021 - Learn more about the origins of EvidenceNOW: Advancing Heart Health . … Learn how external quality improvement support helps primary care practices improve the way they work … Learn more about the EvidenceNow Model of providing external support for primary care . … Health supports the evolution of primary care practices into learning health systems that continuously learn … Learn more at Stories From the Field
Dowload the Fact Sheet: EvidenceNOW: Bridging Research and
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digital.ahrq.gov/program-overview/research-reports/2023-year-review
January 01, 2023 - Learn More Research Spotlight DHR explores the current and future state of AI in healthcare and the … Learn More Research Themes and Findings The DHR program funds research that demonstrates how digital … Learn More Engaging and Empowering Patients Optimizing Care Delivery for Clinicians Supporting Health … Learn More
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psnet.ahrq.gov/node/60199/psn-pdf
April 08, 2020 - Using Safety-II and resilient healthcare principles to learn
from Never Events. … Using Safety-II and resilient healthcare principles to learn from Never Events. … https://psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events … https://psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events
https
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017244-thomas-final-report-2010.pdf
January 01, 2010 - Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors
Grant Final Report … Grant ID: 5R18HS017244
Using Electronic Records to Detect and Learn from
Ambulatory Diagnostic … Such triggers could also be a useful way to detect and learn from diagnostic errors in future
primary
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www.ahrq.gov/takeheart/index.html
Beyond TAKEheart
Learn about other efforts focused on increasing CR participation … The TAKEheart Approach
Implementing Automatic Referral
Learn how to design, … Hybrid CR Workgroup Evaluation
Slide Presentation
Beyond TAKEheart
Learn
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-slides.pptx
April 01, 2022 - Preventing CLABSI and CAUTI
Applying CUSP ׀ 3
3
Standardize
Care
Create
Independent
Checks
Learn … How have you engaged your team in learn from defects process? … A practical tool to learn from defects in patient care. … Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation. http://www.ahrq.gov … American Society for Quality, Milwaukee, WI. http://asq.org/learn-about-quality/.
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psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs
October 07, 2020 - Book/Report
Unlocking Solutions in Imaging: Working Together to Learn from Failings … Citation Text:
Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. … Cite
Citation
Citation Text:
Unlocking Solutions in Imaging: Working Together to Learn
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psnet.ahrq.gov/issue/fifteen-years-after-err-human-success-story-learn
August 04, 2021 - Commentary
Fifteen years after To Err Is Human: a success story to learn from. … Fifteen years after To Err is Human: a success story to learn from. … Fifteen years after To Err is Human: a success story to learn from.
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-plan-report.pdf
December 26, 2018 - To learn more, go to Who Is the Audience for Your Health Care Quality Report? … How can you learn more about it?
Type your response here. … To learn more, go to What Health Care Quality Measures Will You Report? … To learn more, go to How Will You Pay for a Health Care Quality Report? … To learn more, go to How Will You Assess Whether You Achieved Your Goals?
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-plan-report.doc
December 26, 2018 - To learn more, go to Who Is the Audience for Your Health Care Quality Report? … How can you learn more about it?
Type your response here. … To learn more, go to What Health Care Quality Measures Will You Report? … To learn more, go to How Will You Pay for a Health Care Quality Report? … To learn more, go to How Will You Assess Whether You Achieved Your Goals?
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www.ahrq.gov/patient-safety/news-events/psaw-2024/index.html
March 01, 2024 - Learn more here . … Learn more here . … Learn more here . … Learn more about the work of the National Action Alliance , and sign up for email updates.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
August 01, 2025 - Science of Safety
• Identify Defects (Staff Safety Assessment)
• Senior Executive Partnership
• Learn … ► These questions became part of Executive Safety Rounds
FOCUS ON- LEARN FROM DEFECTS
What Is … • Anything that you do not want to happen again
Errors Provide Useful Information
• We can learn … ©copyright 2008 by the Trustees of Columbia
University in the City of New York Rights Reserved
Learn … from Defects
• Implement Teamwork &
Communication Tools
www.ahrq/cusp
• Learn from Defects
SBAR
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www.ahrq.gov/talkingquality/measures/index.html
January 01, 2020 - Domains of Health Care Quality : Review the Institute of Medicine’s quality assessment framework and learn … Understanding Data Sources : Learn about data available from administrative databases, medical records … Selecting the Right Measures for Your Report : Learn how to determine whether a measure is both “good
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - Learn from defects. … Image: Questions to ask to learn what happened. … This process is instrumental in building second-order problem-solving skills necessary to learn from … A practical tool to learn from defects in patient care.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
June 02, 2025 - Slide 1
SAY:
Some of the tools that will help CUSP teams identify and learn from defects include: … , and bringing safety issues to the attention of the senior executive partnership to address.
· The Learn … One Sensemaking tool that will help CUSP teams identify and learn from defects is the Discovery Form, … Sensemaking is a way for a unit to learn from and prevent mistakes. … Further guidance to complete this exercise can be found using the CUSP Learn from Defects Form.