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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/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
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/psychological-safety.html
April 01, 2025 - Slides (PPTX, 3 MB) CUSP: Psychological Safety – 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.
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/sustainability.html
April 01, 2025 - Slides (PPTX, 5 MB) CUSP Program: Sustainability – Facilitator Guide (DOCX, 3 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.
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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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www.ahrq.gov/evidencenow/tools/keydrivers/index.html
October 01, 2020 - Select any of the key drivers or change strategies to learn more about them. … Learn more about the EvidenceNOW Key Driver Diagram and how it was developed.
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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/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/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/sites/default/files/wysiwyg/sdm/share-approach/share-fact-sheet.pdf
October 01, 2024 - Benefits to your organization and clinicians
• Learn shared decision-making and communication skills … • Learn how to find and use evidence-based patient decision aids to support shared
decision making … Visit www.ahrq.gov/sdm/share-approach/index.html to learn how to implement the
SHARE Approach at your
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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.
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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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psnet.ahrq.gov/node/39383/psn-pdf
January 23, 2012 - What doctors can learn from the factory floor.
January 23, 2012
Martyn C. … What doctors can learn from the factory floor. BMJ. 2010;340(mar03 3). doi:10.1136/bmj.c1217. … https://psnet.ahrq.gov/issue/what-doctors-can-learn-factory-floor
This essay relates what health care … systems can learn from industry about making the work environment
safer and more reliable. … https://psnet.ahrq.gov/issue/what-doctors-can-learn-factory-floor
https://psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory
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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.
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/co.html
March 01, 2019 - State at a Glance: Colorado
Learn more about the CHIPRA quality demonstration projects being … Learn more about Colorado’s CHIPRA quality demonstration projects on this page:
Overview
Colorado's … Objectives
Evaluation Questions
Additional Resources
Learn More
Overview
As one of the … Top of Page
Learn More
This information is current as of February 2014, slightly more than … To learn more about the projects that Colorado is implementing under the CHIPRA Quality Demonstration
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/nm.html
March 01, 2019 - State at a Glance: New Mexico
Learn more about the CHIPRA quality demonstration projects being … Learn more about New Mexico’s CHIPRA quality demonstration projects on this page:
Overview
New … Mexico's Objectives
Evaluation Questions
Additional Resources
Learn More
Overview
New … Top of Page
Learn More
This information is current as of February 2014, slightly more than 4 years … To learn more about the projects that New Mexico is implementing under the CHIPRA Quality Demonstration
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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
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www.ahrq.gov/news/newsroom/case-studies/201540.html
January 01, 2016 - practitioner students at Georgia Southern University are using information from an AHRQ webinar to learn … "Using the resources shown in the AHRQ webinar, we're teaching students a process that helps them learn
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/learning-tools.html
February 01, 2025 - CLABSI Event Report Tool ( Word , 274 KB) CAUTI Event Report Tool ( Word , 270 KB) CLABSI Learn From … Defects Tool ( PDF , 412 KB; Word , 271 KB) CAUTI Learn From Defects Tool ( PDF , 419 KB; Word , 267