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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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digital.ahrq.gov/principal-investigator/thomas-eric
January 01, 2023 - Principal Investigator
Thomas, Eric
Project Name
Using Electronic Records to Detect and Learn … Principal Investigator
Thomas, Eric
Project Name
Using Electronic Records to Detect and Learn … Principal Investigator
Thomas, Eric
Project Name
Using Electronic Records to Detect and Learn … Principal Investigator
Thomas, Eric
Project Name
Using Electronic Records to Detect and Learn … Principal Investigator
Thomas, Eric
Project Name
Using Electronic Records to Detect and Learn
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
May 30, 2008 - Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety … Learning
Leveraging Existing Assessments of Risk Now
(LEARN) Safety Analysis: A Method for Extending … This article describes how the Leveraging Existing
Assessments of Risk Now (LEARN) Safety Analysis method … To be clear, this LEARN Safety Analysis method is not intended to provide an epidemiology of
types of … The LEARN Safety Analysis method is more akin to a meta-analysis of risk
assessment data to glean and
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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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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/hai/tools/mvp/modules/cusp/overview-cuspmvp-slides.html
February 01, 2017 - Designed to improve safety culture and help users learn from mistakes. … Identify defects:
Learn from staff reports of safety concerns, event reports, etc. … Slide 9: Steps of CUSP
Learn from defects:
What happened?
Why did it happen? … Learn from defects. … Learn from defects.
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psnet.ahrq.gov/issue/systematic-review-trauma-crew-resource-management-training-what-can-united-states-and-united
July 14, 2021 - review of trauma crew resource management training: what can the United States and the United Kingdom learn … review of trauma crew resource management training: what can the United States and the United Kingdom learn … review of trauma crew resource management training: what can the United States and the United Kingdom learn … March 2, 2022
What can we learn from in-depth analysis of human errors resulting in diagnostic
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/sc.html
March 01, 2019 - State at a Glance: South Carolina
Learn more about the CHIPRA quality demonstration projects … Practice-Reported Medical Homeness and Health Care Utilization Among Publicly Insured Children
Learn … demonstration projects on this page:
Overview
South Carolina's Objectives
Evaluation Questions
Learn … Top of Page
Learn More
This information is current as of February 2014, slightly more than 4 years … To learn more about the projects being implemented in South Carolina under the CHIPRA Quality Demonstration
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/persell_cvd_disparities.pdf
June 02, 2025 - prevention-for-all.org/
Reducing Disparities in Primary Prevention of Cardiovascular Disease
What Did We Learn … Where to Learn More
Articles describing the findings from this study are in production. … Reducing Disparities in the Primary Prevention of Cardiovascular Disease
Big Questions
What Did We Learn … Where to Learn More
The Center for Advancing Equity in Clinical Preventive Services
Center Location
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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
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/fl.html
March 01, 2019 - State at a Glance: Florida
Learn more about the CHIPRA quality demonstration projects being implemented … Nine States’ Use of Collaboratives to Improve Children’s Health Care Quality in Medicaid and CHIP
Learn … quality demonstration projects on this page:
Overview
Florida'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 Florida is implementing under the CHIPRA Quality Demonstration
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www.ahrq.gov/talkingquality/resources/writing/tip5.html
September 01, 2019 - Learn more about your audience’s knowledge, attitudes, and beliefs . … Learn more about testing your written materials with readers:
Tip 7. … Learn more about using feedback from readers to make written material more effective and culturally appropriate
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psnet.ahrq.gov/node/42374/psn-pdf
January 07, 2014 - Patient safety in nursing education: contexts, tensions
and feeling safe to learn. … Patient safety in nursing education: contexts, tensions and feeling
safe to learn. … https://psnet.ahrq.gov/issue/patient-safety-nursing-education-contexts-tensions-and-feeling-safe-learn … multi-site study explored the formal and informal ways that nursing students in the United Kingdom
learn … https://psnet.ahrq.gov/issue/patient-safety-nursing-education-contexts-tensions-and-feeling-safe-learn
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psnet.ahrq.gov/node/42497/psn-pdf
February 27, 2014 - (How) do we learn from errors? … (How) do we learn from errors? … https://psnet.ahrq.gov/issue/how-do-we-learn-errors-prospective-study-link-between-wards-learning-
practices-and-medication … https://psnet.ahrq.gov/issue/how-do-we-learn-errors-prospective-study-link-between-wards-learning-practices-and-medication … https://psnet.ahrq.gov/issue/how-do-we-learn-errors-prospective-study-link-between-wards-learning-practices-and-medication
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psnet.ahrq.gov/node/40930/psn-pdf
November 23, 2011 - Patient safety in primary allied health care: what can we
learn from incidents in a Dutch exploratory … Patient safety in primary allied health care: what can we
learn from incidents in a Dutch exploratory … https://psnet.ahrq.gov/issue/patient-safety-primary-allied-health-care-what-can-we-learn-incidents-dutch … https://psnet.ahrq.gov/issue/patient-safety-primary-allied-health-care-what-can-we-learn-incidents-dutch-exploratory … https://psnet.ahrq.gov/issue/patient-safety-primary-allied-health-care-what-can-we-learn-incidents-dutch-exploratory
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
January 01, 2006 - Sensemaking Tools
Staff Safety Assessment Discovery Form
Safety Issues Worksheet Root Cause Analysis
Learn … Effects Analysis
-Probabilistic Risk
Assessment
Tools to examine defects or failures Learn … from Defects Form Causal Tree Worksheet
Coding defects or failures Learn From Defects Form Eindhoven … CUSP Tools To Learn From Defects
20
21
Learning From Defects:
Four Questions
1. … 25
Sensemaking Tools To Learn From Defects
26
Causal Coding: Eindhoven Model6
20 separate event
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psnet.ahrq.gov/node/38735/psn-pdf
June 24, 2009 - Reflection and analysis of how pharmacy students learn
to communicate about medication errors. … Reflection and analysis of how pharmacy students learn to communicate about
medication errors. … https://psnet.ahrq.gov/issue/reflection-and-analysis-how-pharmacy-students-learn-communicate-about- … https://psnet.ahrq.gov/issue/reflection-and-analysis-how-pharmacy-students-learn-communicate-about-medication-errors … https://psnet.ahrq.gov/issue/reflection-and-analysis-how-pharmacy-students-learn-communicate-about-medication-errors
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psnet.ahrq.gov/node/34661/psn-pdf
March 07, 2005 - Teaching smart people how to learn.
March 7, 2005
Argyris C. … https://psnet.ahrq.gov/issue/teaching-smart-people-learn
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. … https://psnet.ahrq.gov/issue/teaching-smart-people-learn
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psnet.ahrq.gov/node/43870/psn-pdf
January 28, 2015 - Peer review of medical practices: missed opportunities to
learn.
January 28, 2015
Kadar N. … Peer review of medical practices: missed opportunities to learn. … https://psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learn
Peer review can … provide clinicians with the opportunity to learn from failure. … https://psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learn
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/48154/psn-pdf
July 31, 2019 - Learn Not Blame.
July 31, 2019
Doctors' Association UK. … https://psnet.ahrq.gov/issue/learn-not-blame
This website provides information about a National Health … https://psnet.ahrq.gov/issue/learn-not-blame
https://psnet.ahrq.gov/issue/gross-negligence-manslaughter-and-doctors-ethical-concerns-following-case-dr-bawa-garba