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21. Learn About CUSP | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/modules/learn/sl-cusp.html
    December 01, 2012 - Learn About CUSP CUSP Toolkit The Learn about CUSP module of the CUSP Toolkit offers an outline … Toolkit Modules Learn About CUSP. Assemble the Team. Engage the Senior Executive. … Provide opportunities for staff to learn and practice using teamwork and communication tools. … Note: This module combines the CUSP steps Identify Defects and Learn from Defects . … Learn how Just Culture principles can augment CUSP. Review key steps of the CUSP Toolkit .

22. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
    July 01, 2023 - Sensemaking and Learn From Defects for Perinatal Safety AHRQ Safety Program for Perinatal Care … Slide 1: AHRQ Safety Program for Perinatal Care Sensemaking and Learn From Defects for Perinatal … Staff Safety Assessment Discovery Form Safety Issues Worksheet Root Cause Analysis Learn … From Defects Form Causal Tree Worksheet Coding defects or failures Learn From Defects Form … Slide 20: Summary: Sensemaking and Learn From Defects Sensemaking and Learn From Defects share

23. 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

24. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide AHRQ Safety Program … for Perinatal Care Slide 1: Sensemaking and Learn From Defects for Perinatal Safety Say: The … Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify … Sensemaking is a way for a L&D unit to learn from and prevent mistakes. … Create a one-page summary answering the four Learn From Defects questions.

25. What To Learn About the Audience for a Health Care Quality Report | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/plan/your-audience/what-to-know.html
    November 01, 2018 - What To Learn About the Audience for a Health Care Quality Report You could learn many things … As you learn about the ethnic and racial groups in your intended audience, try to identify their information … To learn more about making materials culturally appropriate, go to Tips on Writing a Quality Report … Finally, when gathering information about your audience, you may learn that a significant segment is

26. Learn Module Alternate Text | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
    April 01, 2013 - Learn Module Alternate Text Slide Number and Title Slide Content Content for Alternative … Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The ‘Learn About CUSP’ module … complete tools to support units in improving culture   Slide 12 Toolkit Modules Learn … Nurse managers Educate staff on the science of safety Provide opportunities for staff to learn … members Work load   Slide 27 Apply CUSP Introduce Just Culture principles Learn

27. Learn About CUSP, Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/modules/learn/fac-cusp.html
    December 01, 2012 - Learn About CUSP, Facilitator Notes CUSP Toolkit The Learn about CUSP module of the CUSP Toolkit … Cover Slide     Say: The "Learn About CUSP" module of the Comprehensive Unit-based Safety … Toolkit Modules   Learn About CUSP. Assemble the Team. Engage the Senior Executive. … Say: The CUSP Toolkit's modules are the following: Learn About CUSP. Assemble the Team. … Note: This module combines the CUSP steps Identify Defects and Learn from Defects .

28. What doctors can learn from the factory floor. | PSNet
    psnet.ahrq.gov/issue/what-doctors-can-learn-factory-floor
    June 13, 2011 - Commentary What doctors can learn from the factory floor. … What doctors can learn from the factory floor. BMJ. 2010;340(mar03 3). doi:10.1136/bmj.c1217. … This essay relates what health care systems can learn from industry about making the work environment … What doctors can learn from the factory floor. BMJ. 2010;340(mar03 3). doi:10.1136/bmj.c1217.

29. Do house officers learn from their mistakes? | PSNet
    psnet.ahrq.gov/issue/do-house-officers-learn-their-mistakes
    April 19, 2011 - Study Classic Do house officers learn from their mistakes … Do house officers learn from their mistakes? JAMA. 1991;265(16):2089-94. … Do house officers learn from their mistakes? JAMA. 1991;265(16):2089-94.

30. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Sensemaking and Learn from Defects
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Sensemaking and Learn from Defects … AHRQ Safety Program for Perinatal Care Sensemaking and Learn From Defects for Perinatal Safety AHRQ … 0003-5-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Sensemaking & Learn … Model 4 AHRQ Safety Program for Perinatal Care Sensemaking & Learn from Defects Identify Defects … from Defects 19 Summary: Sensemaking and Learn From Defects Sensemaking and Learn From Defects share

31. AHRQ Safety Program for Perinatal Care: Learn About the Comprehensive Unit-based Safety Program
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp.pptx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Learn About the Comprehensive Unit-based Safety Program AHRQ … Safety Program for Perinatal Care Learn About the Comprehensive Unit-based Safety Program for Perinatal … Safety AHRQ Publication No. 17-0003-1-EF May 2017 1 CUSP and Perinatal Safety 2 Learn About CUSP … 4 Learn About CUSP AHRQ Safety Program for Perinatal Care   4 Safety Program for Perinatal Care 5 … Learn About CUSP AHRQ Safety Program for Perinatal Care SPPC CUSP Modules Learn About CUSP Assemble

32. Peer review of medical practices: missed opportunities to learn. | PSNet
    psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learn
    November 16, 2022 - Commentary Peer review of medical practices: missed opportunities to learn. … Peer review of medical practices: missed opportunities to learn. … Peer review can provide clinicians with the opportunity to learn from failure. … Peer review of medical practices: missed opportunities to learn.

33. Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
    February 01, 2017 - A practical tool to learn from defects in patient care. … An arrow points at "Learn from defects." … Learn from defects. … Select a defect to learn from. … A practical tool to learn from defects in patient care.

34. How To Learn About the Audience for a Health Care Quality Report | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/plan/your-audience/learn-about.html
    July 01, 2011 - How To Learn About the Audience for a Health Care Quality Report Here are some things you can

35. Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
    May 01, 2017 - Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Safety Program for … Perinatal Care Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ … Slide 5 Learn About Comprehensive Unit-Based Safety Programs for Perinatal Safety AHRQ Safety … Program for Perinatal Care Learn About CUSP 3 SAY: In addition to this Learn About CUSP module, … Program for Perinatal Care Learn About CUSP 8 How were these at-risk behaviors handled?

36. Exploring the barriers to learning from crisis: organizational learning and crisis. | PSNet
    psnet.ahrq.gov/issue/exploring-barriers-learning-crisis-organizational-learning-and-crisis
    January 08, 2025 - Manag Learn. 2007;38(5):519-538. doi:10.1177/1350507607083205. … Manag Learn . 2007; 38 (5) :519-538 . View more articles from the same authors. … Investigating obstacles organizations face in attempts to learn from crises, this article notes causal … Manag Learn. 2007;38(5):519-538. doi:10.1177/1350507607083205. … January 8, 2025 We may remember but what did we learn?

37. Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - Final Report | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/final-report
    January 01, 2023 - Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - Final Report … Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - Final Report. … PDF Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - Final Report … Principal Investigator Thomas, Eric Project Name Using Electronic Records to Detect and Learn

38. Learn From Defects Tool Worksheet: Central Line-Assoiated Bloodstsream Infection (CLABSI) (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects-revised.pdf
    April 01, 2022 - Learn From Defects Tool Worksheet: Central Line-Assoiated Bloodstsream Infection (CLABSI) … AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Learn … This worksheet will help your team learn what happened, identify the factors that may have contributed … 2022 AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI 3Learn From Defects – CLABSI Learn

39. Learn From Defects Tool Worksheet: Catheter-Associated Urinary Tract Infection (CAUTI) (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.pdf
    April 01, 2022 - Learn From Defects Tool Worksheet: Catheter-Associated Urinary Tract Infection (CAUTI) … AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Learn … This worksheet will help your team learn what happened, identify the factors that may have contributed … April 2022 AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI 3Learn From Defects – CAUTI Learn

40. Using CAHPS Surveys | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/helpful-resources/index.html
    September 01, 2024 - Survey Design and Administration Review general guidance on CAHPS survey design and administration to learn … Analyzing CAHPS Survey Data Learn about programs and guidance available to support users in analyzing … to Code Patient Experience Narratives Capabilities and Challenges Modifying and Naming CAHPS Surveys Learn … Managing a CAHPS Survey Project Learn about managing a CAHPS survey project to ensure that your survey