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  1. Psn-Pdf (pdf file)

    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

  2. Quality & safety in the time of coronavirus--design better, learn faster. | PSNet

    psnet.ahrq.gov/issue/quality-safety-time-coronavirus-design-better-learn-faster
    March 29, 2017 - Commentary Quality & safety in the time of coronavirus--design better, learn faster … Quality and safety in the time of Coronavirus: design better, learn faster. … Quality and safety in the time of Coronavirus: design better, learn faster.

  3. Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. | PSNet

    psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
    May 06, 2016 - Book/Report Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge … Citation Text: Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. … Cite Citation Citation Text: Teaming: How Organizations Learn

  4. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/865308
    January 01, 2024 - Organizations are encouraged to learn from failures and sustain improvement. … High reliability organizations consistently examine and learn from failures. … Learn Health Syst. 2019;4:e210204. … High reliability organizations consistently examine and learn from failures. … Learn Health Syst. 2019;4:e210204.

  5. Psn-Pdf (pdf file)

    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

  6. State at a Glance: West Virginia | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/demostates/wv.html
    March 01, 2019 - State at a Glance: West Virginia Learn more about the CHIPRA quality demonstration projects being … Nine States’ Use of Collaboratives to Improve Children’s Health Care Quality in Medicaid and CHIP Learn … demonstration projects on this page: Overview West Virginia'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 West Virginia under the CHIPRA Quality Demonstration

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36758/psn-pdf
    August 10, 2011 - Seven hundred and fifty-nine (759) chances to learn: a 3- year pilot project to analyse transfusion-related … Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related … https://psnet.ahrq.gov/issue/seven-hundred-and-fifty-nine-759-chances-learn-3-year-pilot-project-analyse … https://psnet.ahrq.gov/issue/seven-hundred-and-fifty-nine-759-chances-learn-3-year-pilot-project-analyse-transfusion … https://psnet.ahrq.gov/issue/seven-hundred-and-fifty-nine-759-chances-learn-3-year-pilot-project-analyse-transfusion

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43636/psn-pdf
    November 26, 2014 - Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from … Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from … psnet.ahrq.gov/issue/application-who-surgical-safety-checklist-outside-operating-theatre-medicine- can-learn … psnet.ahrq.gov/issue/application-who-surgical-safety-checklist-outside-operating-theatre-medicine-can-learn … psnet.ahrq.gov/issue/application-who-surgical-safety-checklist-outside-operating-theatre-medicine-can-learn

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37859/psn-pdf
    June 25, 2008 - What can we learn about patient safety from information sources within an acute hospital: a step on … What can we learn about patient safety from information sources within an acute hospital: a step on … https://psnet.ahrq.gov/issue/what-can-we-learn-about-patient-safety-information-sources-within-acute- … https://psnet.ahrq.gov/issue/what-can-we-learn-about-patient-safety-information-sources-within-acute-hospital-step-ladder … https://psnet.ahrq.gov/issue/what-can-we-learn-about-patient-safety-information-sources-within-acute-hospital-step-ladder

  10. State at a Glance: Alaska | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/demostates/ak.html
    March 01, 2019 - State at a Glance: Alaska Learn more about the CHIPRA quality demonstration projects being implemented … Learn more about Alaska’s CHIPRA quality demonstration projects on this page: Overview Alaska's … Objectives Evaluation Questions Learn More     Overview Alaska is working with Oregon … Top of Page   Learn More This information is current as of February 2014, 4 years after the grant … To learn more about the projects that Alaska is implementing under the CHIPRA Quality Demonstration Grant

  11. CAUTI Prevention Implementation in a Community Hospital

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-060314.pptx
    March 01, 2009 - Program (CUSP) Educate staff on science of safety Identify defects Assign executive to adopt unit Learn … Comprehensive Unit-based Safety Program An intervention to improve teamwork and safety culture and learn … Error (Reason, 1990) Three Principles of Safe Design 18 Standardize Create independent checks Learn … 23 Learn When Things Go Wrong 24 First vs. … when others do Create clear goals, ask questions early Standardize, create independent checks, and learn

  12. Project Report - Lean Sigma (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
    January 01, 2012 - Create line cart Create independent checks: Create BSI checklist Empower nurses to stop takeoff Learn … How Do We Know We Learn From Mistakes? … Safety Program Educate staff on science of safety Identify defects Assign executive to adopt unit Learn … 66% 95% How often did we learn from mistakes?* 100s 100s Have we created a safe culture? … Steps of CUSP Educate staff on science of safety Identify defects Assign executive to adopt unit Learn

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35934/psn-pdf
    February 24, 2011 - Learning from mistakes: factors that influence how students and residents learn from medical errors. … Factors that influence how students and residents learn from medical errors. … https://psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical … https://psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors … https://psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors

  14. Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-starting-points-and-presuppositions-case-study-hospitals-surgical
    September 25, 2024 - Learn Org. 2024;31(3):337-357. doi:10.1108/tlo-12-2022-0160. … Learn Org . 2024; 31 (3) :337-357 . View more articles from the same authors. … Learn Org. 2024;31(3):337-357. doi:10.1108/tlo-12-2022-0160. … , 2017 View More Related Resources A health system that won't learn

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43426/psn-pdf
    July 03, 2016 - Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational … Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational … https://psnet.ahrq.gov/issue/discussing-undiscussable-powerful-why-and-how-faculty-must-learn- counteract-organizational … https://psnet.ahrq.gov/issue/discussing-undiscussable-powerful-why-and-how-faculty-must-learn-counteract-organizational … https://psnet.ahrq.gov/issue/discussing-undiscussable-powerful-why-and-how-faculty-must-learn-counteract-organizational

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867590/psn-pdf
    January 22, 2025 - evaluation-measure-dx-resource-accelerate-diagnostic-safety-learning-and- improvement AHRQ’s Measure Dx: A Resource to Identify, Analyze, and Learn … evaluation-measure-dx-resource-accelerate-diagnostic-safety-learning-and-improvement https://psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events … https://psnet.ahrq.gov/issue/measure-dx-implementing-pathways-discover-and-learn-diagnostic-errors https

  17. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/identify/notes.html
    December 01, 2012 - CUSP Tools To Learn From Defects Slide 21. Learning From Defects: Four Questions Slide 22. … Sensemaking is a way for a unit to learn from and prevent mistakes. … unique tools to help teams learn from defects identified on their unit … Create a one-page summary answering the four learn from defects questions. … The Learn From Defects Form can be used to facilitate a Sensemaking conversation.

  18. Improving Rates of Repeat Colorectal Cancer Screening in Community Health Centers (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/baker_crc_screening.pdf
    January 01, 2014 - In particular, the study aimed to learn about the effectiveness of a program to maximize the number … Improving Rates of Repeat Colorectal Cancer Screening in Community Health Centers What Did We Learn … Where to Learn More Baker DW, Brown T, Buchanan DR, et al. … Screening in Community Health Centers What Was Done in the Intervention Big Questions What Did We Learn … Where to Learn More The Center for Advancing Equity in Clinical Preventive Services Center Location

  19. The Academy for Integrating Behavioral Health and Primary Care (pdf file)

    integrationacademy.ahrq.gov/sites/default/files/2025-04/AHRQ_Integration_Academy_Overview-508.pdf
    January 01, 2025 - Learn more about integrated behavioral health. 2 https://bit.ly/ahrq-integration-academy-about-ibh … Learn more about the Integration Academy’s purpose. 5 https://bit.ly/ahrq-integration-academy What … Learn more about the Literature Collection and other Integration Academy offerings. 7 https://bit.ly … use disorders • Polysubstance use • Pregnancy and postpartum • Health equity • Mental health apps Learn … Learn more about the NIAC. 12 https://bit.ly/ahrq-integration-academy-niac What's the vision for the

  20. The Academy for Integrating Behavioral Health and Primary Care (pdf file)

    integrationacademy.ahrq.gov/sites/default/files/2025-05/AHRQ-Integration-Academy-Overview.pdf
    January 01, 2025 - Learn more about integrated behavioral health. 2 https://bit.ly/ahrq-integration-academy-about-ibh … Learn more about the Integration Academy’s purpose. 5 https://bit.ly/ahrq-integration-academy What … Learn more about the Literature Collection and other Integration Academy offerings. 7 https://bit.ly … use disorders • Polysubstance use • Pregnancy and postpartum • Health equity • Mental health apps Learn … Learn more about the NIAC. 12 https://bit.ly/ahrq-integration-academy-niac What's the vision for the
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