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301. An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. | PSNet
     psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical
     June 12, 2013 - serious failures in the United Kingdom’s National Health Service (NHS) system, examine how the NHS might learn … Copy Citation Related Resources From the Same Author(s) Learning how to learn … June 17, 2014 Learning how to learn: compliance with patient safety alerts in the NHS

302. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-1.html
     June 01, 2020 - bodies to require healthcare organizations (HCOs) to “monitor the diagnostic process and identify, learn … Equipped with this knowledge, HCOs have an opportunity to develop and implement strategies to learn from … Our aim is to provide knowledge and recommendations to encourage HCOs to begin to identify and learn

303. Why Evaluate a Health Care Quality Reporting Project? | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/assess/why-evaluate.html
     May 01, 2019 - The benefits of evaluating your reporting project include the following: You learn what worked and … You can share what you learn with others doing this work, either informally or formally, so the field

304. Learning from mistakes: factors that influence how students and residents learn from medical errors. | PSNet
     psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
     November 15, 2011 - Classic Learning from mistakes: factors that influence how students and residents learn … Factors that influence how students and residents learn from medical errors. … Factors that influence how students and residents learn from medical errors.

305. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37684/psn-pdf
     September 29, 2017 - Hospitals learn to say sorry. September 29, 2017 Lerner M. … https://psnet.ahrq.gov/issue/hospitals-learn-say-sorry This article reports on the evolution in policy … https://psnet.ahrq.gov/issue/hospitals-learn-say-sorry

306. Plan-Do-Study-Act Worksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/pdsa-worksheet.pdf
     June 02, 2025 - _______________________________________________________________________________ STUDY What did you learn … Who will collect the evaluation data: Todays Date_2: What actually happened 2: What did you learn

307. Understanding and Reducing Overuse of Potentially Harmful Screening Tests (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/sheridan_screening_overuse.pdf
     January 01, 2014 - www.smart-screening.org/ Understanding and Reducing Overuse of Potentially Harmful Screening Tests What Did We Learn … disadvantaged decision-makers  Target harms communication to providers as well as patients Where to Learn … Understanding and Reducing Overuse of Potentially Harmful Screening Tests Big Questions What Did We Learn … Where to Learn More UNC Research Center for Excellence in Clinical Preventive Services Center Location

308. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
     December 01, 2017 - Dig into the literature to learn how others have faced similar defects. … Learn from defects. … Learn from defects. Patient safety is a property of the system, not just individuals. … That momentum will help your team learn from more complex defects and garner resources to address them … Learn from defects on a regular basis.

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39633/psn-pdf
     June 23, 2010 - Patient safety: what can medicine learn from aviation? June 23, 2010 O'Reilly KB. … https://psnet.ahrq.gov/issue/patient-safety-what-can-medicine-learn-aviation This news piece discusses … https://psnet.ahrq.gov/issue/patient-safety-what-can-medicine-learn-aviation

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41383/psn-pdf
     May 16, 2012 - Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. … https://psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy … https://psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy https

311. Section 3: Teaching Introductory Material | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/intro/teach.html
     August 01, 2023 - Afterwards, they can refresh their memories or learn more about concepts or tools discussed in the training … relationships you would like participants to develop with each other, and what you want participants to learn … Effective trainers demonstrate that they are constantly seeking to learn and that important solutions … If participants sense your desire to learn, you’ll foster an environment where they will do the same.

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40426/psn-pdf
     May 04, 2011 - Doctors could learn something about medical handoffs from the Navy. May 4, 2011 Parikh R. … https://psnet.ahrq.gov/issue/doctors-could-learn-something-about-medical-handoffs-navy This newspaper … https://psnet.ahrq.gov/issue/doctors-could-learn-something-about-medical-handoffs-navy https://psnet.ahrq.gov

313. Vermont State at a Glance (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/vtstateataglance.pdf
     March 01, 2012 - strategies to children’s health care delivery; and provide an innovative approach to test, share, and learn … Learn More This information is current as of March 2012, slightly more than 2 years after grant award … To learn more about the projects being implemented in Vermont under the CHIPRA Quality Demonstration … Hurricane Lane, Suite 201, Williston, Vermont 05495 802‐872‐7522 kathleen.browne@state.vt.us To learn

314. State at a Glance: Maine | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/demostates/me.html
     March 01, 2019 - at a Glance: Maine National Evaluation of the CHIPRA Quality Demonstration Grant Program Learn … Nine States’ Use of Collaboratives to Improve Children’s Health Care Quality in Medicaid and CHIP Learn … projects on this page: Overview Maine's Objectives Evaluation Questions Additional Resources 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 Maine is implementing under the CHIPRA Quality Demonstration Grant

315. Facilitator-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/facilitator-notes.docx
     March 01, 2017 - organization that provides its staff access to support, resources, information, and opportunities to learn … A Just Culture is one that allows teams to learn from mistakes in a safe environment. … In failure, you are given an opportunity to learn from your mistakes and continue to improve processes … By using the Learn From Defects tool, teams can get down to the root cause of the problem, allowing for … SAY: Sharon’s mistake is used as an opportunity to learn, and Sharon is encouraged to bring forward such

316. (How) do we learn from errors? A prospective study of the link between the ward's learning practices and medication administration errors. | PSNet
     psnet.ahrq.gov/issue/how-do-we-learn-errors-prospective-study-link-between-wards-learning-practices-and-medication
     August 30, 2017 - Study (How) do we learn from errors? … (How) do we learn from errors? … (How) do we learn from errors?

317. “Role of the Nurse Manager” Slide Content and Alternative Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/nursing/alt-text.html
     April 01, 2013 - responsibilities of the nurse manager Understand the leadership and management roles of the nurse manager Learn … about key business and health care improvement frameworks Learn about the quality improvement measures … responsibilities of the nurse manager Understand the leadership and management roles of the nurse manager Learn … about key business and health care improvement frameworks Learn about the quality improvement measures … Background Quality Improvement Team Information Form Culture Check-up Tool Daily Goals Checklist Learn

318. State at a Glance: Massachusetts | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/demostates/ma.html
     March 01, 2019 - State at a Glance: Massachusetts Learn more about the CHIPRA quality demonstration projects being … Implementation Guide No. 1: Engaging Stakeholders to Improve the Quality of Children’s Health Care Learn … demonstration projects on this page: Overview Massachusetts' 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 Massachusetts under the CHIPRA Quality Demonstration

319. Heart of Virginia Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-packet-va.pdf
     October 01, 2015 - can help practices: • Restore the joy in practicing primary care medicine and reduce burnout; • Learn … how to improve team function throughout the entire practice; • Learn how to implement open access … is part of a national program, AHRQ wants to track what is happening during the project in order to learn … • Complete a survey designed to learn what functions you utilize with your EHR – administered to every … A small number of clinicians may be asked to participate in an in-depth interview or focus group to learn

320. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
     June 02, 2025 - Comprehensive Unit-based Safety Program An intervention to learn from mistakes and improve safety culture … Safety Principles of Safe Design Standardize Eliminate steps if possible Create independent checks Learn … stakeholders, including patients and families to share their voice CUSP is a structured approach to learn … remotely & electronically Experience Sharing- Provides experiences of their health care journey as to learn … Medical Staff Patient and Community Engagement *Other departments are brought in as needed to learn