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341. Presentation: Program Overview
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
     January 01, 2017 - Presentation: Program Overview Learn From Defects in Care of Mechanically Ventilated Patients AHRQ … No. 16(17)-0018-34-EF January 2017 Learn From Defects ‹#› AHRQ Safety Program for Mechanically Ventilated … A practical tool to learn from defects in patient care. … A practical tool to learn from defects in patient care. … Learn From Defects ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 35

342. 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

343. 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

344. 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

345. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
     December 01, 2017 - Asking people to read, learn, and apply the learning enables people to form memories of the process. … In the first month, you learn that only 15 out of 30 patients had the proper body temperature.

346. 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

347. 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

348. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
     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.

349. Slide 1 (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/workflow-toolkit-and-lessons-in-user-centered-design.pdf
     July 01, 2015 - 9 User goals  Learn about workflow and its importance  Learn how to analyze workflows  Learn state … 11 Learn about ways to analyze workflow 12 User goals? …  What users thought workflow meant, and therefore expected to learn about was all over the map. …  Our initial design allowed a user to learn about. New design will let them learn how. … User goals Learn about workflow and importance Learn about ways to analyze workflow User goals?

350. 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

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72865/psn-pdf
     March 17, 2021 - We can learn from our failures. March 17, 2021 Zeynep Tufekci. The Atlantic. … February 26, 2021 https://psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures … https://psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures https://

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45774/psn-pdf
     October 11, 2017 - Patient safety in community dementia services: what can we learn from the experiences of caregivers … Patient safety in community dementia services: what can we learn from the experiences of caregivers … https://psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences … https://psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences-caregivers-and … https://psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences-caregivers-and

353. MYQI Guide on Readmissions | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/monahrq/myqi/readmissions.html
     September 01, 2017 - Learn how health leaders can reduce readmissions AHIP report programs reducing readmissions and ED … Learn how improving the discharge process reduces readmissions Project RED toolkit to help hospitals … Toolkit to improve hospital systems and reduce readmissions Learn more about opportunities to improve … that providers can give to their patients to help them understand their treatment after discharge Learn

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73575/psn-pdf
     August 04, 2021 - Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. …   https://psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs … https://psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs https://

355. Staff Safety Assessment
     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

356. Home | CDSiC
     cdsic.ahrq.gov/
     Learn More Image Measurement and Outcomes Workgroup: … Learn More Image Implementation, Adoption, and Scaling … Learn More Image CDS Standards and Regulatory Frameworks … Learn More Image Image … Learn More Image Implementation, Adoption, and Scaling Workgroup

357. Practice Guidelines | Agency for Healthcare Research and Quality
     www.ahrq.gov/chain/practice-tools/practice-guidelines/index.html
     March 01, 2017 - Learn what the Brigham and Women's CERT is doing to reduce fall rates and access their toolkit and copies … Learn about the update and the role that the UAB CERT Center played in its development.   … Learn about the recommendations and the Rutgers CERT Center role in their development.   2010 Recommendations

358. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/identify.html
     December 01, 2012 - CUSP Tools To Learn From Defects Slide 21. Learning From Defects: Four Questions Slide 22. … Sensemaking Tools To Learn From Defects Slide 27. Causal Coding: Eindhoven Model 6 Slide 28. … from Defects Form Causal Tree Worksheet Coding defects or errors Learn From Defects Form … Return to Contents   Slide 20: CUSP Tools To Learn From Defects Return to Contents   … Engage staff in face-to-face conversations to provide opportunities to learn from defects.

359. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35688/psn-pdf
     June 28, 2010 - A practical tool to learn from defects in patient care. … A practical tool to learn from defects in patient care. … https://psnet.ahrq.gov/issue/practical-tool-learn-defects-patient-care The authors describe a tool for … https://psnet.ahrq.gov/issue/practical-tool-learn-defects-patient-care

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36151/psn-pdf
     September 29, 2010 - Communication and teamwork in patient care: how much can we learn from aviation? … Communication and teamwork in patient care: how much can we learn from aviation? … https://psnet.ahrq.gov/issue/communication-and-teamwork-patient-care-how-much-can-we-learn-aviation … https://psnet.ahrq.gov/issue/communication-and-teamwork-patient-care-how-much-can-we-learn-aviation