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psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learnNovember 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.
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psnet.ahrq.gov/issue/exploring-barriers-learning-crisis-organizational-learning-and-crisisJanuary 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?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptxDecember 01, 2017 - PowerPoint Presentation: Learn From Defects Through Sensemaking Learning From Defects Through Sensemaking … 3 Standardize Care Create Independent Checks Learn From Defects Problem-Solving Hierarchy … 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. … A practical tool to learn from defects in patient care.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.htmlJuly 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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docxDecember 01, 2017 - Accessible Facilitator Guide: Learn From Defects for Sustainability Slide Title and Commentary Slide … Dig into the literature to learn how others have faced similar defects. … Keep in mind the principles of safe design: · Standardize care · Create independent checks · Learn from … That momentum will help your team learn from more complex defects and garner resources to address them … Learn from defects on a regular basis.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptxMay 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
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.htmlFebruary 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide AHRQ Safety … Program for Mechanically Ventilated Patients Slide 1: Learn From Defects in Care of Mechanically Ventilated … This module focuses specifically on the fourth step, which is to learn from defects. … Asking people to read, learn, and apply the learning enables people to form memories of the process.
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www.ahrq.gov/sites/default/files/wysiwyg/lhs/how_learning_health_systems_learn.pdfNovember 06, 2019 - How Learning Health Systems Learn: Lessons from the Field Evidence generators Evidence curators … curators Evidence adopters Evidence disseminators Evidence managers How Learning Health Systems Learn … : Lessons from the Field e 1 How Learning Health Systems Learn: Lessons from the Field A … AHRQ conducted site visits at a few leading organizations to learn about the steps they have taken to
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psnet.ahrq.gov/issue/health-system-wont-learn-its-mistakesOctober 26, 2022 - Commentary A health system that won't learn from its mistakes. … A health system that won't learn from its mistakes. … A health system that won't learn from its mistakes.
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www.qualitymeasures.ahrq.gov/talkingquality/plan/your-audience/learn-about.htmlJuly 01, 2011 - Assess Your Reporting Project Resources About TalkingQuality How To Learn … reviewed July 2011 Page originally created February 2015 Internet Citation: How To Learn … https://www.ahrq.gov/talkingquality/plan/your-audience/learn-about.html
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www.cahps.ahrq.gov/talkingquality/plan/your-audience/learn-about.htmlJuly 01, 2011 - Assess Your Reporting Project Resources About TalkingQuality How To Learn … reviewed July 2011 Page originally created February 2015 Internet Citation: How To Learn … https://www.ahrq.gov/talkingquality/plan/your-audience/learn-about.html
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preventiveservices.ahrq.gov/talkingquality/plan/your-audience/learn-about.htmlJuly 01, 2011 - Assess Your Reporting Project Resources About TalkingQuality How To Learn … reviewed July 2011 Page originally created February 2015 Internet Citation: How To Learn … https://www.ahrq.gov/talkingquality/plan/your-audience/learn-about.html
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ce.effectivehealthcare.ahrq.gov/talkingquality/plan/your-audience/learn-about.htmlJuly 01, 2011 - Assess Your Reporting Project Resources About TalkingQuality How To Learn … reviewed July 2011 Page originally created February 2015 Internet Citation: How To Learn … https://www.ahrq.gov/talkingquality/plan/your-audience/learn-about.html
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www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.htmlMay 01, 2017 - 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.
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www.ahrq.gov/data/monahrq/myqi/safety.htmlNovember 01, 2020 - Safety Information for Patients My Quality Improvement (MyQI) Learn what you can do before, during … Learn how to be a more informed patient Learn how to find reliable online health information Top … Be prepared for your hospital stay Learn what to do before being admitted Top Be prepared … Learn about personal medical records Use this tool to create your own personal medical record Top … Tips on how to communicate with your provider Learn the right questions to ask build your own list
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psnet.ahrq.gov/innovations-videoLearn About the Submit an Innovation Process PSNet’s Submit an Innovation feature allows organizations … Watch the video below to learn more about the Submit an Innovation process.
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psnet.ahrq.gov/personalizationLearn About PSNet New User Account Registration Learn more about how to register and create your profile
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psnet.ahrq.gov/cme-videoLearn About PSNet’s CME Without a Fee Learn more about how to take advantage of PSNet’s Continuing
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psnet.ahrq.gov/issue/do-house-officers-learn-their-mistakesApril 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.
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/final-reportJanuary 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
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