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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - But I learned a lot. … I learned from the experience that big change is hard, and sometimes it takes a long time, and
it can … Are there any lessons learned in this area that you want to share
that perhaps can expedite the process … So what I've learned is, as I said, some
things take a lot of time.
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www.talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/guide.html
October 01, 2017 - Slide 2
Say: Up to this point, you have:
Learned about reasons for implementing a Fall Prevention … They learned that some staff believed it was rude to have conversations in front of the patients.
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www.talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
July 01, 2023 - Skip to main content
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/mdstateataglance.pdf
March 01, 2012 - Maryland State at a Glance
…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/mestateataglance.pdf
March 01, 2012 - Maine State at a Glance
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-1-instructors-guide.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 1: Instructor’s Guide to Using the PCPF Curriculum
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Primary Care
Practice Facilitation
Curriculum
Module 1: Instructor’s Guide to Using the PCPF Curriculum
…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/orstateataglance.pdf
March 01, 2012 - Oregon State at a Glance
…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
September 02, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief
Issue Brief 10
Reinforcing the Value and Roles
of Nurses in Diagnostic Safety:
Pragmatic Recommendations
for Nurse Leaders and Educators
PATIENT
SAFETY
e
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e
Issue Brief 10
Reinforcing the Va…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-7/share-tool7.pdf
April 01, 2014 - Tool 7, The SHARE Approach, Taking Steps Toward Cultural Competence: A Fact Sheet
The SHARE Approach
Taking Steps Toward Cultural
Competence: A Fact Sheet
Workshop Curriculum: Tool 7
The SHARE Approach is a 1-day training program developed by the Agency for Healthcare Research
and Quality (AHRQ) to help health c…
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www.talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
March 01, 2017 - E xcellent communication skills learned.
A ssess what's working and plan to expand.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/nm-statesum.pdf
July 01, 2015 - CHIPRA - Spotlight on New Mexico
July 2015
This brief highlights the major strategies, lessons learned
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/scstateataglance.pdf
March 01, 2012 - South Carolina State at a Glance
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/gastateataglance.pdf
March 01, 2012 - Georgia State at a Glance
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Understand the Science of Safety for Perinatal Safety
Understand the Science of Safety for Perinatal Safety
SAY:
The Understand the Science of Safety module of the AHRQ Safety Program for Perinatal Care discusses the importance of understanding system design, safe design principl…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-23-documenting-work-with-practices.pdf
September 01, 2015 - predictions
Act: Describe what modifications will be made to the plan for the next cvcle based on what you learned … predictions
Act: Describe What modifications will be made to the plan for the next cycle based on what you learned
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module6/6-ts-office-support-ig.pptx
January 20, 2006 - solution that all parties can live with;
Frame problems in terms of personal experience and lessons learned … TeamSTEPPS—communication, leadership, situation monitoring, and mutual support—what will you do with what you have learned
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Are claims and lawsuits tracked and analyzed for lessons learned?
k. … Are claims and lawsuits tracked and analyzed for
lessons learned?
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-southwest.pdf
November 01, 2017 - the findings to key local, regional, and national stakeholders,
including sharing ongoing lessons learned
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
May 01, 2007 - Just Culture Webcast Presentation
University of North Carolina Health System
13
Celeste Mayer, PhD
University of North Carolina Health Care
System, Chapel Hill, NC
UNC Medical Center
• Public Academic Medical Center
• Memorial, Children’s, Neurosciences, Women’s and
Cancer Hospital
• ~850 beds
• Chapel Hill, N…
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www.talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - Bundle:
T eam formation to plan and implement the program E xcellent communication skills learned A