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2561. Diagnostic Safety Resource List (pdf file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
      May 01, 2023 - Developing a Reporting Culture: Learning From Close Calls and Hazardous Conditions https://psnet.ahrq.gov … Calibrate Dx to provide clinicians with guidance for evaluating diagnostic performance for the purposes of learning … Referrals in the EHR Era Communicating Critical Test Results Toolkit Developing a Reporting Culture: Learning … Developing a Reporting Culture: Learning From Close Calls and Hazardous Conditions 3.

2562. TeamSTEPPS Limited English Proficiency Module: Course Evaluation (pdf file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepcourseeval.pdf
      July 25, 2012 - TeamSTEPPS Limited English Proficiency Module: Course Evaluation COURSE EVALUATION Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) Location: Date: Response scale: 1=strongly disagree, 2=somewhat disagree, 3=neither agree nor disagree, 4=somewhat agree, 5=…

2563. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
      May 01, 2017 - Learning from defects includes using both informal and formal processes that seek to understand rather … The L&D unit can decide its approach to learning from defects based on seriousness of event, expertise … adverse outcomes using formal methods of analysis reviewed in prior presentations can be used for learning … informal and formal debriefings and analysis with staff to achieve transparency and organizational learning

2564. The SHARE Approach, Tool 4: Health Literacy Shared Decisionmaking (pdf file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-4/share-tool4.pdf
      April 01, 2014 - Review of adult learning and literacy (vol. 7) (pp 175–204).

2565. Improving Rates of Repeat Colorectal Cancer Screening in Community Health Centers (pdf file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/baker_crc_screening.pdf
      January 01, 2014 - Improving Rates of Repeat Colorectal Cancer Screening in Community Health Centers Research Centers for Excellence in Clinical Preventive Services Working to get the right services, to the right people, at the right time Improving Rates of Repeat Colorectal Cancer Screeni…

2566. TeamSTEPPS 2.0 Module 2: Team Structure
      cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule2.pptx
      February 09, 2006 - Learning about properly forming a team is essential to creating an effective teamwork environment. … As you work through this material, I recognize that not only are you learning the material, you're learning … They should strive to create a learning culture, where there's trust and transparency, where it's safe … To complete this module and receive accreditation, you must return to the TeamSTEPPS Learning Management

2567. The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families (pdf file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-appc-final508.pdf
      April 13, 2018 - Teach-Back Interactive Module The Teach-back interactive module is a self-directed, self-paced learning … Practice The teach-back strategy includes a training guide, slides, role play scenarios, an interactive learning

2568. Monitoring for Perinatal Safety: Electronic Fetal Monitoring (pdf file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
      May 01, 2017 - multidisciplinary review of actual EFM strips from past patients for the purposes of teaching and learning … Another option is a regular forum with a multidisciplinary team that uses formal tools or analysis for learning … analysis is shared with staff, and with whom, to achieve transparency and enhance organizational learning … Learning Objectives Slide 3. Electronic Fetal Monitoring Slide 4.

2569. Microsoft PowerPoint - 20080808 TeamSTEPPS-RRS_Instructor Guide.ppt (pdf file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsacknowledgments.pdf
      October 30, 2009 - developing an evidence-based framework, providing validated measurement tools, incorporating adult-learning

2570. Teamcheckup (doc file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/teamcheckup.doc
      August 07, 2012 - improvement skills on our team. 7 We perform a unit analysis for each incident using the Learning

2571. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part II (pdf file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
      January 01, 2023 - Organizational Learning – Continuous Improvement 94% 93% 91% 91% 90% 2. … Organizational Learning – Continuous Improvement 93% 92% 90% 91% 93% 92% 93% 89% 91% 2. … Organizational Learning – Continuous Improvement 90% 98% 88% 99% 97% 88% 90% 88% 93% 2. … Organizational Learning – Continuous Improvement 94% 91% 90% 94% 2. … (Item C2) 93% 85% 80% 90% Learning, rather than blame, is emphasized when mistakes are made.

2572. TeamSTEPPS 2.0 Module 4: Leading Teams
      cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule4.pptx
      March 10, 2006 - So these really are an excellent learning opportunity for the team members. … where people can fairly and honestly talk about mistakes that might have been done, and see this as a learning … effectively resolve the conflict, it can assure that the patient gets good care, but it also provides learning … And this provides, again, an opportunity for learning and for discussion about what's most effective, … To complete this module and receive accreditation, you must return to the TeamSTEPPS Learning Management

2573. Reducing Disparities in the Primary Prevention of Cardiovascular Disease (pdf file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/persell_cvd_disparities.pdf
      September 18, 2014 - Reducing Disparities in the Primary Prevention of Cardiovascular Disease Research Centers for Excellence in Clinical Preventive Services Working to get the right services, to the right people, at the right time Reducing Disparities in the Primary Prevention of Cardiovascular Disease…

2574. Safemed Facguide (doc file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
      May 01, 2017 - The key safety elements related to learning from defects for oxytocin administration include— Debriefing … improvement from informal and formal analysis with staff to achieve transparency and organizational learning … The key safety elements of learning from defects are the same as for oxytocin: Debriefing near misses … the informal (debriefing) and formal analysis with staff to achieve transparency and organizational learning

2575. TeamSTEPPS Specialty Scenarios: Ancillary Services (pdf file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ancillary.pdf
      March 19, 2014 - this case, a transfer of knowledge has occurred through the processes of situational teaching and learning … A team member, seeing an opportunity for learning, calls the RT team together and discusses the importance … This scenario shows that even those activities that do not result in bad outcomes can be turned into learning … In this case, a debrief using mutual support can provide constructive feedback and result in a learning … Instructor Comments  This scenario shows the lessons learned from changes to facilitate teamwork and learning

2576. EvidenceNOW: A Model for Heart Health and Beyond (pdf file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/evidencenow-story.pdf
      September 01, 2021 - EvidenceNOW: A Model for Heart Health and Beyond B S A B LDL C S A B HDL LDL C S A B HDL LDL C S A B LDL C S B S A B HDL LDL C S A BHDL LDL C S A B HDL LDL C S A B HDL LDL C S NATIONAL CENTER FOR EXCELLENCE IN PRIMARY CARE RESEARCH EvidenceNOW: A Model for Heart Health and …

2577. PowerPoint Presentation
      cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
      January 01, 2014 - death. 44% of adverse events were preventable. 5 Following Harm: Not Always Transparent, Not Always Learning … Barriers Fears Litigation Data Bank Shame, blame Reputation Lack of skills Lack of process Benefits Learning … Benefits from an open and transparent culture include: Organizational learning that leads to improvements … of CANDOR Module 1 27 The culture of the CANDOR process provides the opportunity for continuous learning … Organizational learning and sustainment—The organization takes what they have learned from the event

2578. Selected Best Practices and Suggestions for Improvement (pdf file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
      January 01, 2012 - for Medicare & Medicaid Services; October 2012. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN … national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury/ https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN … /MLNProducts/Downloads/wPOA-Fact-Sheet.pdf https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN

2579. Teach-Back Teach-Back Teach-Back: Role Play Scenarios (pdf file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-role-play-final508.pdf
      April 05, 2018 - Using the discussion prompts (page 3), engage the training group in a learning discussion on what went … Using the discussion prompts (page 3), engage the training group in a learning discussion on what went … Using the discussion prompts (page 3), engage the training group in a learning discussion on what went

2580. Create a Safe Medicine List Together: Role Play Scenarios (pdf file)
      cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-roleplay-final508.pdf
      April 03, 2018 - Using the discussion prompts (page 3), engage the training group in a learning discussion on what went … Using the discussion prompts (page 3), engage the training group in a learning discussion on what went … Using the discussion prompts (page 3), engage the training group in a learning discussion on what went