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181. Staff Safety Assessment
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
     January 01, 2006 - Form Failure Mode and Effects Analysis Probabilistic Risk Assessment Causal Tree Worksheet 2 3 Learning … From Defects and Sensemaking 17 Learning From Defects Overview Health care providers are adept at … CUSP Tools To Learn From Defects 20 21 Learning From Defects: Four Questions 1. … with others in your state collaborative (pending institutional approval) 30 Communicating the Learning … From Defects Sensemaking and Learning from Defects share several common themes The Learning from Defects

182. The Potential of Psychological Safety and Organizational Safety Culture To Improve Diagnostic Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-2.html
     September 01, 2023 - News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Learning … safety to encourage transparent and open discussion of hazards and errors and to foster innovation and learning … that the team supports the individual, acknowledges and appreciates them for their contribution to learning … an organization; a safety culture fosters a shared commitment to identifying and mitigating risks, learning

183. Diagnostic Safety Grants Awarded in FY 2019 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/research/grants-2019.html
     March 01, 2024 - To create machine learning models that can be used to retrospectively identify patients in whom a diagnostic … An expert-guided machine-learning approach to estimate the incidence, risk and harms associated with … Application of a Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events … refine, test, and apply the Safer Dx Trigger Tools Framework to enable detection, measurement, and learning … To explore machine learning techniques that yield robust, accurate models to predict diagnostic errors

184. Learn From Defects Tool (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
     December 01, 2017 - The appendix has an example case study that helps you understand the learning from defects process and

185. Spotlight on Idaho -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-idaho-state-snapshot.pdf
     January 01, 2018 - Idaho modeled their approach to technical assistance after Utah’s and included group in-person learning … They attended learning collaborative sessions, implemented new care processes (such as developing … • Spread the learning collaborative model to four additional rural practices. … and running learning collaborative sessions, training care coordinators, and offering QI coaching … • IHAWCC planned to continue developing QI capacity and offering learning collaboratives across the

186. Researcher Training and Workforce Development in Methods and Standards for Conducting Patient-Centered Health Outcomes Research Studies | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tcdhs14004.html
     June 01, 2018 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Trust Fund Investments At-A-Glance AHRQ Training Projects Funded by PCOR Trust Fund Learning … The advanced training component creates a national collaborative learning network on new and innovative

187. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center - Intro (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/1-unc-webcast-intro.pdf
     December 18, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … at UNC Medical Center - Intro Implementation of an Event Reporting and Learning System Leads to Improvements

188. newbref
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/slmeasure.pptx
     February 03, 2006 - 05.2 Mod 10 2.0 Page ‹#› Measurement How to Measure - Kirkpatrick Level I – Reactions Level II – Learning … Teamwork Attitudes Questionnaire (T-TAQ) Learning Benchmarks Team Performance Observation Tool Teamwork … 05.2 Mod 10 2.0 Page ‹#› Measurement TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) Level II Learning … Communication TeamSTEPPS Materials and Tools TEAMSTEPPS 05.2 Mod 10 2.0 Page ‹#› Measurement Learning … Benchmarks Level II Learning Found in Tab F A 23-item multiple-choice test Uses: To assess knowledge

189. Model State Enhancement Efforts | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/model.html
     October 01, 2015 - A key focus of the IMPaCT funding in Pennsylvania was to develop two regional learning collaboratives … The collaboratives held four learning sessions to provide practical training to participating practices … North Carolina’s two types of learning collaboratives focused on health care professionals and leaders … North Carolina’s learning collaboratives included steps to identify region and practice priorities and … Two regional Pennsylvania AHEC directors were trained as learning collaborative practice facilitators

190. Measurement (Instructor Guide) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module10/ts2-0ltc_module10_ig_msmt.pdf
     October 18, 2017 - Measurement in TeamSTEPPS • A Model of Training Evaluation • Available Measures (Reactions, Learning … Level II – Learning – Learning is defined at three levels: (1) attitudes (feel), (2) knowledge (know … The Learning Benchmarks for Long-Term Care knowledge test can be used for this purpose. … : TEAM PERFORMANCE OBSERVATION TOOL LEARNING: TEAMSTEPPS TEAMWORK ATTITUDES QUESTIONNAIRE (T-TAQ) LEARNING … : TEAMSTEPPS LEARNING BENCHMARKS LEARNING: TEAM PERFORMANCE OBSERVATION TOOL LEARNING: TEAMSTEPPS TEAMWORK

191. Welcome Guide for Experienced Trainers | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps-program/welcome-guides/experienced-trainers.html
     July 01, 2023 - It is guided by emerging research related to teams, team performance, communication, and adult learning … Active Learning Strategies: The use of passive learning methods (e.g., listening to lectures) is less … If you are reviewing materials on your own, take time to review all the learning options. … The use of active learning methods in the curriculum is designed to foster deeper engagement in the course … Resources for learning are drawn from multiple clinical settings and involve a variety of team members

192. Enhancing Care Coordination | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/takeheart/training/care-coordination/index.html
     April 01, 2023 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Community TAKEheart Learning Community webinars, held between 2020–2022, featured discussions among … Learning Community webinars relating to the topics covered in the Enhancing Care Coordination training … Mary’s Hospital This Learning Community webinar shares care coordination improvement successes, challenges … Brigham and Women's Hospital Daniel Forman , MD, Cardiologist at UPMC Presbyterian and UPMC East This Learning

193. References | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-refs.html
     July 01, 2023 - Deep learning to improve breast cancer detection on screening mammography. … Automated identification of diabetic retinopathy using deep learning. … Direct-to-consumer medical machine learning and artificial intelligence applications. … Active Learning Applied to Patient-Adaptive Heartbeat Classification. … Cardiac arrhythmia detection using deep learning: a review.

194. Health Care Simulation to Advance Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
     August 01, 2018 - Optimizing learning conditions Simulations have the advantage of creating conditions that optimize … the learning process. … Much of learning in the actual clinical environment occurs sporadically. … The creation of optimal conditions for learning refers to the purposeful manipulation and programming … Return to Contents The Concept of Mastery Learning Mastery learning is a rigorous and structured

195. Workshop A4 & B4: Building a Multi-Organizational QI Support System
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/pa-spread-impact.pptx
     September 01, 2014 - Educated practices about Patient Centered Medical Home Chronic Care Model Learning Collaborative … Model: Rapid Cycle Tests of Change Source: Institute for Healthcare Improvement Learning Sessions … The collaborative consisted of four quarterly Learning Sessions held in the evenings in each region. … The focus of each Learning Session was as follows: Learning Session 1 Learning Session 2 Learning Session … Statewide Practice Facilitator Forum to foster networking and learning among all facilitators working

196. PCOR Trust Fund Investments At-A-Glance | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/pcor/at-a-glance/index.html
     March 01, 2024 - Most recently, AHRQ and PCORI co-funded Learning Health System Embedded Scientist Training and Research … Grantees will create new models of learning health system infrastructure that will use evidence generated … AHRQ uses learning collaboratives among grantees to share valuable lessons, resources, curriculum, and … A learning culture requires careful analysis of the portfolio, from the mix of project types, targets … Becoming a learning portfolio will enhance the Agency's adaptability to change; increase capacity for

197. Practice Improvement Initiatives | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/practiceimprovement/initiatives.html
     September 01, 2019 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Learning Health Systems Becoming a learning health system is a journey characterized by strong leadership … effective use of data in the clinical setting, and a culture and workforce committed to continuous learning … providing training and tools to help healthcare delivery organizations of every size move towards becoming learning

198. Conclusion | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety5.html
     September 01, 2022 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Diagnostic Process Recognizing and Supporting Nurses in Diagnostic Safety Using Patient Cases for Learning … diagnostic safety resources and integrating contemporary recommendations and efforts with available learning … obtained from the literature, online sources, and organizations’ data sources can be included in any learning … modality and can enhance learning, initiate discussion about diagnostic safety, and promote efforts

199. References | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-ref.html
     September 01, 2023 - Psychological safety and learning behavior in work teams. Adm Sci Q 1999;44(2):350-383. … Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. … Creating a learning health system for improving diagnostic safety: pragmatic insights from U.S. health … Transitioning to peer learning: lessons learned. J Am Coll Radiol 2021 Mar;18(3 Pt B):499-506. … Practice inquiry: clinical uncertainty as a focus for small-group learning and practice improvement.

200. Grants to Enable Diagnostic Excellence | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
     January 01, 2021 - To create machine learning models that can be used to retrospectively identify patients in whom a diagnostic … An expert-guided machine-learning approach to estimate the incidence, risk and harms associated with … Application of a Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events … refine, test, and apply the Safer Dx Trigger Tools Framework to enable detection, measurement, and learning … To explore machine learning techniques that yield robust, accurate models to predict diagnostic errors