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261. Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
     March 08, 2019 - /NLM • Examining use of IT to establish correct diagnoses by healthcare professionals (e.g., deep learning … and machine learning to help with imaging) … • AHRQ released a patient safety learning lab request for application last year; half of the grants … https://www.ahrq.gov/patient-safety/resources/learning-lab/index.html Federal Interagency Workgroup

262. Implementing Automatic Referral | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/takeheart/training/implementing-automatic-referral/index.html
     April 01, 2023 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Coordination Implementing Hybrid CR To Expand Access and Capacity Original Training Modules Learning … Training Module 7: Troubleshooting Your Automatic Referral System Related Webinars From the TAKEheart Learning … Community TAKEheart Learning Community webinars, held between 2020–2022, featured discussions among … Learning Community webinars relating to the topics covered in the Implementing Automatic Referral training

263. The TAKEheart Initiative | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/takeheart/about/initiative/index.html
     December 01, 2022 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … In addition to its work with recruited Partner Hospitals, TAKEheart hosted a Learning Community  to allow … Over 850 hospitals participated in one or more sessions of the Learning Community that were held between … Visit the Learning Community webinar page to access recordings of all webinars and related materials … If you're interested in learning more or introducing your facility or healthcare team to the TAKEheart

264. Patient-Centered Outcomes Research Trust Fund Strategic Framework (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pcor/pcortf-strategic-framework.pdf
     June 01, 2023 - Transformation of healthcare organizations into learning health systems. 2. … AHRQ intends to invest in the PCOR workforce and learning health system development with the goal of … Digital health technology can support learning health system models to identify patients at high or … stakeholders to improve essential health outcomes AHRQ defines a learning health system as a health … In 2016, AHRQ developed core competencies for the learning health system researcher.

265. Denver Health: How a Safety Net System Maximizes Its Value (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_denver_health.pdf
     April 01, 2019 - system chief executive officers (CEOs) and other C-suite leaders better understand the concept of a learning … Building this understanding is part of the Agency’s ongoing effort to accelerate learning and innovation … Nor is the term “learning health system” widely used yet, even in systems doing this work. … Fostering a Culture of Learning While Denver Health leaders have committed to being data driven, that … Denver Health’s culture of learning encourages staff to speak up and offer ideas both big and small.

266. Appendix A. Details on Scan Data Set, Manual Reviews, Algorithm Classification Methods, and Supplemental Scan Results | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-a.html
     June 01, 2020 - The appendix then provides information on machine learning methods and algorithm accuracy and, last, … Machine Learning Method Details The machine learning algorithm relied on a logistic regression model … To set a threshold in this way, we examined the classification scores produced by the machine learning … Algorithm Accuracy We compared the machine learning algorithm’s classifications against the manual … Machine Learning Algorithm Accuracy Classification Category No. Reviewed Manually True Pos.

267. Six New Jersey Hospitals Reduce Adverse Events With AHRQ Medication Reconciliation Toolkit | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ktcquips85.html
     October 01, 2014 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning … These events were part of a QIO Learning Network established through an AHRQ Knowledge Transfer project … AHRQ QIO Learning Network session activities were held in partnership with Healthcare Quality Strategies … Northwestern Memorial Hospital, developed the MATCH toolkit, and presented information during onsite learning

268. Four Missouri Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ktcquips80.html
     October 01, 2014 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … These events were part of a QIO Learning Network established through an AHRQ Knowledge Transfer project … RN, J.D., Executive Director of Quality, Risk Management, and Patient Safety, "Through the AHRQ QIO learning … AHRQ QIO Learning Network session activities were held in partnership with Primaris. … Northwestern Memorial Hospital, developed the MATCH toolkit, and presented information during onsite learning

269. Comprehensive Unit-based Safety Program: Accelerating the Adoption of Evidence-Based Practices To Prevent Healthcare-Associated Infections (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/learning-health-systems/cusp_summary.pdf
     September 28, 2017 - hospitals by 25 to 40 percent, depending on the type of surgery and surveillance method Promoting Learning … CUSP model demonstrates the contributions of leadership, staff engagement, and culture in building a learning … In these ways, the CUSP implementation projects exemplify the characteristics of learning health systems … Evidence-Based Practices To Prevent Healthcare-Associated Infections Goals Process Results Promoting Learning

270. Connecting the Dots: Improving Unit Safety Culture to Stop HAI | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
     December 01, 2017 - from each component of safety culture Image: Pyramid with five levels from top to bottom: HRO, Learning … 9 , 10 Identify areas of culture in need of improvement: Identify impairments in organizational learning … Support (H) Manager Actions (U) Feedback & Communication (U) Organizational Learning (U) Overall … In this department, we discuss ways to prevent errors from happening again. 59% Slide 37 Learning … Culture: Organizational Learning—Continuous Improvement Learning Tools: Briefs, Huddles, Debriefs;

271. Five Nebraska Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Across Care Settings | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ktcquips82.html
     October 01, 2014 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning … These events were part of a QIO Learning Network established through an AHRQ Knowledge Transfer project … AHRQ QIO Learning Network session activities were held in partnership with CIMRO. … Northwestern Memorial Hospital, developed the MATCH toolkit, and presented information during onsite learning

272. Research Agenda | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.html
     September 01, 2021 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Reporting and Systems Learning (communication, debrief, and review). 23 In 2021, they included a fifth … Evaluate the impact of experiential learning, such as simulation, on teamwork culture and relationships … Synthesize learning from State/national repositories. … Learning from when events go well (Safety-II) is crucial to improving systems. 49 Collect and synthesize

273. About Advancing Heart Health | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/evidencenow/projects/heart-health/about/index.html
     April 01, 2021 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Goals Components The EvidenceNOW Model: Providing External Support for Primary Care Building Learning … Shared learning collaboratives. Expert consultation. Data feedback and benchmarking. … Building Learning Health Systems in Primary Care EvidenceNOW: Advancing Heart Health supports the … evolution of primary care practices into learning health systems that continuously learn from available

274. Lessons Learned From IMPaCT About PCEPs | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/lessons.html
     October 01, 2015 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Implementing QI capacity-building strategies, including learning communities. … the construction and reframing of meaning.” 5 Technical assistance efforts, particularly structured learning … Structured peer-to-peer learning improved capacity at all levels of primary care transformation support … This was true for QI activities within practices, as well as for the North Carolina Regional Learning

275. State at a Glance: Utah | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/demostates/ut.html
     March 01, 2019 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Evaluation Highlight No. 13: How did CHIPRA quality demonstration States employ learning collaboratives … coordinator, employed by the practice and partially funded by the CHIPRA grant, who participates in learning … The practices participate in annual learning collaboratives focused on medical home topics including … tradition of engaging pediatric and family medicine practices throughout Utah in quality improvement learning

276. State at a Glance: North Carolina | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/demostates/nc.html
     March 01, 2019 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … How are CHIPRA demonstration States approaching practice-level quality measurement and what are they learning … Evaluation Highlight No. 13: How did CHIPRA quality demonstration States employ learning collaboratives … to collect, test, and report on the initial core set of quality measures for children, while using a learning … During an 18-month learning collaborative, North Carolina will work with selected family and pediatric

277. Overview | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/overview.html
     October 01, 2017 - Training and Learning Network Webinars Appendix D. … The training supports adult learning and allows participating staff to immediately apply their new knowledge … Learning Methodology Checklist. Materials Checklist. Additional Related Training Resources. … Supplementary Webinars: These 12 recorded webinars (four training webinars and eight Learning Network … The Learning Network webinars are intended for use by relevant staff on an as-needed basis.

278. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/identify/notes.html
     December 01, 2012 - Learning From Defects and Sensemaking Slide 18. Learning From Defects Overview Slide 19. … Return to Contents   Slide 17: Learning From Defects and Sensemaking Say: Learning from defects … Return to Contents   Slide 18: Learning From Defects Overview Say: Learning from defects often … Return to Contents   Slide 21: Learning From Defects: Four Questions Say: When learning from … Sensemaking and learning from defects are ongoing processes.

279. Overview of the National Action Alliance for Patient and Workforce Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/action-alliance/overview/index.html
     February 01, 2024 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … The National Action Alliance is a voluntary learning community intended to support improvements across … The learning of the National Action Alliance will build upon recognized frameworks such as  Safer Together … culture, leadership, and governance; patient and family engagement; workforce safety; and creation of learning

280. AHRQ-Sponsored Continuing Education Activities | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/education/continuing-ed/index.html
     November 01, 2023 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Leaders and Professionals can be taken for free continuing education credit on The Joint Commission's learning … To obtain the modules to run on your own learning management system, email your request to:  healthliteracy … Modules (Select Professional Education and Training )—Physicians and nurses can earn CE credits while learning