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8001. TeamSTEPPS 2.0 Course Management Guide (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/coursemgmt-cx062819.pdf
      January 01, 2007 - The Pocket Guide is used to reinforce learning and support discussions. … Selecting Coaches Learning does not stop after the completion of the course. … Review the goals of each learning module and practical exercise. … Adults learn best when they are involved in the learning process. … The adult learning model is built around the concept of self-learning.

8002. TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 3 (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-3-situation-monitoring-facilitator-guide.pdf
      June 28, 2023 - It provides a handy overview of the program and the learning objectives of this training. … SECTION II: MODULE OVERVIEW Situation Monitoring - Shared Mental Model Learning Objectives: … or Discuss importance of TeamSTEPPS video-based scenario team training and the learning objectives … Pause and answer questions participants have on the learning objectives or agenda. … Learning Objectives: 1.

8003. Affinity-Group-Innovations-Improve-Cr (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-group-innovations-improve-cr.pdf
      February 13, 2023 -  Learning Community Affinity Groups will continue to be offered regularly on priority topics. … Events are open to anyone but participants are encouraged to join the TAKEheart Learning Community …  Purpose of Today’s Call:  Continue process of learning and sharing with each other  Focus of

8004. Creating Safety in the Testing Process in Primary Care Offices (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
      February 19, 2008 - The most common resilience properties were top-level commitment and a learning culture applied to work … • Learning culture: Issues, problems, events, and errors are handled with an eye toward repair and … The main resilience property found in these safety practices was the use of a learning culture. … The consistent resilience properties we found were a top-level commitment and a learning culture. … When problem solving prevents organizational learning.

8005. Spotlight on Massachusetts -- 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-massachusetts-state-snapshot.pdf
      January 01, 2018 - Through a learning collaborative, the State educated the practices on the medical home model and provided … Practices each received $1,150 per month to support their work in the learning collaborative. … are CHIPRA demonstration States ap- proaching practice-level quality measurement and what are they learning … • Evaluation Highlight No. 13: How did CHIPRA quality demonstration States employ learning collaboratives … of core measures for families and providers, findings from the patient experience survey, and the learning

8006. Suggested Timeline for Implementation (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/timeline-tasks.pdf
      June 01, 2021 - Activities for Frontline Providers Week 14 Changing the System To Improve Antibiotic Safety Learning … Antibiotic Decision Making Form Each Antibiotic Stewardship Team member should complete a Learning … Continue to collect and analyze data using the Monthly Data Collection Form Introduce the Learning … the analyzed data from the Monthly Data Collection Form • Use the Staff Safety Assessments and Learning … Monthly • Learning From Antibiotic Adverse Events Form. Discuss quarterly.

8007. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-checklist.docx
      January 01, 2017 - Foster organizational learning and actively participate in the process of learning from defects 17

8008. Implementing a Staff Vaccination Program in Your Nursing Home (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/implement-staff-vaccination-program.pdf
      March 01, 2022 - Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs • Learning … https://www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/covid19-vaccine-confidence-learning-guide-leadership.pdf … https://www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/covid19-vaccine-confidence-learning-guide-leadership.pdf … www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/covid19-vaccine-confidence-curriculum-learning-guide-staff.pdf … www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/covid19-vaccine-confidence-curriculum-learning-guide-staff.pdf

8009. Overview of the Long-Term Care Safety Toolkit Modules and Nursing Home Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/overview.html
      March 01, 2017 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Program for Long-Term Care: HAIs/CAUTI The Long-Term Care (LTC) Safety Toolkit is designed to support learning … In six learning modules, the toolkit provides concepts and tools that aim to change the way facilities … Organizational Learning Applying Safety Principles Senior Leader Engagement Sustainability

8010. Improving Patient Safety Culture to Provide Safer Care
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-august2016.pptx
      January 01, 2016 - dependence/abuse rates, increase risk assessment compliance) Use Tools to Improve Daily Goals Checklist Learning … Culture CUSP – (Team, culture primer, meetings, test) Morning Briefing Staff Safety Assessment (SSA) Learning … 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® Improving Patient Safety Culture Slide ‹#› CUSP Tool #3: Learning … Share your learning throughout organization TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® Improving

8011. Oregon State at a Glance (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/orstateataglance.pdf
      March 01, 2012 - Oregon is working with eight practice sites in a learning collaborative focused on identifying children … Improvement Partnership and the Oregon Rural Practice‐ Based Research Network to develop a multi‐year learning … One key element of the learning collaborative framework will help practices identify children with special

8012. South Carolina State at a Glance (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/scstateataglance.pdf
      March 01, 2012 - improve care coordination; and implement a medical home model with a behavioral health focus using a learning … The project will use a learning collaborative approach and will focus on the collection of quality measures … The State will use a learning collaborative model that involves semi‐annual meetings, technical assistance

8013. PowerPoint Presentation
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
      August 24, 2015 - Creating a learning organization in which patient harm is reduced through ongoing learning from patient … Creating a learning organization is one of the most important outcomes in the CANDOR process. … Becoming a learning organization supports the goal of preventing similar harm to patients in the future … More information on supporting staff and creating a learning organization will be presented in the remaining … Resolution of an event presents an opportunity for organizational learning and sustainment of change,

8014. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Assemble the Team and Engage Leadership
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-the-team.pptx
      May 01, 2017 - Team and Engage Leadership for Perinatal Safety AHRQ Publication No. 17-0003-2-EF May 2017 1 Learning … Pillars Balanced Scorecard American Organization of Nurse Executives Nurse Manager Leadership Partnership Learning … members feel that their environment supports the interpersonal risk involved in asking for help or learning … Invite input from all team members Encourage team members to contribute Promote active listening and learning … Managing the Risk of Learning: Psychological Safety in Work Teams. In West M, ed. 

8015. Spotlight on Alaska -- 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-alaska-state-snapshot.pdf
      January 01, 2018 - Second, the State used a learning collaborative model to educate the practices about the PCMH and to … Through the learning collaborative, practices developed an understanding of how to use their data to … • Evaluation Highlight No. 13: How did CHIPRA quality demonstration States employ learning collaboratives … subset of Child Core Set measures to drive quality improvement at the practice level (through the learning

8016. The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
      February 23, 2008 - errors are viewed as opportunities to improve the system.2 A voluntary reporting system that emphasizes learning … six CAHs to conduct RCAs within their organizations to further model this practice that supports a learning … Although we engaged and educated about numerous practices to support teamwork and a learning culture … However, a reporting culture must interact with just, flexible, and learning cultures. … Learning from failure in health care: Frequent opportunities, pervasive barriers.

8017. Applying CUSP To Promote Safe Surgery (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
      December 01, 2017 - ........................................................................................ 5 Step 4: Learning … —Safety Team Leader Step 4: Learning From Defects Through Collective Sensemaking Once defects are … We recommend learning from at least one defect a quarter. … We went through the Learning From Defects Through Sensemaking process at our next monthly meeting. … You will find a real-time identification of defects and real-time system of learning.

8018. Introduction | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tint.html
      October 01, 2014 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … populations, the Agency for Healthcare Research and Quality (AHRQ) developed the Medicaid Care Management Learning … The Learning Network seeks to provide expertise to participating States in four areas critical to ensuring … This Medicaid Care Management Guide reflects the experiences of the initial 13 Learning Network States … In this Guide, we share the experiences of the initial 13 Learning Network States from 2005 through 2007

8019. Spotlight on Oregon -- 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-oregon-state-snapshot.pdf
      January 01, 2018 - Through a learning collaborative, the State also educated practices on the PCMH model and provided … medical homes, Oregon identified ways to improve quality reporting and QI strategies, such as hosting a learning … For example, Oregon developed a guidebook for practices on how to run a learning cycle focused on patient … • Evaluation Highlight No. 13: How did CHIPRA quality demonstration States employ learning collaboratives

8020. Maryland State at a Glance (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/mdstateataglance.pdf
      March 01, 2012 - one of the 10 grantees, Maryland is working with Georgia and Wyoming in an innovative multi‐State learning … its partner States implemented the project planning tool developed by CHCS as part of its Quality Learning … questions about the implementation and outcomes of their efforts including:  How did the multi‐State learning