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8041. 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

8042. 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

8043. 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

8044. 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.

8045. Care Coordination Quality Measure for Primary Care (CCQM-PC) (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/cati-script.pdf
      July 01, 2016 - Care Coordination Quality Measure for Primary Care (CCQM-PC) Care Coordination Quality Measure for Primary Care (CCQM-PC) Computer Assisted Telephone Interview (CATI) Script Interviewer/CATI Programmer Formatting C onventions • CATI programmer instructions appear in [ENG…

8046. 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.

8047. 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

8048. 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

8049. 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

8050. 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

8051. 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

8052. 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

8053. Presenting Facts and Addressing Misinformation to Increase Nursing Home Staff Confidence in the COVID-19 Vaccine (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/covid19-vaccine-confidence-curriculum-learning-guide-staff.pdf
      March 01, 2021 - Acrobat Accessibility Report Accessibility Report Filename: COVID-19 Vaccine Hesitancy Curriculum Learning

8054. 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,

8055. 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. 

8056. 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

8057. 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.

8058. 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.

8059. 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

8060. 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