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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
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/amindbrf_0.pdf
September 29, 2017 - AHRQ Research and Other Activities Relevant to American Indians and Alaska Natives
American Indian and Alaska Native
(AI/AN) people continue to have
disproportionately higher rates of illness
and higher mortality rates when
compared with other Americans.
AI/ANs die at higher rates than other
Americans from tuberculos…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2020_hp_chartbook.pdf
January 01, 2020 - 2020 CAHPS Health Plan Survey Database Chartbook
THE CAHPS DATABASE
2020 CAHPS Health Plan Survey Database
2020 Chartbook
What Consumers Say About Their Experiences With Their
Health Plans and Medical Care
This document is in the public domain and may be used and reprinted without permission in the United St…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2019_hpchartbook.pdf
January 01, 2019 - 2019 CAHPS Health Plan Survey Database Chartbook
THE CAHPS DATABASE
2019 CAHPS Health Plan Survey Database
2019 Chartbook
What Consumers Say About Their Experiences With Their
Health Plans and Medical Care
This document is in the public domain and may be used and reprinted without permission in the United …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
November 06, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time
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Slide
AHRQ’s Safety Program for Nursing
Homes: On-Time Falls Prevention
Facilitator Training: Overview of
On-Time
T…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-091317.pptx
January 01, 2017 - Slide 1
Maintaining the Gains of The TeamSTEPPS Program (Part 3 of 3)
Wednesday, September 13, 2017
TEAMSTEPPS 05.2
Slide ‹#›
September TeamSTEPPS Monthly Webinar
1
Rules of Engagement
Audio for the webinar can be accessed in two ways:
Through the phone (*Please mute your computer speakers)
Through your com…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
December 15, 2016 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1
Overview
Slide
AHRQ’s Safety Program for Nursing
Homes
On-Time Pressure Ulcer Healing
Facilitator Training
Overview of On-Time
Note: This version of the On-Time
introduction is for training Facilitators who
have not had pre…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Graham_77.pdf
March 05, 2008 - Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory Care
Risk of Concurrent Use of Prescription Drugs with
Herbal and Dietary Supplements in Ambulatory Care
Robert E. Graham, MD, MPH; Tejal K. Gandhi, MD, MPH; Joshua Borus, MD;
Andrew C. Seger, PharmD; Elisabeth Bur…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
April 02, 2008 - The Nature, Characteristics and Patterns of Perinatal Critical Events Teams
The Nature, Characteristics and Patterns
of Perinatal Critical Events Teams
William Riley, PhD; Helen Hansen, PhD, RN; Ayse P. Gürses, PhD; Stanley Davis, MD;
Kristi Miller, RN, MS; Reinhard Priester, JD
Abstract
The Institute …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period
Continuous Respiratory Monitoring and a “Smart”
Infusion System Improve Safety of Patient-Controlled
Analgesia in the Postoperative Period
Ray R. Maddox, PharmD; Harold Oglesby…
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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
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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
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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,
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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.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
September 10, 2013 - I’m new to this process, a rural hospital here in Kansas, and I’m just learning all this.
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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
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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.
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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.
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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
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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