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  1. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ancillary.pdf
    March 19, 2014 - this case, a transfer of knowledge has occurred through the processes of situational teaching and learning … A team member, seeing an opportunity for learning, calls the RT team together and discusses the importance … This scenario shows that even those activities that do not result in bad outcomes can be turned into learning … In this case, a debrief using mutual support can provide constructive feedback and result in a learning … Instructor Comments  This scenario shows the lessons learned from changes to facilitate teamwork and learning
  2. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule4.pptx
    March 10, 2006 - So these really are an excellent learning opportunity for the team members. … where people can fairly and honestly talk about mistakes that might have been done, and see this as a learning … effectively resolve the conflict, it can assure that the patient gets good care, but it also provides learning … And this provides, again, an opportunity for learning and for discussion about what's most effective, … To complete this module and receive accreditation, you must return to the TeamSTEPPS Learning Management
  3. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/readiness.pdf
    August 01, 2005 - identified for the effort to devote sufficient time to the project, including time spent on their own learning … staff in your practice/the practice you support have enough flex time during the workday to commit to learning … To prevent disruptions and scheduling issues and to maximize learning, the practice will need to design … Enhancing continuous learning: diagnostic findings from multiple companies.
  4. Safemed Facguide (doc file)

    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
    May 01, 2017 - The key safety elements related to learning from defects for oxytocin administration include— Debriefing … improvement from informal and formal analysis with staff to achieve transparency and organizational learning … The key safety elements of learning from defects are the same as for oxytocin: Debriefing near misses … the informal (debriefing) and formal analysis with staff to achieve transparency and organizational learning
  5. pbrn.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/index.html
    May 01, 2016 - Records Vendors With On-Time Experience Case Studies More Information If you are interested in learning
  6. pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
    April 01, 2023 - Organizational Learning ............................................................................ … It is primarily targeted to individual licensed clinicians for learning and improvement purposes. … Organizational Learning 1. Root Cause Analysis a. … Developing a Reporting Culture: Learning From Close Calls and Hazardous Conditions 3. … Organizational Learning 1. Root Cause Analysis 2.
  7. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
    November 01, 2012 - https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/ MLNProducts/Downloads/wPOA-Fact-Sheet.pdf … _13_FINAL.pdf http://www.nothingleftbehind.org/ https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN … /MLNProducts/Downloads/wPOA-Fact-Sheet.pdf https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN
  8. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
    January 01, 2012 - for Medicare & Medicaid Services; October 2012. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN … national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury/ https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN … /MLNProducts/Downloads/wPOA-Fact-Sheet.pdf https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN
  9. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-role-play-final508.pdf
    April 05, 2018 - Using the discussion prompts (page 3), engage the training group in a learning discussion on what went … Using the discussion prompts (page 3), engage the training group in a learning discussion on what went … Using the discussion prompts (page 3), engage the training group in a learning discussion on what went
  10. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-roleplay-final508.pdf
    April 03, 2018 - Using the discussion prompts (page 3), engage the training group in a learning discussion on what went … Using the discussion prompts (page 3), engage the training group in a learning discussion on what went … Using the discussion prompts (page 3), engage the training group in a learning discussion on what went
  11. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - death. 44% of adverse events were preventable. 5 Following Harm: Not Always Transparent, Not Always Learning … Barriers Fears Litigation Data Bank Shame, blame Reputation Lack of skills Lack of process Benefits Learning … Benefits from an open and transparent culture include: Organizational learning that leads to improvements … of CANDOR Module 1 27 The culture of the CANDOR process provides the opportunity for continuous learning … Organizational learning and sustainment—The organization takes what they have learned from the event
  12. pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/evidencenow-story.pdf
    September 01, 2021 - EvidenceNOW: A Model for Heart Health and Beyond B S A B LDL C S A B HDL LDL C S A B HDL LDL C S A B LDL C S B S A B HDL LDL C S A BHDL LDL C S A B HDL LDL C S A B HDL LDL C S NATIONAL CENTER FOR EXCELLENCE IN PRIMARY CARE RESEARCH EvidenceNOW: A Model for Heart Health and …
  13. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/sbar-inpatient-guide.pdf
    August 31, 2023 - TeamSTEPPS Video Debrief Guide: SBAR on Inpatient Medical Unit TeamSTEPPS Video Debrief Guide: SBAR on Inpatient Medical Unit Video Objective To demonstrate each step of SBAR and emphasize the importance of standard communication and use of the tool. TeamSTEPPS Tool or Concept SBAR. Brief Video Descriptio…
  14. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule8.pptx
    March 28, 2006 - Share the information you know Encourage teamwork and collaboration Encourage personal reflection and learning … Additionally, encourage personal reflection and learning. … This learning step and reflective piece is a step that's often missed or under-emphasized. … short-term wins and really recognizing the folks for those efforts, recognizing that it really is a learning … This will include making adjustments to the change vision and strategy to reflect the new learning and
  15. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
    August 31, 2017 - Learning Methodology Checklist · Large group discussion · PowerPoint slide presentation Additional … First, adult learning theory suggests that adults learn best through methods that build on their own … Slide 32 SAY: Because individuals have different learning styles and are at different levels of practice
  16. pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
    June 19, 2018 - Organizational Learning—Continuous Improvement (Strongly Disagree, Disagree, Neither Agree nor Disagree … Organizational Learning—Continuous Improvement 11.
  17. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
    March 01, 2010 - ‹#› During this course, the Participant Workbook will be your primary tool for completing all the learning
  18. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule7.pptx
    November 02, 2018 - TeamSTEPPS 2.0 Module 7: Summary: Pulling It All Together Module 7: Pulling It All Together Online Master Trainer Course Welcome to the Welcome to module seven of the TeamSTEPPS 2.0 online master trainer course, pulling it all together. This is Dr. Brigetta Craft, and I'll be guiding you through this module.…
  19. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
    May 01, 2017 - , multidisciplinary review of actual EFM strips from past patients for the purposes of teaching and learning … Another option is a regular forum with a multidisciplinary team that uses formal tools or analysis for learning … debriefings or formal analysis is shared with staff to achieve transparency and enhance organizational learning
  20. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
    May 01, 2017 - for Perinatal Care Safe Medication Administration AHRQ Publication No. 17-0003-19-EF May 2017 1 Learning … improvements from informal and formal analysis with staff to achieve transparency and organizational learning … the informal (debriefing) and formal analysis with staff to achieve transparency and organizational learning

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