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461. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part II (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
     January 01, 2023 - Organizational Learning – Continuous Improvement 94% 93% 91% 91% 90% 2. … Organizational Learning – Continuous Improvement 93% 92% 90% 91% 93% 92% 93% 89% 91% 2. … Organizational Learning – Continuous Improvement 90% 98% 88% 99% 97% 88% 90% 88% 93% 2. … Organizational Learning – Continuous Improvement 94% 91% 90% 94% 2. … (Item C2) 93% 85% 80% 90% Learning, rather than blame, is emphasized when mistakes are made.

462. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
     May 01, 2017 - Learning from defects includes using both informal and formal processes that seek to understand rather … The L&D unit can decide its approach to learning from defects based on seriousness of event, expertise … adverse outcomes using formal methods of analysis reviewed in prior presentations can be used for learning … informal and formal debriefings and analysis with staff to achieve transparency and organizational learning

463. TeamSTEPPS 2.0 Module 2: Team Structure
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule2.pptx
     February 09, 2006 - Learning about properly forming a team is essential to creating an effective teamwork environment. … As you work through this material, I recognize that not only are you learning the material, you're learning … They should strive to create a learning culture, where there's trust and transparency, where it's safe … To complete this module and receive accreditation, you must return to the TeamSTEPPS Learning Management

464. Preventing Falls in Hospitals (Slide Presentation) | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinar/slides.html
     June 01, 2018 - Opportunity Continuous Improvement Identifying and addressing process challenges Improving compliance Learning … from near falls and falls that do not involve harm, in addition to learning from falls with harm Slide

465. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
     July 01, 2023 - Electronic Fetal Monitoring Monitoring for Perinatal Safety: Electronic Fetal Monitoring Slide 2: Learning … Objectives Image: This slide shows stair steps for learning objectives: Step 1. … debriefings and from formal analysis with staff to achieve transparency and enhance organizational learning

466. Previous TeamSTEPPS Webinars: 2013 | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/webinars/previous-webinars-2013.html
     August 01, 2017 - Limited English Proficiency (LEP): TeamSTEPPS Laura Maynard, M.Div., the Director of Collaborative Learning

467. Implementation | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/implement.html
     March 01, 2017 - They support learning and implementation efforts to improve safety culture and practices in long-term

468. Acknowledgments | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/rrs/rrsacknowledgments.html
     October 01, 2014 - developing an evidence-based framework, providing validated measurement tools, incorporating adult-learning

469. Previous TeamSTEPPS Webinars: 2016 | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/webinars/previous-webinars-2016.html
     June 01, 2017 - Recognize the importance of a learning needs assessment prior to initiation of training to assess gaps

470. The SHARE Approach, Tool 4: Health Literacy Shared Decisionmaking (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-4/share-tool4.pdf
     April 01, 2014 - Review of adult learning and literacy (vol. 7) (pp 175–204).

471. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
     January 01, 2014 - necessary to identify patterns and trends in patient safety events and to accelerate the process of learning … The North Carolina Quality Center PSO (NCQC PSO) hosts in-person learning sessions once a year, at

472. TeamSTEPPS Limited English Proficiency Module: Course Evaluation (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepcourseeval.pdf
     July 25, 2012 - TeamSTEPPS Limited English Proficiency Module: Course Evaluation COURSE EVALUATION Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) Location: Date: Response scale: 1=strongly disagree, 2=somewhat disagree, 3=neither agree nor disagree, 4=somewhat agree, 5=…

473. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
     November 01, 2017 - More Information If you are interested in learning more about On-Time and would like to talk with someone

474. Labor and Delivery Unit Safety: Slide Presentation | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
     July 01, 2023 - Care Slide 1: AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Slide 2: Learning … Objectives Image: Three ascending steps show the learning objectives: Describe the rationale for … the informal (debriefing) and formal analysis with staff to achieve transparency and organizational learning … ACOG Simulations Consortium Learning Objectives: Postpartum Hemorrhage Caused by Uterine Atony. n.d. … http://www.acog.org/~/media/Departments/Simulations%20Consortium/Learning%20Objectives/Postpartum_Hemorrhage.pdf

475. Databases Used for Health Plan Quality Measures | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/talkingquality/measures/setting/health-plan/databases.html
     July 01, 2015 - SHARE: More topics in this section Talking Quality Plan Your Reporting Project Select Measures To Report Domains of Healthcare Quality Types of Quality Measures Data Sources Key Questions About Measures Measures in Different…

476. 2020 SOPS Medical Office Database Report Executive Summary Overview Infographic (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Infographic.pdf
     January 01, 2020 - Communication About Error Organizational Learning Patient Care Tracking/ Followup Work Pressure

477. Microsoft PowerPoint - 20080808 TeamSTEPPS-RRS_Instructor Guide.ppt (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsacknowledgments.pdf
     October 30, 2009 - developing an evidence-based framework, providing validated measurement tools, incorporating adult-learning

478. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/index.html
     February 01, 2018 - More Information If you are interested in learning more about On-Time and would like to talk with someone

479. Teamcheckup (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/teamcheckup.doc
     August 07, 2012 - improvement skills on our team. 7 We perform a unit analysis for each incident using the Learning

480. Model for Change (Text Description) | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/reference/modelchange1txt.html
     March 01, 2014 - On the organizational level are a) safety culture and transparency/trust and b) systems-efficacy and learning