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101. Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/preventing-clinical-deterioration-long-desc.html
     January 01, 2025 - Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients … AHRQ Patient Safety Learning Laboratories Annual Meeting. Rockville, MD, September 2023. … AHRQ Patient Safety Learning Laboratory Networking Conference (virtual).   … Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients. … Patient Safety Learning Labs: what are we actually learning.

102. Webinar Agenda: Veterans Health Administration’s Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-agenda.pdf
     September 26, 2023 - Veterans Health Administration’s Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning … Veterans Health Administration’s Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning … What are the learning opportunities established to sustain the cultural change? 3.

103. Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Overview of NYP Patient Narrative Reporting Project (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-shaller.pdf
     June 02, 2025 - Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Overview of … Agency for Healthcare Research and Quality (AHRQ) Cooperative Agreement #2U18HS016978 Background: Learning … ambulatory patient experience surveys • Practice leaders, staff and clinicians face challenges in learning … from and using patient narratives to effect change • Optimal learning requires structured supports … comment updates 22 Overview of NYP Patient NarrativeReporting Project Acknowledgements Background: Learning

104. Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
     January 01, 2025 - Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from … Key Words: Diagnostic error, machine learning 2. … Machine Learning to Enhance Electronic Detection of Diagnostic Errors. … The elements of statistical learning: data mining, inference, and prediction. … A discussion of semi-supervised learning and transduction in Semi-supervised learning 2006 (pp. 473-478

105. Key Driver 6: Nurture Leadership and Create A Culture of Continuous Learning and Evidence-Based Practice | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/tools/keydrivers/nuture-leadership.html
     November 01, 2018 - Key Driver 6: Nurture Leadership and Create A Culture of Continuous Learning and Evidence-Based Practice … Encourage learning about new evidence and best practices Leaders who are committed to ensuring that … people receive the most up-to-date care embrace learning as an organizational value. … Leaders create a learning atmosphere by freeing up bandwidth for staff to take advantage of learning … Identify and support champions for learning, evidence-based practice, and quality improvement within

106. Four New York Providers Use AHRQ Medication Reconciliation Toolkit to Improve Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips86.html
     October 01, 2014 - 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning … These events were part of a QIO Learning Network established through an AHRQ Knowledge Transfer project … AHRQ QIO Learning Network session activities were held in partnership with IPRO. … Northwestern Memorial Hospital, developed the MATCH toolkit, and presented information during onsite learning … Impact Case Study Identifier: KT-CQuIPS-86 AHRQ Product(s): MATCH Toolkit, QIO Learning

107. Six Texas Hospitals Improve Care With AHRQ Medication Reconciliation Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips87.html
     October 01, 2014 - 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning … These events were part of a QIO Learning Network established through an AHRQ Knowledge Transfer project … AHRQ QIO Learning Network session activities were held in partnership with TMF Health Quality Institute … Northwestern Memorial Hospital, developed the MATCH toolkit, and presented information during onsite learning … Impact Case Study Identifier: KT-CQuIPS-87 AHRQ Product(s): MATCH Toolkit, QIO Learning

108. Engineering High Reliability Learning Lab (EHRLL) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
     April 01, 2022 - Engineering High Reliability Learning Lab (EHRLL) Principal Investigator:  Sara Singer, Ph.D. … MA AHRQ Grant No.:  HS24453 Project Period:  09/30/15–09/29/21 Description:  The goal of this learning … The specific aims were to: Build a shared infrastructure that comprised an administrative/learning … Through their self-evaluation, 4 researchers showed how a patient safety learning lab can help foster … Progress Report: Engineering Highly Reliable Learning Lab.

109. Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Impact of the Intervention on Patient Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-schlesinger.pdf
     April 01, 2022 - Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Impact of the … Analyzing Impact of Intervention on Patient-Reported Experiences • Inferences About Narrative Impact, Learning … Relatively Short-term Assessment and Limited Diffusion ► Patient Narratives Enhanced Most Forms of Staff Learning … ► Feedback of Patients Narratives Encouraged Learning and Behavior Change ► Feedback of Patient Narratives

110. Meeting Minutes, November 2017 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
     February 01, 2018 - Summary Report Director's Update The Healthcare Cost and Utilization Project (HCUP) Update on Learning … Health System Update on AHRQ's Patient Safety Learning Laboratories Further Discussion with the … Funding the Next Generation of Learning-Health-System Researchers. … Return to Contents Update on Learning Health System Jaime Zimmerman, M.P.H., PMP, Program Analyst … The AHRQ Research Summit on Learning Health Care Systems Ms.

111. Final Progress Report: Engineering Highly Reliable Communication and Coordination Systems for High-Risk Patients, Referrals, and Tests (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/singer-benneyan-phillips-report.pdf
     January 01, 2025 - Key Words: patient safety, systems engineering, learning laboratory, organizational learning Purpose … lab, their team’s learning, and participants’ individual learning. … for new learning labs. … The AHRQ patient safety learning laboratories - What are we learning? … The AHRQ patient safety learning laboratories - What are we learning?

112. Amplify Your Impact on Child Health Care Quality: Learning from the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/amplify-impact-webinar.pdf
     June 01, 2017 - Amplify Your Impact on Child Health Care Quality: Learning from the CHIPRA Quality Demonstration Grant … Program Amplify Your Impact on Child Health Care Quality: Webinar Learning from the CHIPRA Quality … Non-demonstration states and partner organizations • Support: Team of experts, State peer-to-peer learning … • Peer networking • Alignment with other strategies Learning collaboratives • Tailor efforts to … 1919 Supporting Provider-Level Improvement • CHIPRA State strategies – Technical support • Learning

113. Impact of a pediatric-focused medical home learning collaborative on preventable emergency department visits by publicly-insured children in Massachusetts (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-medical-home-academyhealth.pdf
     December 12, 2015 - Impact of a pediatric-focused medical home learning collaborative on preventable emergency department … visits by publicly-insured children in Massachusetts Impact of a pediatric-focused medical home learning …  Comprehensive  Coordinated  Accessible  Committed to quality and safety Pediatric PCMH Learning … Children’s Health Insurance Program Reauthorization Act (CHIPRA) Quality Demonstration Grant • Learning … Did participation in the learning collaborative reduce preventable ED use by children in the intervention

114. About Advancing Heart Health | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/projects/heart-health/about/index.html
     April 01, 2021 - Goals Components The EvidenceNOW Model: Providing External Support for Primary Care Building Learning … The TAC developed an online learning network for sharing best practices and problem-solving common challenges … Shared learning collaboratives. Expert consultation. Data feedback and benchmarking. … Building Learning Health Systems in Primary Care EvidenceNOW: Advancing Heart Health supports the … evolution of primary care practices into learning health systems that continuously learn from available

115. Learning Module: Pagsuporta sa Pang-Damdamin na Kalusugan ng mga Residente | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/tg/learning-modules/health-learning.html
     December 01, 2022 - Learning Module: Pagsuporta sa Pang-Damdamin na Kalusugan ng mga Residente Tutulungan ka ng video

116. How To Use Educational Bundles | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/how-to-use-bundles.html
     March 01, 2017 - The training videos (when available) can be used in person or for independent learning. … Supplemental activities are intended to reinforce learning and may take additional time.

117. How Patient Narratives Can Support Your Patient Experience Strategy (Webcast) - Grob (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/03-pt-narratives-support-px-strategy-grob.pdf
     June 02, 2025 - How Patient Narratives Enable Improvement: A Narrative About Narratives Rachel Grob, PhD 13 Learning … Deepen understanding of and relationships with patients • Suggest solutions • Promote deeper group learning … How Patient Narratives Enable Improvement: Conceptual Model Derived from Middle Managers Learning Phase … Learning from patient narratives Facilitate agenda planning and execution Deepen operational … Focus staff attention on positive practices and improvement opportunities Promote deeper group learning

118. New York Hospitals Use AHRQ Toolkit to Revise Protocol for Preventing Blood Clots | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips99.html
     October 01, 2014 - after their State Quality Improvement Organization (QIO), IPRO, participated in a series of onsite learning … AHRQ's QIO Learning Network hosted the onsite sessions and calls between January and September 2011. … AHRQ-funded research provided the basis for the VTE prevention toolkit, presented information during the learning … Additional New York hospitals that improved VTE prophylaxis after participating in onsite learning sessions … KT-CQuIPS-99 AHRQ Product(s): Partnerships in Implementing Patient Safety (PIPS), QIO Learning

119. Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-3.html
     September 01, 2023 - Safety in Reporting and Discussing Diagnostic Error Specific Barriers and Challenges to Reporting and Learning … Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Learning … Organizational Safety Culture To Improve Diagnostic Safety Specific Barriers and Challenges to Reporting and Learning … still have potential solutions that can be achieved given a safe and supportive environment open to learning

120. Georgia Hospitals Improve Medication Reconciliation Process With AHRQ Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips90.html
     October 01, 2014 - Toolkit Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning … Northwestern Memorial Hospital, developed the MATCH toolkit and presented information during onsite learning … These events were part of a QIO Learning Network established through an AHRQ Knowledge Transfer project … improved medication reconciliation from February through November 2011 after participating in onsite learning … Impact Case Study Identifier: KT-CQuIPS-90 AHRQ Product(s): MATCH Toolkit, QIO Learning