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161. NAA National Webinar August 2024 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-august-2024.pdf
     January 01, 2024 - Workforce Safety Strengthen safety competencies Empower the patient’s voice Safety by design Learning … Facilitate Learning and Research Network • Encourage learning and sharing across the network​ • Spotlight … and Working Environment - Clinical Learning Environment Review (CLER) Pathways to Excellence v. 3.0 … - concrete https://www.ihi.org/insights/learning-patient-safety-culture-turning-fog-concrete https:/ … /www.ihi.org/insights/learning-patient-safety-culture-turning-fog-concrete © 2023-2024 University

162. Overview of TAKEheart Training Curriculum & Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/training/index.html
     February 01, 2023 - Related Webinars Leveraging Data To Enhance Your Cardiac Rehab Program This Learning Community … Maximizing Physician Support for Cardiac Rehabilitation This Learning Community webinar was designed … Innovations That Can Improve Your Cardiac Rehabilitation Program This Learning Community webinar … Coping with Staffing Challenges in Today's Cardiac Rehabilitation Programs This Learning Community … Operational Adjustments While Resuming In-Person Cardiac Rehabilitation Programs This Learning

163. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=4
     January 01, 2024 - Publication Date: January 2020 Optimizing Safety of Mother and Neonate in a Mixed Methods Learning … Number: P30 HS 023506 Topic(s): Human Factors Approaches To Improve Patient Safety, Patient Safety Learning … , Human Factors Approaches To Improve Patient Safety, Patient and Family Engagement, Patient Safety Learning … s): Communication and Teamwork, Human Factors Approaches To Improve Patient Safety, Patient Safety Learning … Human and Environmental Factors, Human Factors Approaches To Improve Patient Safety, Patient Safety Learning

164. Improving Diagnosis in Emergency and Acute Care: A Learning Laboratory (IDEA-LL) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/idea-ll-long-desc.html
     August 01, 2025 - Improving Diagnosis in Emergency and Acute Care: A Learning Laboratory (IDEA-LL) Principal Investigator … Affairs, Houston, TX AHRQ Grant No.:  HS26622 Project Period:  09/30/18-07/31/24 Description:  This learning … Monitoring diagnostic safety risks in emergency departments: protocol for a machine learning study . … Monitoring diagnostic safety risks in emergency departments: protocol for a machine learning study. … Monitoring diagnostic safety risks in emergency departments: protocol for a machine learning study .

165. Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/ambulatory-pediatric-long-desc.html
     January 01, 2025 - Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home Principal … Applying Principles From Simulation Learning Labs to Diabetes Sick Day Management. … Ambulatory Patient Safety Learning Lab: Failure Modes and Effects Analysis for Management of Type 1 Diabetes … Final Report: Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home.

166. Resources and Tools on Patient and Healthcare Workforce Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/resources/index.html
     March 01, 2025 - Preventable Harm  Domain 2: Strategic Planning and Organizational Policy  Domain 3: Culture of Safety and Learning … Foundational Area Culture, Leadership, and Governance  Patient and Family Engagement Workforce Safety Learning … Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Interested in learning

167. Strategies To Promote Psychological Safety and Organizational Safety Culture Related to Diagnosis | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-4.html
     September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Learning … organization. 16 Strategies at the Individual Level A variety of activities can encourage individual learning … between peers. 24,25 Outside academic settings and training programs, opportunities for individual learning … One approach to address this gap is to develop and participate in “practice inquiry,” a problem-based learning … Involvement with a PSO provides peer-to-peer learning in confidential “safe tables” where patient safety

168. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety5.html
     September 01, 2022 - Diagnostic Process Recognizing and Supporting Nurses in Diagnostic Safety Using Patient Cases for Learning … diagnostic safety resources and integrating contemporary recommendations and efforts with available learning … obtained from the literature, online sources, and organizations’ data sources can be included in any learning … modality and can enhance learning, initiate discussion about diagnostic safety, and promote efforts

169. Understanding the CMS Patient Safety Structural Measure Requirements for Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cms-patient-safety-measure-hospitals-webcast.pdf
     July 08, 2025 - Preventable Harm • Domain 2: Strategic Planning & Organizational Policy • Domain 3: Culture of Safety & Learning … • A just culture that encourages reporting and learning from errors is implemented. … Preventable Harm Domain 2: Strategic Planning & Organizational Policy Domain 3: Culture of Safety & Learning … HSOPS 2.0 Survey to Selected Units or Selected Staff 26 Teamwork Staffing and Work Pace Org Learning … single item measures of interest, for example: 27 X Teamwork X Staffing and Work Pace ✓ Org Learning

170. Learning Module: Mamuno sa Pagiging Huwaran | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/tg/learning-modules/lead-by-example.html
     December 01, 2022 - Learning Module: Mamuno sa Pagiging Huwaran Ang maikling video na ito ay nag-aalok ng mga ideya

171. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-1.html
     June 01, 2023 - Executive Summary Introduction Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods Learning … medical events, rigorous methods are needed to elicit patient experiences in ways that best enhance learning … Key insights about learning from patient experience to address diagnostic problems include: The extent

172. Index of CUSP Tools and Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp-tools-resources.html
     October 01, 2024 - CUSP Psychological Safety Learning From Defects Evaluating and Sustaining Progress Index of CUSP … CUSP Tool: Learning From Defects Tool for MRSA Prevention (DOCX, 402 KB) Guides teams through the … process of Learning From Defects. … Learning From Defects Tool (DOCX, 407 KB) CUSP Tool: Investigating a Defect Worksheet (DOCX, 460 … KB) Summary worksheet of the Learning From Defects process.

173. Implementing the CMS Patient Safety Structural Measure: Slide Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/implementing-cms-measure-slides.pdf
     May 13, 2025 - just culture policy to that balances no blame and appropriate accountability Culture of Safety and Learning … Practices  Hospital implements team communication training Hospital participates in large- scale learning … Implementation of PSSM ©2025 ECRI | ECRI Confidential How Does ECRI and the ISMP PSO Support a Learning … • Systematically address the safety learning needs of healthcare providers • Synthesize the most current … and relevant research, evidence, and best practices into a learning framework for our members •

174. Final progress Report: Spaced Education to Optimize Prostate Cancer Screening (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/kerfoot-conlin-report.pdf
     January 01, 2024 - A recent study demonstrated that spaced learning by rats improves neuronal longevity in the hippocampus … Rather, it alters the learning process itself so that new knowledge is retained more effectively. … incorporated into classroom learning. … Another has been the use of an ‘exam a day’ in college courses to improve retention of learning. … improve long-term retention of learning.

175. How Patient Narratives Can Support Your Patient Experience Strategy (Webcast) - Lee (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/04-pt-narratives-support-px-strategy-lee.pdf
     June 02, 2025 - Strategy (Webcast) - Lee Patient Narrative Research Insights Leveraging Patients’ Creative Ideas For Learning … creative (3.34 score out of 5) responses 17 How Patients’ Creative Ideas May Prompt Organizational Learning … Patient Narrative Research Insights - Leveraging Patients’ Creative Ideas For Learning and Innovation … Elicitation of Patients’ Creative Ideas How Patients’ Creative Ideas May Prompt Organizational Learning

176. Welcome Guide for Frontline Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/welcome-guides/frontline-providers.html
     July 01, 2023 - It is guided by emerging research related to teams, team performance, communication, and adult learning … Active Learning Strategies: The use of passive learning methods (e.g., listening to lectures) is less … If you are reviewing materials on your own, take time to review all the learning options. … Resources for learning are drawn from multiple clinical settings and involve a variety of team members … But if you are learning about TeamSTEPPS 3.0 on your own, some instructor resources may provide deeper

177. AHRQ Training Projects Funded by PCOR Trust Fund | Agency for Healthcare Research and Quality
     www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/index.html
     August 01, 2024 - Learning Health System Embedded Scientist Training and Research (LHS E-StaR) Centers These scientist … training and research centers will be funded over 5 years to support learning health systems, including … Through this joint initiative, AHRQ and PCORI continue their mutual commitment to support learning health … systems by training a new cadre of learning health system scientists. … Grantees will create new models of learning health system infrastructure that will use evidence generated

178. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
     December 01, 2017 - Learning From Defects involves understanding the problem-solving hierarchy. … The Learning From Defects process can be very proactive. … Learning From Defects requires a broad approach. … Slide 7 Learning From Defects Sustaining your patient safety initiatives Slide 8 Learning From … Defects SAY: To review, Learning From Defects has four major questions.

179. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
     August 20, 2015 - . 2 What Is Organizational Learning? … Includes learning from processes and the outcomes. Supports continuous learning and improvement. … learning from the process and the outcome. … Organizational learning and communities-of-practice: Toward a unified view of working, learning, and … Organizational learning and communities-of-practice: Toward a unified view of working, learning, and

180. Staff Safety Assessment
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
     January 01, 2006 - Form Failure Mode and Effects Analysis Probabilistic Risk Assessment Causal Tree Worksheet 2 3 Learning … From Defects and Sensemaking 17 Learning From Defects Overview Health care providers are adept at … CUSP Tools To Learn From Defects 20 21 Learning From Defects: Four Questions 1. … with others in your state collaborative (pending institutional approval) 30 Communicating the Learning … From Defects Sensemaking and Learning from Defects share several common themes The Learning from Defects