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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.pptx
    January 01, 2006 - Project Report - Lean Sigma Learning Objectives 2 Identify characteristics of successful teams … 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. 
  2. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tint.html
    October 01, 2014 - 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
  3. www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-fac-notes.html
    December 01, 2017 - Slide 2: Learning Objectives Say: After this session, you will be able assess objectively your … Slide 3: Action Plan Say: This module follows up on the previous conversations about learning from … When the Learning From Defects tool was shared from the perspective of sustainability, teams were instructed … to focus on learning from mistakes and problem solving at a deeper level. … Are you learning from each defect? Are you keeping tabs on identified defects?
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustscorecard_facnotes.docx
    December 01, 2017 - Slide 1 Learning Objectives SAY: After this session, you will be able assess objectively your unit … Slide Number and Slide Action Plan SAY: This module follows up on the previous conversations about learning … When the Learning From Defects tool was shared from the perspective of sustainability, teams were instructed … to focus on learning from mistakes and problem solving at a deeper level. … Are you learning from each defect? Are you keeping tabs on identified defects?
  5. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-midwest.pdf
    November 01, 2017 - • Learning Collaborative. … The Learning Collaborative will offer multiple opportunities for practice facilitators to engage in … shared learning: � � � Regular training webinars and meetings Access to … Presentations: • Collective Efforts to Overcome Quality Measurement Challenges: Lessons from a Primary Care Learning … 2016] • Using Electronic Clinical Quality Measures Data to Improve Primary Care Practice: Early Learning
  6. www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-pa.html
    April 01, 2015 - used by the investigators to tailor the extension program to individual practice needs, prioritize learning … previously developed as part of the Pennsylvania Chronic Care Initiative and included: 1) refining the learning … Direct transformation services included convening a learning collaborative, providing practice coaching … The PA SPREAD learning collaborative included primary care practices, government agencies, payers, … Additionally, providing technical assistance (e.g., practice facilitation, data analysis, and learning
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-pa.pdf
    April 01, 2015 - used by the investigators to tailor the extension program to individual practice needs, prioritize learning … previously developed as part of the Pennsylvania Chronic Care Initiative and included: 1) refining the learning … Direct transformation services included convening a learning collaborative, providing practice coaching … The PA SPREAD learning collaborative included primary care practices, government agencies, payers, and … Additionally, providing technical assistance (e.g., practice facilitation, data analysis, and learning
  8. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess1.html
    October 01, 2014 - Page Next Page Table of Contents Module 2: Communicating Change in a Resident's Condition LearningLearning and experience are what make safety possible. … Learning and experience are what make safety possible. … Not being able to talk about how things did or could go wrong holds back our own learning. … Everyone – residents and staff—benefits from an environment that supports discussion and learning from
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
    May 01, 2017 - By engaging in this learning process, providers can uncover contributing system-level failures that … From Defects 7 SAY: The following tools can be used to help engage unit staff in identifying and learning … SAY: Learning from defects often reveals that systems contribute to the underlying causes of the defects … Learning from defects can also be called second-order problem solving. … Slide 19 SAY: In summary— • Sensemaking and Learning From Defects share several common themes.
  10. www.ahrq.gov/patient-safety/resources/learning-lab/anesthesia-medication-long-desc.html
    January 01, 2025 - The learning lab found that “medication error” is defined in multiple ways, focusing solely on patient … Patient safety learning labs: effective collaborations for enhanced patient safety .
  11. www.ahrq.gov/action-alliance/commitment/index.html
    October 01, 2024 - become an active participant and leverage webinars, tools, and other safety resources, and contribute to learning … culture, leadership, and governance; patient and family engagement; workforce safety and well-being; and learning
  12. www.ahrq.gov/patient-safety/resources/learning-lab/imaging-quality-long-desc.html
    April 01, 2021 - HS24376 Project Period: 09/30/15-06/30/20 Description: The goal of the PIQS Lab was to be a dynamic learning
  13. www.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
    April 01, 2021 - Predicting mortality with applied machine learning: can we get there? … IDEA4PS: the development of a research-oriented learning healthcare system .
  14. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-intro.html
    August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case … Study Introduction Previous Page Next Page Table of Contents Learning from AHRQ's
  15. www.ahrq.gov/cpi/about/nac/pcortf-snac/savitz.html
    November 01, 2022 - Policy; she is also a member of the Delivery System Science Fellowship Program Committee, co-leads the Learning … accelerate the implementation of quality/safety interventions and realistic program evaluations that support learning
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
    February 19, 2008 - The most common resilience properties were top-level commitment and a learning culture applied to work … • Learning culture: Issues, problems, events, and errors are handled with an eye toward repair and … The main resilience property found in these safety practices was the use of a learning culture. … The consistent resilience properties we found were a top-level commitment and a learning culture. … When problem solving prevents organizational learning.
  17. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod2.html
    October 01, 2014 - They see ways for their learning to be applied to their own work settings. … They are responsible for their own learning. Their own knowledge and skills are appreciated. … Involve them in fine-tuning the focus of learning. … Explain the goals of this exercise and relate them to the key learning objectives. … the new learning into practice.
  18. www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-checklist.html
    January 01, 2017 - Foster organizational learning and actively participate in the process of learning from defects.
  19. www.ahrq.gov/patient-safety/resources/learning-lab/safe-care-journeys-long-desc.html
    January 01, 2025 - conference panels and presentations, and additional projects from collaborations among patient safety learning … Patient safety learning labs: effective collaborations for enhanced patient safety .
  20. www.ahrq.gov/downloads/ncepcr/communities/pbrn/learning-series/building-newer-pbrn/index.html
    October 22, 2024 - AHRQ NCEPCR: Building a New PBRN

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