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www.ahrq.gov/policymakers/chipra/demoeval/demostates/md.html
March 01, 2019 - one of the 10 grantees, Maryland is working with Georgia and Wyoming in an innovative multi-State learning … and its partner States implemented the project planning tool developed by CHCS as part of its Quality Learning … questions about the implementation and outcomes of their efforts including:
How did the multi-State learning
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/sc.html
March 01, 2019 - use health IT to automate quality reporting and feedback and improve care coordination; and (3) use a learning … The project will use a learning collaborative approach and will focus on the collection of quality measures … The State will use a learning collaborative model that involves semiannual meetings, technical assistance
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
April 02, 2020 - MedStar Health Institute for Quality and Safety, AHRQ Patient Safety Learning Lab
Grantee, and AHRQ … In parallel with calls for improving diagnostic safety is a growing emphasis on the concept of a learning … The Learning Healthcare System: Workshop Summary. … “Closing the loop”: a mixed-methods study about resident
learning from outcome feedback after patient … Learning from patients’ experiences related to diagnostic errors is essential for progress in patient
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - MedStar Health Institute for Quality and Safety, AHRQ Patient Safety Learning Lab
Grantee, and AHRQ … In parallel with calls for improving diagnostic safety is a growing emphasis on the concept of a learning … The Learning Healthcare System: Workshop Summary. … “Closing the loop”: a mixed-methods study about resident
learning from outcome feedback after patient … Learning from patients’ experiences related to diagnostic errors is essential for progress in patient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
December 01, 2017 - ........................................................................................ 5
Step 4: Learning … —Safety Team Leader
Step 4: Learning From Defects Through Collective Sensemaking
Once defects are … We recommend learning from at
least one defect a quarter. … We went through the Learning From
Defects Through Sensemaking process at our next monthly meeting. … You will find a real-time identification of defects
and real-time system of learning.
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/ma.html
March 01, 2019 - How are CHIPRA demonstration States approaching practice-level quality measurement and what are they learning … Evaluation Highlight No. 13: How did CHIPRA quality demonstration States employ learning collaboratives … Provider-Based Model of Care
In December 2013, Massachusetts completed the implementation of a 29-month-long Learning … The practices received financial support for participating in learning sessions and monthly action period
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/implement-staff-vaccination-program.pdf
March 01, 2022 - Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing
Vaccination Rates Among CNAs
• Learning … https://www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/covid19-vaccine-confidence-learning-guide-leadership.pdf … https://www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/covid19-vaccine-confidence-learning-guide-leadership.pdf … www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/covid19-vaccine-confidence-curriculum-learning-guide-staff.pdf … www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/covid19-vaccine-confidence-curriculum-learning-guide-staff.pdf
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-the-team.pptx
May 01, 2017 - Team
and Engage Leadership for Perinatal Safety
AHRQ Publication No. 17-0003-2-EF
May 2017
1
Learning … Pillars
Balanced Scorecard
American Organization of Nurse Executives Nurse Manager Leadership Partnership Learning … 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.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-massachusetts-state-snapshot.pdf
January 01, 2018 - Through a
learning collaborative, the State educated the practices on
the medical home model and provided … Practices each received $1,150 per month to
support their work in the learning collaborative. … are CHIPRA demonstration States ap-
proaching practice-level quality measurement and what are they learning … • Evaluation Highlight No. 13: How did CHIPRA quality demonstration States
employ learning collaboratives … of core measures for families and providers, findings from the patient
experience survey, and the learning
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/spread.html
October 01, 2015 - New Mexico did not seek to replicate its own structure in the partner States, but instead created a learning … Shared learning from the New Mexico program continues to build, and additional States, including Michigan … The creation of the learning community emerged as a result of in-person meetings among all four States … individual and group technical assistance from North Carolina faculty and experts and peer-to-peer learning … Maryland
Maryland built its program on the Maryland Learning Collaborative, which provided practice
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
August 24, 2015 - Creating a learning organization in which patient harm is reduced through ongoing learning from patient … Creating a learning organization is one of the most important outcomes in the CANDOR process. … Becoming a learning organization supports the goal of preventing similar harm to patients in the future … More information on supporting staff and creating a learning organization will be presented in the remaining … Resolution of an event presents an opportunity for organizational learning and sustainment of change,
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www.ahrq.gov/ncepcr/reports/grants-impact/spreading-model.html
February 01, 2017 - New Mexico did not seek to replicate its own structure in the partner States, but instead created a learning … Shared learning from the New Mexico program continues to build, and additional States, including Michigan … The creation of the learning community emerged as a result of in-person meetings among all four States … individual and group technical assistance from North Carolina faculty and experts and peer-to-peer learning … Maryland
Maryland built its program on the Maryland Learning Collaborative, which provided practice
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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 .
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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - Slide 2
Learning Objectives
Describe how to use data to change culture and sustain goals. … Slide 13
Lessons Learned = Sustaining the Gain
Treat a “CAUTI with respect – Learning from … Slide 22
The PDSA Cycle for Learning and Improvement
Image: The PDSA Cycle. … It is the result of preparation, hard work, and learning from failure.”
General Colin L. … One is titled "Mindfully Learning from Defects" and the other "Learning from Defects Fast Facts".
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www.ahrq.gov/sites/default/files/wysiwyg/nqsfactsheet_2017.pdf
January 01, 2017 - care
● Public Reporting: Compare treatment results, costs, and patient experience for consumers
● Learning … and Technical Assistance: Foster learning environments that offer training, resources,
tools, and guidance … Investing in people to prepare the next generation of health care
professionals and support lifelong learning
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/orstateataglance.pdf
March 01, 2012 - Oregon is working with eight practice sites in a learning collaborative focused on identifying children … Improvement Partnership and the Oregon Rural Practice‐
Based Research Network to develop a multi‐year learning … One key element of the learning collaborative framework will
help practices identify children with special
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/scstateataglance.pdf
March 01, 2012 - improve care coordination; and implement a medical home model
with a behavioral health focus using a learning … The project will use a learning
collaborative approach and will focus on the collection of quality measures … The State will use a learning collaborative model that
involves semi‐annual meetings, technical assistance
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/wv.html
March 01, 2019 - Evaluation Highlight No. 13: How did CHIPRA quality demonstration States employ learning collaboratives … West Virginia is working with 10 practice sites in a virtual learning collaborative to implement a medical … Using a virtual learning collaborative approach involving 10 practices over 18 months, West Virginia
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www.ahrq.gov/downloads/ncepcr/communities/pbrn/learning-series/building-newer-pbrn/index.html
October 22, 2024 - AHRQ NCEPCR: Building a New PBRN