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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdfApril 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.pdfApril 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/hai/tools/mvp/modules/cusp/physician-checklist.htmlJanuary 01, 2017 - Foster organizational learning and actively participate in the process of learning from defects.
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/ma.htmlMarch 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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Applying CUSP To Promote Safe Surgery (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdfDecember 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. -
www.ahrq.gov/takeheart/training/module-3/index.htmlDecember 01, 2022 - Learning how to create a workflow process map, with a focus on automatic referral and care coordination … Learning Objectives Upon completion of this module, attendees should be able to: Understand the
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams.htmlJuly 01, 2023 - Clinical Assistant Professor, Departments of Internal Medicine, Pediatrics, and Learning Health Sciences … Assistant Professor, Departments of Learning Health Sciences, Internal Medicine, Urology, and Information
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety.htmlSeptember 01, 2023 - 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
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety1.htmlSeptember 01, 2022 - Diagnostic Process Recognizing and Supporting Nurses in Diagnostic Safety Using Patient Cases for Learning … Informed by the literature and professional experience, we offer action-oriented steps and learning strategies
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www.ahrq.gov/patient-safety/resources/learning-lab/safe-care-journeys-long-desc.htmlJanuary 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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-the-team.pptxMay 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.pdfJanuary 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.htmlOctober 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.pptxAugust 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.htmlFebruary 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/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.htmlDecember 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/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-checklist.docxJanuary 01, 2017 - Foster organizational learning and actively participate in the process of learning from defects 17
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National Quality Strategy Fact Sheet (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/nqsfactsheet_2017.pdfJanuary 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 -
Oregon State at a Glance (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/orstateataglance.pdfMarch 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 -
www.ahrq.gov/downloads/ncepcr/communities/pbrn/learning-series/building-newer-pbrn/index.htmlOctober 22, 2024 - AHRQ NCEPCR: Building a New PBRN
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