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www.ahrq.gov/research/findings/final-reports/diabetesnetwork/actionplan.html
October 01, 2014 - Hispanic Diabetes Disparities Learning Network in Community Health Centers
My Action Plan … Previous Page Next Page
Table of Contents
Hispanic Diabetes Disparities Learning Network in … Structure of Learning Network
Chapter 4. Evaluation Design
Chapter 4.
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-learningcollab.pdf
September 01, 2025 - Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Learning Collaborative Report … Person-Centered Care Planning for
Persons With Multiple Chronic
Conditions
Learning Collaborative … Approach
The Learning Collaborative (LC) was one of the project tasks. … Person-Centered
Care Planning for Persons
With Multiple Chronic
Conditions: Learning
Collaborative … This report summarizes the activities and findings of the Learning Collaborative
(LC) meeting series
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-ginsberg.pdf
June 02, 2025 - Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Welcome from
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-evans.pdf
June 02, 2025 - Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - NYP Leadership
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety6.html
September 01, 2022 - Diagnostic Process
Recognizing and Supporting Nurses in Diagnostic Safety
Using Patient Cases for Learning … E-learning for health professionals. … The effectiveness of case-based learning in health professional education. … Getting started with debriefing for meaningful learning. … Competencies & Learning Objectives: Consensus Curriculum on Diagnosis.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
January 01, 2013 - Prevention
Highland Hospital
Jennifer Tuttle, RN, MSNEd
Adult Critical Care Unit
Tucson Medical Center
Learning … Four Components of Safety Culture
15
Reporting Culture
Just Culture
Flexible (Teamwork) Culture
Learning … Learning – a learning culture correctly interprets information from its safety systems and has the will … Teams are the fundamental units of learning in high reliability organizations
Learning
“An organization … must possess a learning culture—the willingness and the competence to draw the right conclusions from
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www.ahrq.gov/research/findings/final-reports/diabetesnetwork/actionplansp.html
October 01, 2014 - Hispanic Diabetes Disparities Learning Network in Community Health Centers
Mi Plan de Acción … Previous Page Next Page
Table of Contents
Hispanic Diabetes Disparities Learning Network in … Structure of Learning Network
Chapter 4. Evaluation Design
Chapter 4.
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www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
January 01, 2024 - Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care … Mazor, Kathleen M
Grant Award Number: 5 R18 HS022757
Project Title: Detecting, Assessing, and Learning … Tracking and Learning. … Systems for event tracking and protocols to facilitate local and system learning. … Many leaders referred to the
value of learning of patient-perceived breakdowns in care in a timely fashion
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/cooley.html
August 01, 2018 - practices identified as top performers among 45 practices participating in a year-long medical home learning … The breakthrough-style learning collaborative was sponsored by the Maternal and Child Health Bureau of … Each of the 12 practices identified a team to participate in the learning collaborative and guide transformation … Such structures included shared QI learning opportunities; a family-centered QI team with shared goals … Physicians indicated the learning collaborative was especially important, noting it was "what got them
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www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
December 01, 2017 - Knowledge Transfer
Hospitals in Nebraska, Iowa, Louisiana, Washington, Oregon, Alaska
Slide 3
Learning … Components of Safety Culture 7
Reporting Culture
Just Culture
Flexible (Teamwork) Culture
Learning … Support (H)
Manager Actions (U)
Feedback & Communication (U)
Organizational Learning (U)
Overall … In this department, we discuss ways to prevent errors from happening again. 59%
Slide 37
Learning … Culture: Organizational Learning—Continuous Improvement
Learning Tools: Briefs, Huddles, Debriefs;
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide108.html
October 01, 2014 - Learning to anticipate and avoid temptation and trigger situations. … Learning cognitive strategies that will reduce negative moods. … Learning cognitive and behavioral activities to cope with smoking urges (e.g., distracting attention;
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www.ahrq.gov/sites/default/files/publications/files/pfcases.pdf
August 01, 2014 - To facilitate
learning, HealthTeamWorks leaders encourage storytelling and
interactive learning among … Group size is a key
ingredient in facilitating peer-to-peer learning. … ▲ Incorporating elements of adult learning theory supports student engagement and learning. … Assessment of student learning. The course is graded on a pass-fail basis. … Incorporating elements of adult learning theory supports student engagement and learning.
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www.ahrq.gov/sites/default/files/2025-04/rising-report.pdf
January 01, 2025 - Final Progress Report: Promoting Safe Care Transitions: Simulation-Based Mastery Learning to Improve … Diagnostic Uncertainty
Title Page
TITLE: Promoting safe care transitions: Simulation-based mastery learning … Checklist (UCC) and Uncertainty Communication
Education Module (UCEM), a simulation-based mastery learning … Key Words: communication, emergency department, medical education, simulation-based mastery
learning … (Table 3)
Kirkpatrick Level 2 – Learning:
There were no significant predictors of passing at the
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www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
March 01, 2013 - Analysis
Probabilistic Risk Assessment
Causal Tree Worksheet
Tools icon
Slide 3
Learning … Slide 17
Learning From Defects and Sensemaking
Slide 18
Learning From Defects Overview … Exercise Icon
Slide 20
CUSP Tools to Learn From Defects
Slide 21
Learning … Slide 30
Summarize and Share Your Findings
Create a one-page summary answering the four Learning … From Defects
Sensemaking and Learning from Defects share several common themes
The Learning
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/1-unc-webcast-intro.pdf
December 18, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … at UNC Medical Center - Intro
Implementation of an Event Reporting and Learning
System Leads to Improvements
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www.ahrq.gov/cahps/news-and-events/events/webinar-053123.html
July 01, 2023 - Learning from Patient Narratives Through Innovative Feedback Reporting Methods (Webcast)
May … KB)
Recording
YouTube embedded video: https://www.youtube-nocookie.com/embed/JIVEuc_VZGk
Learning
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
March 30, 2008 - This health care
system was not perceived as a learning organization. … • Facilitates learning to develop a culture of safety. … • Desire or interest in learning. … Detailed information on the use of our Safety
4
First Learning Report (formerly, event report … In addition, compared to national comparative data, learning was
also found to be a strength.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
January 01, 2017 - Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Learning … From Defects in Care of Mechanically Ventilated Patients
SAY:
In this module, we will discuss the Learning … Learning from defects is considered an “adaptive” component of CUSP.
ASK:
Why is that important? … Learning from defects and engaging the frontline staff is a continuous process. … Engaged learning is a very strong educational method.
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www.ahrq.gov/patient-safety/resources/learning-lab/neonatal-interfacility-transfers-long-desc.html
January 01, 2025 - Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers … Final Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility … Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility
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www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
December 01, 2012 - Learning Objectives
Slide 3. Introduction to Just Culture Principles
Slide 4. … Learning systems.
Accountability and justice. … Learning systems
By establishing learning systems, organizations can manage both systems and human … tools that can be used to promote learning systems. … The Learning from Defects process is an effective way to instill or reinforce learning systems that contribute