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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/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/antibiotic-use/long-term-care/timeline-tasks.pdf
June 01, 2021 - Activities for Frontline Providers
Week
14
Changing the System
To Improve
Antibiotic Safety
Learning … Antibiotic Decision
Making Form
Each Antibiotic Stewardship Team
member should complete a
Learning … Continue to collect and analyze data
using the Monthly Data Collection
Form
Introduce the Learning … the analyzed data from the
Monthly Data Collection
Form
• Use the Staff Safety
Assessments and Learning … Monthly
• Learning From Antibiotic Adverse Events Form. Discuss
quarterly.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - patients, families, digital
health sector, payors, and health service researchers
• A voluntary learning … , Leadership, and Governance
• Patient and Family Engagement
• Workforce Safety
• Creation of Learning … Health
Administration
“VHA’s Journey to High Reliability: Advancing Toward Zero Harm and
Becoming a Learning … system to share the root cause findings, learning, and improvements. … Consent Agenda
• Link between Quality and
Learning/QAPI
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-checklist.docx
January 01, 2017 - Foster organizational learning and actively participate in the process of learning from defects
17
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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/downloads/ncepcr/communities/pbrn/learning-series/building-newer-pbrn/index.html
October 22, 2024 - AHRQ NCEPCR: Building a New PBRN
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
February 23, 2008 - errors are viewed as opportunities to improve the
system.2 A voluntary reporting system that emphasizes learning … six CAHs to conduct RCAs within their organizations to further model this practice that
supports a learning … Although we engaged and educated about
numerous practices to support teamwork and a learning culture … However, a reporting
culture must interact with just, flexible, and learning cultures. … Learning from failure in health care:
Frequent opportunities, pervasive barriers.
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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
-
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
-
www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil2.html
April 01, 2018 - Learning to be advocates for their family and friends. … Benefits for health care organizations include:
Learning what the priority concerns are for patients … Learning to provide care from a patient-centered approach.
-
www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
June 01, 2012 - If the learning culture of your audience suggests they will have problems
learning together, you can … Explain
the goals of this exercise and relate them to the key learning objectives. … was taken in and appreciated, it can be hard to put the new
learning into practice. … Explain
the goals of this exercise and relate them to the key learning objectives. … put the new
learning into practice.
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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.
-
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
-
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
-
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