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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/research/findings/factsheets/errors-safety/simulproj15/index.html
October 01, 2024 - In health care these include safety of patients and providers, creation of optimal learning conditions … learning process. … Much of learning in the actual clinical environment occurs sporadically. … The creation of optimal conditions for learning refers to the purposeful manipulation and programming … Return to Contents The Concept of Mastery Learning Mastery learning is a rigorous and structured form
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www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/index.html
August 01, 2024 - Learning Health System Embedded Scientist Training and Research (LHS E-StaR) Centers These scientist … training and research centers will be funded over 5 years to support learning health systems, including … Through this joint initiative, AHRQ and PCORI continue their mutual commitment to support learning health … systems by training a new cadre of learning health system scientists. … Grantees will create new models of learning health system infrastructure that will use evidence generated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
May 01, 2017 - By engaging in this learning process, providers can uncover contributing system-level failures that influenced … Slide 8
SAY:
The following tools can be used to help engage unit staff in identifying and learning … Slide 13
SAY:
Learning from defects often reveals that systems contribute to the underlying causes … 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.
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www.ahrq.gov/teamstepps-program/welcome-guides/experienced-trainers.html
July 01, 2023 - It is guided by emerging research related to teams, team performance, communication, and adult learning … Active Learning Strategies: The use of passive learning methods (e.g., listening to lectures) is less … If you are reviewing materials on your own, take time to review all the learning options. … The use of active learning methods in the curriculum is designed to foster deeper engagement in the course … Resources for learning are drawn from multiple clinical settings and involve a variety of team members
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-june-2024.pdf
January 01, 2024 - Advisor for Solutions for
Patient Safety
Pam Wendel
Director, Family Relations
Please Share
1) Learning … Teams
Key Factors
• Relentless Pursuit of the Vision of Zero Harm
• Transparency and Culture of Learning … • Learning with Others
• Partnering With Families, Patients, and
Front-Line Staff
Collaboration … Trainers Trained
131
Hospitals Committed to Culture Work
125,000+
Hospital Employees Trained
130+
Learning … Please Share
1) Learning Together:
What are you doing in your
organization regarding
partnering
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/04-pt-narratives-support-px-strategy-lee.pdf
December 27, 2024 - Strategy (Webcast) - Lee
Patient Narrative Research Insights
Leveraging Patients’ Creative Ideas
For Learning … creative (3.34 score out of 5) responses
17
How Patients’ Creative Ideas May Prompt Organizational Learning … Patient Narrative Research Insights - Leveraging Patients’ Creative Ideas For Learning and Innovation … Elicitation of Patients’ Creative Ideas
How Patients’ Creative Ideas May Prompt Organizational Learning
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www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
May 01, 2017 - Slide 3: Learning Objectives
Image: Four ascending steps show the learning objectives:
Show how … Learning systems, like mission values and expectations, impact system design and in turn, behavioral … Learning systems, like mission values and expectations, impact system design and in turn, behavioral … Learning systems, like mission values and expectations, impact system design and in turn, behavioral … Offer positive reinforcement at the monthly Learning From Defects meeting.
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp-tools-resources.html
October 01, 2024 - CUSP Psychological Safety
Learning From Defects
Evaluating and Sustaining Progress
Index of CUSP … CUSP Tool: Learning From Defects Tool for MRSA Prevention (DOCX, 402 KB) Guides teams through the … process of Learning From Defects. … Learning From Defects Tool (DOCX, 407 KB) CUSP Tool: Investigating a Defect Worksheet (DOCX, 460 … KB) Summary worksheet of the Learning From Defects process.
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www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-reimagining-healthcare-teams-refs.html
July 01, 2023 - Deep learning to improve breast cancer detection on screening mammography. … Automated identification of diabetic retinopathy using deep learning. … Direct-to-consumer medical machine learning and artificial intelligence applications. … Active Learning Applied to Patient-Adaptive Heartbeat Classification. … Cardiac arrhythmia detection using deep learning: a review.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-refs.html
July 01, 2023 - Deep learning to improve breast cancer detection on screening mammography. … Automated identification of diabetic retinopathy using deep learning. … Direct-to-consumer medical machine learning and artificial intelligence applications. … Active Learning Applied to Patient-Adaptive Heartbeat Classification. … Cardiac arrhythmia detection using deep learning: a review.
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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/evidencenow/research-results/research/evaluation-design.html
December 01, 2020 - design; matched external controls
Practice Change Model (PCM )
15 months
1) PF only
2) PF plus learning … patient self-management, workflow assessment and redesign
2) Expert consultation
3) Peer-to-Peer learning … external controls
RE-AIM
9 months
Standard arm: PF, HIT assistance, QI support, community connector, learning … month maintenance
PF, HIT support, QI support, workflow redesign, restoring joy in practice, online learning
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www.ahrq.gov/teamstepps-program/welcome-guides/new-trainers.html
July 01, 2023 - It is guided by emerging research related to teams, team performance, communication, and adult learning … Active Learning Strategies: The use of passive learning methods (e.g., listening to lectures) is less … If you are reviewing materials on your own, take time to review all the learning options. … The use of active learning methods in the curriculum is designed to foster deeper engagement in the course … Resources for learning are drawn from multiple clinical settings and involve a variety of team members
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-additional-topics.html
May 01, 2024 - [Read about the parent study PROMIS Learning Lab: Partnership in Resilience for Medication Safety in … AHRQ’s Primary Care COVID-19 Learning Community AHRQ initiated a learning community in late 2020 to bring … The learning community came together through eight virtual meetings held across an 11-month period. … Insights from the learning community, including lessons learned and primary care innovations in response … Insights from the learning community, including lessons learned and primary care innovations in response
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www.ahrq.gov/funding/grantee-profiles/grtprofile-gonzales.html
October 01, 2024 - fundamental in supporting my efforts to develop career and scientific training programs that accelerated learning … The pivotal evolution of his research shift towards implementation science and learning health systems … Learning Health Systems are health and healthcare systems in which knowledge generation processes are … San Francisco, School of Medicine Grantee Since: 2001 Type of Grant: Various Related AHRQ Resources Learning … Select to learning more about AHRQ's Research Education and Training Programs .
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www.ahrq.gov/action-alliance/competencies-affinity-group/index.html
September 01, 2024 - This framework can be used to facilitate group learning and develop resources for the Alliance community … , and Culture Leadership and Governance for Safety Shared Vision for Safety Just Culture/Culture of Learning … Lowe , Vice President, Learning, American College of Healthcare Executives Patricia A. … Weiss , MD, MPH, Chief Sponsoring Institutions and Clinical Learning Environments Officer, Accreditation … Trallo Schreiber, MSN, MBA, RN, CPPS, CPHQ, Principal Healthcare Analyst, Ripple Effect Interested in learning
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
May 01, 2017 - Sensemaking and Learn From Defects for Perinatal Safety
AHRQ Publication No. 17-0003-5-EF
May 2017
1
Learning … AHRQ Safety Program for Perinatal Care
8
Sensemaking &
Learn from Defects
Tools for Sensemaking and Learning … Tree Worksheet6
13
AHRQ Safety Program for Perinatal Care
Sensemaking &
Learn from Defects
13
Learning … 15
AHRQ Safety Program for Perinatal Care
Sensemaking &
Learn from Defects
Learning From Defects: Four … Learn from Defects
17
Summarize and Share Findings
Create a one-page summary answering the four Learning
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-2.html
June 01, 2023 - treatment settings. 4,5,6
Despite improvements in some metrics of patient safety over the past decade, 7 learning … reliability, despite some promising one-off innovations in recent years. 12,13,14,15,16,17
Investment in learning … Learning from patient experience also calls for a lasting commitment to parlay insights into action that … The lexicon in this brief mirrors the variability embodied in narratives themselves, emphasizing that learning … identifying questions and research opportunities related to how best to implement these new approaches to learning
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www.ahrq.gov/patient-safety/reports/issue-briefs/leadership-3.html
June 01, 2021 - Ensure capacity building among staff through:
Formal learning opportunities for developing critical … Informal learning strategies to connect across the organization working to improve diagnosis. … Informal learning strategies to connect across the organization working to improve diagnosis. … Shared Contribution
Formal learning strategies
What type of development opportunities are needed … Informal learning strategies
How are we encouraging learning, innovation, and spread of ideas across