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41. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
    December 01, 2017 - Learning From Defects Through Sensemaking: Slide Presentation AHRQ Safety Program for Surgery … Use the Learning From Defects (LFD) tool to perform second-order problem-solving. … Slide 9: Learning From Defects Image: Four numbered blue boxes list the Learning From Defects questions … Slide 33: Learning From Defects Image: Four numbered blue boxes list the Learning From Defects questions … Revisit Learning From Defects process as needed.

42. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
    December 01, 2017 - Sustainability: Learning From Defects: Slide Presentation AHRQ Safety Program for Surgery Slide … Use the Learning From Defects (LFD) tool to perform second-order problem solving. … From Defects Slide 9: Learning From Defects 2,3,4 Image: Four numbered blue boxes list the Learning … Your team will likely have many phases of learning from defects simultaneously. … Slide 24: Action Plan Review the Learning From Defects tool with your team.

43. Hispanic Diabetes Disparities Learning Network in Community Health Centers | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/diabetesnetwork/index.html
    October 01, 2014 - Hispanic Diabetes Disparities Learning Network in Community Health Centers Next Page Table … of Contents Hispanic Diabetes Disparities Learning Network in Community Health Centers Chapter … Structure of Learning Network Chapter 4. Evaluation Design Chapter 4. … This report describes the development of a learning network project that included interventions and needs … Structure of Learning Network     Learning Sessions     Site Visits and Telephone Conference Calls

44. Learning From Defects | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/learning-from-defects.html
    October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs Learning From Defects Previous Page Next Page … Explore the Learning From Defects tool. … Documents: Learning From Defects – Slides (PPTX, 3.2 MB) Learning From Defects – Facilitator Guide … process of Learning From Defects. … KB) Summary worksheet of the Learning From Defects process.

45. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
    April 21, 2008 - Patient Safety Learning Pilot: Narratives from the Frontlines Patient Safety Learning Pilot: Narratives … In addition, double-loop learning, essential to developing a learning organization, requires engagement … sessions and action periods between the learning sessions. … Data sources included: • Hospital presentations at the three learning sessions. … Defining and classifying medical error: Lessons for learning.

46. Addressing the Psychological Impact of COVID-19 on Healthcare Workers: Learning From a Systematic Review of Early Interventions for Frontline Responders | Agency for Healthcare Research and Quality
    www.ahrq.gov/nursing-home/resources/psychological-impact-covid.html
    June 01, 2022 - Addressing the Psychological Impact of COVID-19 on Healthcare Workers: Learning From a Systematic Review … Responders Resource: Addressing the Psychological Impact of COVID-19 on Healthcare Workers: Learning

47. COVID-19 Identification & Prevention series | Agency for Healthcare Research and Quality
    www.ahrq.gov/nursing-home/learning-modules/covid-id-prevention.html
    December 01, 2022 - COVID-19 Identification & Prevention series This series of three learning modules focuses on … Module 1: COVID-19 Identification and Prevention: Recognize This learning module teaches frontline … HD version ] Module 2: COVID-19 Identification and Prevention: Report This learning module teaches … HD version ] Module 3: COVID-19 Identification and Prevention: Remember This learning module highlights

48. Supporting Nursing Home Residents’ Emotional Health Learning Module | Agency for Healthcare Research and Quality
    www.ahrq.gov/nursing-home/learning-modules/health-learning.html
    November 01, 2022 - Supporting Nursing Home Residents’ Emotional Health Learning Module This learning module will

49. How did CHIPRA quality demonstration States employ learning collaboratives to improve children’s health care quality? | Agency for Healthcare Research and Quality
    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight13.html
    June 01, 2015 - Learning collaboratives taught how to test improvements and measure progress Learning collaboratives … “I think [practices learning together] is a terrific concept…. … “Having a physician lead [the learning collaborative] was key. … States reported positive outcomes from their learning collaboratives At the conclusion of their learning … peer-to-peer learning.

50. CLABSI and CAUTI Learning Tools | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/learning-tools.html
    February 01, 2025 - CLABSI and CAUTI Learning Tools This step identifies two types of tools that can be revisited … The Learning From Defects tool has a shortened list of questions that can be used at bedside with the

51. Index of CUSP Tools and Resources | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mrsa-prevention/surgery/index-cusp-tools-resources.html
    April 01, 2025 - Translating Research Into Practice Premortem Assessment Learning From Defects Psychological Safety … CUSP Tool: Learning From Defects Tool (DOCX, 406 KB) Guides teams through the process of Learning From … CUSP Tool: Learning From Defects Sample (DOCX, 211 KB) An example of a completed Learning From Defects … CUSP Tool: Investigating a Defect Worksheet (DOCX, 406 KB) Summary worksheet of the Learning From Defects … CUSP Tool: Surgical Site Infection Investigation Tool (DOCX, 1 MB) Summary worksheet of the Learning

52. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - Learning From Defects Through Sensemaking. … Slide 9: Learning From Defects Say: The Learning From Defects tool asks four main questions: … Slide 32: Learning Objectives Say: Below are the learning objectives for this module: Use the … Slide 33: Learning From Defects Say: As discussed in part one of this module, the Learning From … Review the Learning from Defects process.

53. Final Progress Report: Determining a Learning Curve for Complex Laparoscopic Gastrointestinal Surgery (pdf file)
    www.ahrq.gov/sites/default/files/2024-09/fowler-report.pdf
    January 01, 2024 - To define the learning curve for complex laparoscopic surgery. … The Learning Curve A learning curve describes the rate at which individuals acquire the skill to perform … curve and define the learning curve for complex laparoscopic GI surgery. … the learning curve for complex laparoscopic gastrointestinal surgery. … learning during the fellowship year.

54. Final Progress Report: Creating Learning Cultures Around Mistakes for Residents (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
    January 01, 2024 - of learning (see Table 1). … Learning best practices observed in relation to surgery and MICU errors Learning Best Practice Surgery … The Learning Culture: Managing the Contradictions of Stability, Learning, and Change. … Learning to avoid learning: The paradoxes of residency training around medical errors. … Learning to avoid learning: The paradoxes of residency training around medical errors. 5th Annual

55. Amplify Your Impact on Child Health Care Quality | Agency for Healthcare Research and Quality
    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/amplify-impact-webinar.html
    October 01, 2020 - Amplify Your Impact on Child Health Care Quality Learning from the CHIPRA Quality Demonstration … February 11, 2016, AHRQ and CMS presented a free Webinar, "Amplify Your Impact on Child Health Quality: Learning … Support: Team of experts, State peer-to-peer learning, no direct funding. … Diverse strategies Learning collaboratives. Technical assistance & practice facilitation. … Didactics and interactive learning. Peer networking. Alignment with other strategies.

56. Learn-Facilitator-Guide (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
    May 01, 2017 - Learning systems; and 5. Accountability and justice. … Slide 20 SAY: Learning systems By establishing learning systems, organizations can manage both systems … tools that can be used to promote learning systems. … Third, offer positive reinforcement at the monthly Learning From Defects meeting. … The Learning From Defects process is an effective way to instill or reinforce learning systems that contribute

57. Chapter 6. Summary | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/diabetesnetwork/diabnet6.html
    October 01, 2014 - Hispanic Diabetes Disparities Learning Network in Community Health Centers Chapter 6. … Summary Previous Page Next Page Table of Contents Hispanic Diabetes Disparities Learning … Structure of Learning Network Chapter 4. Evaluation Design Chapter 4. … Action Plan Spanish Chronic Disease Self-Efficacy Scale The AHRQ Diabetes Disparities Learning … For this learning network the Action Plan was felt to be a helpful tool in the goal-setting process with

58. Final Report: Regional Patient Safety Officer Conference—Learning Together Today and Tomorrow (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/schade-willis-report.pdf
    January 01, 2024 - Methods: The design was based on adult learning theory. … topic or tool involved active learning by participants. … For example, if the learning was about approaches for building a learning culture, participants compared … Building a patient safety community around support and learning. … Learning to Listen Learning to Teach, The Power of Dialogue in Educating Adults.

59. Pagbabakuna at Pagte-test | Agency for Healthcare Research and Quality
    www.ahrq.gov/nursing-home/tg/learning-modules/vaccination-testing.html
    December 01, 2022 - Pagbabakuna at Pagte-test Ang serye ng dalawang learning module na ito ay nakatuon sa mga pagsasaalang-alang … Tinuturo nitong learning module kung kailan dapat i-test ang mga residente para sa COVID-19.

60. Meeting Minutes, November 2016 | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/events/nac/2016-11-nac/nacmtg1116-minutes.html
    August 01, 2017 - Learning from the data is a good emphasis for the program; however, a stronger goal would be learning … Learning Health Systems: Evidence Implementation and Generation Arlene S. … Bierman gave examples of learning communities, including the Medicaid Medical Directors Learning Network … There should be continuous learning in all levels. Dr. … We need to learn about the process of learning. Many methods are reusable.