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5901. Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities (pdf file)
      www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf
      March 09, 2008 - The learning sessions were led by speakers from the State PSIC, including the project manager for the … The learning sessions taught the RCA process, emphasizing that the RCA approach could be used in any … The VA RCA Tool Kit was used as the basic outline for the learning sessions.7 Health care providers … sessions Before RCA learning sessions April 1, 2006 to September 30, 2006 After RCA learning sessions … Statewide learning sessions are an efficient method of conducting such instruction.

5902. Final Progress Report: Understanding the implementation of new practices in healthcare organizations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/18987-Nembhard-draft-1.pdf
      April 30, 2015 - The effect of interorganizational learning on performance improvement. … Inside the organizational learning curve: Understanding the organizational learning process. … Learning networks for sustainable, large-scale improvement. … Disrupted routines: Team learning and new technology implementation hospitals. … Learning from high- performing front-line clinical units.

5903. Final Progress Report: Understanding the implementation of new practices in healthcare organizations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/18987-Nembhard-report.pdf
      April 30, 2015 - The effect of interorganizational learning on performance improvement. … Inside the organizational learning curve: Understanding the organizational learning process. … Learning networks for sustainable, large-scale improvement. … Disrupted routines: Team learning and new technology implementation hospitals. … Learning from high- performing front-line clinical units.

5904. Webinar Transcript - The National Quality Strategy: Best Practices to Improve Community Health | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
      November 01, 2016 - Webinar Transcript - The National Quality Strategy: Best Practices to Improve Community Health August 6, 2015 Download accessible version of slides (PDF, 1.1 MB) The National Quality Strategy: Best Practices to Improve Community Health. August 6, 2015 [Slide 1] Operator:  Ladies and gentlemen, than…

5905. New York Uses AHRQ Prevention Quality Indicators to Support Medicaid Reform Legislation | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcdom13.html
      October 01, 2014 - Case Studies May 2009 As a result of attending an AHRQ-sponsored Medicaid Medical Directors Learning … Health Insurance Programs, New York State Department of Health, learned about the PQI metrics at the Learning … Building on what he learned through participation in the Learning Network, Figge and his staff calculated … Quality Indicators, Healthcare Cost and Utilization Project (HCUP), Medicaid Medical Directors Learning

5906. CDS Connect: Using Clinical Decision Support To Move Evidence Into Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/learning-health-systems/cds-connect-summary.pdf
      October 03, 2017 - The Patient-Centered Learning Network is building a community of patients, clinicians, health information … Promoting Learning Health System Capabilities CDS Connect extends an organization’s capacity to use … The knowledge can be external, research-based scientific evidence or internal, based on learning from … Clinical Decision Support To Move Evidence Into Practice CDS Connect Goals Process Results Promoting Learning

5907. Final Progress Report: Mentored Implementation of I-PASS for Better Handoffs and Safer Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23291-Landrigan-report.pdf
      September 29, 2018 - Additional training modalities were also developed to allow for more flexible and independent learning

5908. Final Progress Report: Mentored Implementation of I-PASS for Better Handoffs and Safer Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
      January 01, 2024 - Additional training modalities were also developed to allow for more flexible and independent learning

5909. Severe Hypertension Scenarios: PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
      July 01, 2023 - This is important as once this opportunity is lost, there may be very little learning that gets applied

5910. Presentation: Designing a Scorecard for Sustainability
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustscorecard.pptx
      December 01, 2017 - : The module covers how to design a scorecard for sustaining your surgical improvement efforts. 1 Learning … From Defects Review Learning From Defects tool with your team Identify a defect in your operating rooms … to focus on learning from mistakes and problem solving at a deeper level. … Defects Are you learning from defects? Are any of your improvement plans driven by data? … Are you learning from each defect? Are you keeping tabs on identified defects?

5911. Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
      January 01, 2025 - Finally, “on-the- ground” EMS providers expressed a strong interest in learning skills to conduct and

5912. National Strategy for Quality Improvement in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/2015-hrsa-agency-specific-plan.pdf
      January 01, 2015 - • The HIV Cross-Part Care Continuum Collaborative was launched in January 2014 to provide peer learning … Response Teams participated in learning sessions, planned and implemented Collaborative activities, … These local implementing agencies designated quality improvement teams that attended learning sessions … collaborative for grantees of the Maternal, Infant, and Early Childhood Home Visiting Program to improve learning … Continuum Collaborative—Continue implementation of this quality improvement collaborative to provide peer learning

5913. Measurement-Powered Quality Improvement (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/QI_CAHPS-summary.pdf
      September 01, 2017 - Measurement-Powered Quality Improvement Measurement-Powered Quality Improvement In a learning health … Promoting Learning Health System Capabilities The AHRQ QI Toolkit demonstrates how AHRQ works with hospitals … mailto:Mamatha.Pancholi@ahrq.hhs.gov Promoting Learning Health System Capabilities CAHPS surveys are … Measurement-Powered Quality Improvement AHRQ Quality Indicators (QIs) Goals Process Results Promoting Learning … Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Goals Process Results Promoting Learning

5914. Section 1. The Need to Address Emergency Department Crowding | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptflow/section1.html
      July 01, 2018 - In 2002, Urgent Matters launched its first learning network with 10 hospitals. … The hospitals worked together in a collaborative learning process and received technical assistance to … report Bursting at the Seams: Improving Patient Flow. 15 In 2008, Urgent Matters launched a second learning … The second learning network included a formal evaluation of the patient flow improvement strategies, … report Improving Patient Flow and Reducing ED Crowding: Evaluation of Strategies from the Urgent Matters Learning

5915. Role of the Nurse Manager, Unit Team Lead
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursing.pptx
      July 07, 2012 - Role of the Nurse Manager, Unit Team Lead Learning Objectives Understand the responsibilities … Pillars Balanced Scorecard American Organization of Nurse Executives Nurse Manager Leadership Partnership Learning … - Improvement of overall organizational effectiveness and capabilities Organizational and personal learning … /Default.aspx The American Organization of Nurse Executives Nurse Manager Leadership Partnership Learning … Nurse Manager Leadership Partnership Learning Domain Framework. www.aone.org/resources/leadership%20tools

5916. Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gururaja_7.pdf
      January 24, 2008 - • Concentrating on key learning objectives. … Used equipment and teaching/learning materials effectively to enhance learning 3.50 (1.10) 3 12. … These items related predominantly to establishing rapport and purposes for learning. … Debriefing experiential learning exercises. J Exp Learn Simulat 1979; 1: 91-100. 18. … Fostering learning in small groups: A practical guide.

5917. Detection of Methicillin-Resistant Staphylococcus aureus (MRSA) From Multiple Body Sites of Residents at Long-Term Care Facilities | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article15.html
      June 01, 2014 - Advances in the Prevention and Control of HAIs Detection of Methicillin-Resistant Staphylococcus aureus (MRSA) From Multiple Body Sites of Residents at Long-Term Care Facilities Previous Page Next Page Table of Contents Advances in the Prevention and Control of HAIs Preface Adv…

5918. Detection of Methicillin-Resistant Staphylococcus aureus (MRSA) From Multiple Body Sites of Residents at Long-Term Care Facilities | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article15.html
      June 01, 2014 - Advances in the Prevention and Control of HAIs Detection of Methicillin-Resistant Staphylococcus aureus (MRSA) From Multiple Body Sites of Residents at Long-Term Care Facilities Previous Page Next Page Table of Contents Advances in the Prevention and Control of HAIs Preface Advances in the Preve…

5919. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=112
      January 01, 2024 - AHRQ Research Studies Sign up: AHRQ Research Studies Email updates Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers. Results 2801 to 2825 of 12214 Research Studies Displayed Pagination « first « First ‹ previous ‹‹ …

5920. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
      January 30, 2006 - Simulation allows health care professionals to practice TeamSTEPPS skills and strategies in a safe learning … behaviors Accurate measurement Include process and outcome measures Capture behaviors Debriefing Learning … Mod 1 05.2 Page * Page * Simulation Phase 1 Scenario Development Specify teamwork skills Define learning … Objectives Learning objectives should be explicit and measurable Focus on specific TeamSTEPPS behaviors … level of expected performance * TEAMSTEPPS 05.2 Mod 1 05.2 Page * Page * Simulation Learning