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  1. www.qualitymeasures.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.
  2. www.qualitymeasures.ahrq.gov/evidencenow/projects/heart-health/research-results/results/index.html
    March 01, 2023 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Check back frequently to stay current with what we’re learning about putting evidence into practice, … This section highlights what EvidenceNOW is learning about practice characteristics and care delivery … EvidenceNOW Cooperatives to help primary care practices improve care delivery Read here about what we’re learning … Find out what we’re learning here.
  3. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module10/10_ts_office_measmt.pptx
    January 20, 2006 - Page ‹#› Page ‹#› Office-Based Care How To Measure - Kirkpatrick Level I – Reactions Level II – Learning … Office-Based Care Available Measures Reactions TeamSTEPPS for Office-Based Care Course Evaluation Form Learning … Office-Based Care TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) for Office-Based Care Level II - Learning … 05.2 Page ‹#› Page ‹#› Office-Based Care TeamSTEPPS for Office-Based Care Knowledge Test Level II - Learning … ‹#› Page ‹#› Office-Based Care Team Performance Observation Tool for Office-Based Care Level II - Learning
  4. www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/ktcquips92.html
    October 01, 2014 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Toolkit Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning … Northwestern Memorial Hospital, developed the MATCH toolkit and presented information during onsite learning … These events were part of a QIO Learning Network established through an AHRQ Knowledge Transfer project … "Participating in the Learning Network encouraged more networking among hospitals," says Chip Hatchell
  5. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2014-materials/teamstepps-monthly-webinar-dec2014.pptx
    January 01, 2014 - TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® TeamSTEPPS for Patients Slide ‹#› Participant LearningLearning is defined as changes in knowledge, skills, or attitudes Assessed participant learning in … toward teamwork TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) Knowledge of teamwork TeamSTEPPS Learning … TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® TeamSTEPPS for Patients Slide ‹#› 24 Results: Learning … Attitudes (T-TAQ) Pre-training Mean (4.51) Post-training Mean (4.55) Learning (Learning Benchmarks)
  6. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-south-carolina-state-snapshot.pdf
    January 01, 2018 - practices in pediatric quality improvement (QI) activities South Carolina convened a multi-year learning … As part of the multi-year learning collaborative, the State offered practices a range of technical … assistance (TA) opportunities, including twice yearly in-person learning collaborative sessions, frequent … The learning collaborative provided training in screenings, guidance on accessing community resources … However, by the end of the learning collaborative, all 18 practices reported that they incorporated
  7. www.qualitymeasures.ahrq.gov/funding/grantee-profiles/grtprofile-halamek.html
    August 01, 2023 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … The PSLL [Patient Safety Learning Laboratory] mechanism is especially helpful in that it allows investigators … of Gynecology and Obstetrics at Stanford Medicine, was awarded a 5-year AHRQ-funded Patient Safety Learning … The Optimizing Safety of Mother and Neonate in a Mixed-Methods Learning Laboratory brought together … This current Patient Safety Learning Lab, Applying Human Factors Science, Design Thinking, and Systems
  8. www.qualitymeasures.ahrq.gov/teamstepps-program/resources/tools/index.html
    January 01, 2024 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … (PDF, 161 KB) This form will guide you through a self-evaluation exercise that will assist you in learning … TeamSTEPPS Learning Benchmarks (PDF, 247 KB) This PDF provides a checklist of questions to assess … Teamwork Perceptions Questionnaire (TPQ) (PDF, 209 KB) The T-TPQ is designed to assess Level II Learning
  9. www.qualitymeasures.ahrq.gov/health-literacy/professional-training/pharmacy/guide-1-7.html
    September 01, 2020 - , provide learning activities for use outside of a course, and facilitate student comprehension of the … Learning Objectives: Learning objectives are provided for every Activity Guide using Bloom's taxonomy … Time Commitment Estimate: 30 minutes Learning Objectives: List eight tasks required of patients … Time Commitment Estimate: 1-4 hours Learning Objectives: Explain the importance of written patient … Time Commitment Estimate: 2-3 hours Learning Objectives: List and categorize the types of questions
  10. www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
    July 01, 2023 - 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.
  11. www.qualitymeasures.ahrq.gov/health-literacy/professional-training/informed-choice.html
    May 01, 2023 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … The module must be run on a learning management system. … These files are not the interactive training, which can only be taken on a learning management system … Modules AHRQ makes the modules available to facilities that want to offer the trainings on their learning … Facilities wanting to run the modules on their facility’s learning management system should email: healthliteracy
  12. www.qualitymeasures.ahrq.gov/cahps/surveys-guidance/helpful-resources/analysis/index.html
    August 01, 2023 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … In this study, the team used various NLP and machine-learning methods to recognize the presence or absence … To do this, the team used four fairly simple approaches to implementing machine learning algorithms to … However, the machine learning approaches performed far better at predicting common codes than at predicting … approaches could be improved by increasing the size of the data set used to train and build the machine learning
  13. www.qualitymeasures.ahrq.gov/evidencenow/projects/heart-health/research-results/research/evaluation-design.html
    March 01, 2021 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … 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 … 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
  14. www.qualitymeasures.ahrq.gov/nursing-home/materials/leadership/index.html
    June 01, 2022 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Vaccination Leadership, Management, and Quality Improvement Staff & Resident Well-Being Learning … Leadership and Management Leading By Example Learning Module This learning module offers ideas to
  15. www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supln-slides.html
    January 01, 2016 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … SHARE: AcademyHealth State-University Partnership Learning … CHIPRA Quality Demonstration Grant Program Slide 1 AcademyHealth State-University Partnership Learning … matched comparison practices, total CHIPRA, Total MCO and Total State Support and participate in Learning … required to attend LCs to network, learn, and share experiences Slide 50 Quality Strategies Learning
  16. www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/demostates/or.html
    March 01, 2019 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Evaluation Highlight No. 13: How did CHIPRA quality demonstration States employ learning collaboratives … 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
  17. www.qualitymeasures.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html
    June 01, 2019 - Simulation allows health care professionals to practice TeamSTEPPS skills and strategies in a safe learning … Standardized patients Return to Top   Keys to Success Proper scenario design Focus on learning … Accurate measurement Include process and outcome measures Capture behaviors Debriefing Learning … Return to Top   Define Learning Objectives Learning objectives should be explicit and measurable … Helps to keep the discussion focused on events relevant to the learning objectives.
  18. www.qualitymeasures.ahrq.gov/teamstepps/webinars/index.html
    September 01, 2019 - The learning from this webinar can be adapted to any high-acuity clinical situation that requires optimal … January Webinar: Brain-Based Learning Strategies to Improve TeamSTEPPS ®  Deployment and Health Care … ET on Brain-Based Learning Strategies to Improve TeamSTEPPS Deployment and Health Care High Reliability … Teams can employ this approach to enhance engagement and learning in individual TeamSTEPPS deployment … Recording of the webinar: Slides of the January Webinar: Brain-Based Learning Strategies To Improve
  19. www.qualitymeasures.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
  20. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
    March 08, 2019 - /NLM • Examining use of IT to establish correct diagnoses by healthcare professionals (e.g., deep learning … and machine learning to help with imaging) … • AHRQ released a patient safety learning lab request for application last year; half of the grants … https://www.ahrq.gov/patient-safety/resources/learning-lab/index.html Federal Interagency Workgroup

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