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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.
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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.
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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
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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
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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 Learning … Learning 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)
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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
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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
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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
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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
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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.
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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
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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
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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
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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
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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
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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
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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.
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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
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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
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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