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181. Six Texas Hospitals Improve Care With AHRQ Medication Reconciliation Toolkit | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/ktcquips87.html
     October 01, 2014 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning … These events were part of a QIO Learning Network established through an AHRQ Knowledge Transfer project … AHRQ QIO Learning Network session activities were held in partnership with TMF Health Quality Institute … Northwestern Memorial Hospital, developed the MATCH toolkit, and presented information during onsite learning

182. Four New York Providers Use AHRQ Medication Reconciliation Toolkit to Improve Care | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/ktcquips86.html
     October 01, 2014 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning … These events were part of a QIO Learning Network established through an AHRQ Knowledge Transfer project … AHRQ QIO Learning Network session activities were held in partnership with IPRO. … Northwestern Memorial Hospital, developed the MATCH toolkit, and presented information during onsite learning

183. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/878.html
     August 01, 2023 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Register Now: Sept. 26 Webinar on Learning Health System’s Potential To Reduce Patient Harms . … Register Now: Sept. 26 Webinar on Learning Health System’s Potential To Reduce Patient Harms Registration … the VHA’s journey towards becoming a high-reliability organization with a focus on how to create a learning … Establishing a Cystic Fibrosis Learning Network: interventions to promote collaboration and data-driven

184. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/index.html?page=7
     January 01, 2016 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Care Coordination Measures Atlas (1) CAUTI Toolkit (4) CERTs (5) Chartered Value Exchange Learning … Informed Consent an Informed Choice Guide (1) MATCH Toolkit (17) Medicaid Medical Directors Learning … Public Health Emergency Preparedness Webcast (1) Put Prevention Into Practice (PPIP) (6) QIO Learning … Network (26) QI Toolkit (2) Quality Diagnostic Tools for States (11) Quality Indicators Learning

185. Strategies for Preparing for TeamSTEPPS Implementation in the Clinical and Educational Settings
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-july2016.pptx
     January 01, 2016 - Healthcare since 2012 2nd year students; team-based learning format Other curricular and extra-curricular … Mod 1 05.2 Page ‹#› TeamSTEPPS® UF Clinical and Educational Implementation Slide ‹#› Students’ Learning … Preparing for clinical rotations Reflective observation in clinical settings Simulation activities Learning … throughout IPE and individual program curricula Introduction where educationally relevant Multiple learning … Partnerships Partner with the Community Mitigate effects of “countervailing forces” BECOME A LEADING LEARNING

186. Half-Day Training Content | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/communication/teach/half-day.html
     May 01, 2023 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Continue to foster mutual respect, fun, and transparency through the use of active learning and listening … Introduction and Objectives Briefly review the learning objectives for the module (Slide 2) and then … Using groups to brainstorm challenges to communication in conjunction with Slide 8 will help make the learning

187. Module 7—Hand Hygiene—Nursing Home Infection Preventionist Training Course | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/nursing-home/resources/module-7-hand-hygiene.html
     April 01, 2022 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Nursing Home COVID-19 Action Network About the Network Materials by Topic Learning … Infection Control and Prevention Audience(s): Managers, Clinical Leaders, Clinicians Format: Online learning

188. TeamSTEPPS 2.0 Module 10: Measurement
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule10.pptx
     January 01, 2004 - The second level in Kirkpatrick's hierarchy is learning. … To measure learning, there is the TeamSTEPPS Teamwork Attitude Questionnaire, or T-TAQ, which measures … . 11 Learning Benchmarks (Slide 8) Evaluates Level II - Learning Found in Tab F or select image at … The Learning Benchmarks Knowledge Test can be used to evaluate learning. … The Team Performance Observation Tool is a customizable tool that measures both learning at level two

189. State at a Glance: Massachusetts | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/demostates/ma.html
     March 01, 2019 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … How are CHIPRA demonstration States approaching practice-level quality measurement and what are they learning … Evaluation Highlight No. 13: How did CHIPRA quality demonstration States employ learning collaboratives … Provider-Based Model of Care In December 2013, Massachusetts completed the implementation of a 29-month-long Learning … The practices received financial support for participating in learning sessions and monthly action period

190. Training Program Summary: HealthTeamWorks’ Coach University | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/ncepcr/tools/case-studies/health-team-works.html
     August 01, 2014 - Practice facilitator training that includes both direct instruction and experiential learning methods … Trainees have a wealth of knowledge and experience that provides opportunities for peer-to-peer learning … This stage includes classroom learning as well as visits to practices engaged in quality improvement … To facilitate learning, HealthTeamWorks leaders encourage storytelling and interactive learning among … Group size is a key ingredient in facilitating peer-to-peer learning.

191. Training Program Summary: Practice Coach Training for the North Carolina AHEC Practice Support Program | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/ncepcr/tools/case-studies/ncahec.html
     August 01, 2014 - and is grounded in adult learning theory. … The director and staff use information shared in this peer-to-peer learning to inform development of … Training includes didactic instruction, self-study using online resources, peer-to-peer learning, and … Training content should be tailored to meet the learning needs of different students. … Regional collaboration (e.g., sharing data, peer learning, collaborative meetings, etc.)

192. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
     May 01, 2017 - By engaging in this learning process, providers can uncover contributing system-level failures that … From Defects 7 SAY: The following tools can be used to help engage unit staff in identifying and learning … SAY: Learning from defects often reveals that systems contribute to the underlying causes of the defects … 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.

193. State at a Glance: Maryland | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/demostates/md.html
     March 01, 2019 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … one of the 10 grantees, Maryland is working with Georgia and Wyoming in an innovative multi-State learning … and its partner States implemented the project planning tool developed by CHCS as part of its Quality Learning … questions about the implementation and outcomes of their efforts including: How did the multi-State learning

194. State at a Glance: West Virginia | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/demostates/wv.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 … West Virginia is working with 10 practice sites in a virtual learning collaborative to implement a medical … Using a virtual learning collaborative approach involving 10 practices over 18 months, West Virginia

195. State at a Glance: South Carolina | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/demostates/sc.html
     March 01, 2019 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … use health IT to automate quality reporting and feedback and improve care coordination; and (3) use a learning … The project will use a learning collaborative approach and will focus on the collection of quality measures … The State will use a learning collaborative model that involves semiannual meetings, technical assistance

196. Georgia Hospitals Improve Medication Reconciliation Process With AHRQ Toolkit | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/ktcquips90.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 … improved medication reconciliation from February through November 2011 after participating in onsite learning

197. Key Driver 4: Create and Support High Functioning Care Teams to Deliver High-Quality Evidence-Based Care | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/evidencenow/tools/keydrivers/create-care-teams.html
     November 01, 2018 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … base involves developing a culture of cooperation and shared accountability for outcomes, embracing learning … Support care team learning about new evidence Practices may have to augment in-service training to address … Approaches to team learning include lunch and learn sessions, shadowing, mentoring, consultation with … experts, in-service training and online learning modules, among others.

198. Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
     July 01, 2023 - Learning systems. Accountability and justice. … learning systems, organizations can manage both systems and human behavior. … 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

199. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
     August 01, 2022 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … and Disclosure Module 6: Care for the Caregiver Module 7: Resolution Module 8: Organizational Learning … forgive that; but you harm us again by not being honest and transparent with us…we should be healing and learning … medical liability to patient safety and quality while moving toward a systems-oriented approach to learning

200. What is the Network of Patient Safety Databases? | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/npsd/what-is-npsd/index.html
     May 01, 2023 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … rich data source makes it possible to identify and track patient safety concerns for the purpose of learning … informational tools, including dashboards and chartbooks, to make the data available for meaningful, national learning