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461. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D. (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
     January 01, 2015 - Assessed Across SOPS Surveys • Communication About Error • Communication Openness • Organizational Learning … Learning System AHRQ’s Surveys on Patient Safety Culture™(SOPS®) Program Agency for Healthcare Research

462. National Action Alliance for Patient and Workforce Safety | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/action-alliance/index.html
     AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Safety Self-Assessment A tool for organizational learning and to track the progress of

463. Training in Patient-Centered Outcome Research (PCOR) | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tcdhs12001.html
     June 01, 2018 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Trust Fund Investments At-A-Glance AHRQ Training Projects Funded by PCOR Trust Fund Learning

464. Improving Hospital Discharge Through Medication Reconciliation and Education | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/resources/discharge/index.html
     December 01, 2017 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Events Education & Training Resources Home Health Care Improving Discharge Learning

465. Talking Quality: Reporting to Consumers on Health Care Quality | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/talkingquality/index.html
     AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning

466. Enhancing Code Blue Team Effectiveness
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-may2016.pptx
     January 01, 2016 - leader curriculum that is designed to support clinical team effectiveness Recognize the importance of a learning … Team Effectiveness Slide ‹#› Rapid Cycle Deliberate Practice (RCDP) Debriefing Based on mastery learning … information given to the learner Just-in-time correction Allows minor changes to occur throughout the learning

467. Appendix B. Products Produced By the National Evaluation Team | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/appb.html
     October 01, 2015 - 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 … How did CHIPRA quality demonstration States employ learning collaboratives to improve children’s health

468. High Reliability Organizational (HRO) Culture using Standardized Patient Simulation and TeamSTEPPS (ppt file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-030817.ppt
     January 01, 2017 - * TEAMSTEPPS 05.2 Slide * March TeamSTEPPS Monthly Webinar Experiential Learning For the things … pupils something to do, not something to learn; and the doing is of such a nature as to demand thinking; learning … TEAMSTEPPS 05.2 Slide * March TeamSTEPPS Monthly Webinar The EVMS Sentara Center for Simulation and Learning … IV catheter insertion) Sentara Center for Simulation & Immersive Learning TEAMSTEPPS 05.2 Slide … * March TeamSTEPPS Monthly Webinar Sentara Center for Simulation & Immersive Learning TEAMSTEPPS

469. Title of Presentation: (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
     September 24, 2015 - change and use of evidence-based practices • CHIPRA State strategies – Technical support • Learning … Rushton 17 How IP Worked with Practices and Stakeholders Pediatric Practices Learning … model for improvement • Developing QI teams at the same level • Multiple contacts • Twice a year learning … 200 certifications to date • Lays groundwork for NCQA PCMH Standard 6 • CME credit for winter learning … with academic oversight, allows us to use some of their meetings for information sharing • Our learning

470. 3. Observations About the Structure of the Demonstration Grant Program | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section3.html
     October 01, 2015 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Multistate partnerships heightened cross-State learning but posed administrative challenges for demonstration … Alaska engaged the fewest practices (three), and Illinois the most (about 25 practices signed up for learning … States in these partnerships were committed to learning from and sharing ideas with each other. … Return to Contents Grant Structure and Rigorous Evaluation Because of the emphasis on learning from

471. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
     July 01, 2023 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Slide 2: Learning Objectives Say: In this module, we will— Describe the historical and contemporary … When learning from defects, L&D unit teams identify— What happened? Why did it happen? … staff members are aware their input is critical to continual quality improvement as embodied by the Learning … https://www.ahrq.gov/hai/cusp/videos/04e-learn-defects/index.html Say: Apply these four Learning

472. SOPS Ambulatory Surgery Center Webcast - HARE (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-ASC-webcast-2023-0509-hare.pdf
     January 01, 2023 - Work Pressure, and Pace (3 items) • Teamwork (4 items) • Staff Training (4 items) • Organizational Learning … Organization Learning—Continuous Improvement Your ASC … 25 2021 SOPS ASC Database Composite Measure Results Average % Positive Response Organizational Learning … Organizational Learning – Continuous Improvement % Strongly Agree/ Agree % Neither Agree nor Disagree

473. Resource List - AHRQ Nursing Home Survey (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
     April 01, 2023 - Organizational Learning ............................................................................ … Organizational Learning 1. … /learning-modules/index.html These brief videos offer self-paced learning for those on the front lines … Training and Skills 1. 5-Minute Learning Modules for Frontline Staff 2. … Developing a Reporting Culture: Learning From Close Calls And Hazardous Conditions 2.

474. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Organizational Learning—Continuous Improvement 8 Composite Measure 11. … Developing a Reporting Culture: Learning From Close Calls And Hazardous Conditions https://psnet.ahrq.gov … Organizational Learning—Continuous Improvement 1. Root Cause Analysis a. … Developing a Reporting Culture: Learning From Close Calls And Hazardous Conditions 2. … Organizational Learning—Continuous Improvement 1. Root Cause Analysis 2.

475. Discharge Instructions Quality: How the University of Iowa Stead Family Children's Hospital Improved their Electronic Template for Family/ Caregiver Written Discharge Instructions (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/iowa-case-study.pdf
     January 29, 2021 - the quality of their discharge instructions for families during the course of the twelve-month P-HIP Learning … participated in the 12-month Pediatric Hospital Care Improvement Project’s (P-HIP) Transitions of Care Learning … However, prior to the start of the P-HIP Learning Collaborative, the entire system had recently begun

476. Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/funaro-0914slides.pdf
     January 01, 2014 - PATIENT NAVIGATOR EHR TEMPLATE 53 53 EXAMPLE OF THE “PINK SHEET” 54 54 Organizational Learning … Navigator Example of the Patient Navigator EHR Template Example of the “Pink Sheet” Organizational Learning

477. Job Aid: Facilitator Fundamentals (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-facilitator-fundamentals.pdf
     January 07, 2022 - that require reflection on:  New ideas about the issue  Flexible thinking about the issue  The learning … (past learning)  What is preventing you from....

478. PowerPoint Presentation
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/building-better-primary-care.pptx
     October 01, 2018 - improvement 23 Change Strategies • Forge a Vision • Support Evidence-based Practice • Encourage Learning … Champions • Create a QI Culture Key Driver 6: Nurture leadership and create a culture of continuous learning

479. Affinity-Group-Improving-Support-Women (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-group-improving-support-women.pdf
     May 01, 2021 - topics are ongoing; events are open to anyone but participants are encouraged to join the TAKEheart Learning …  Purpose of Today’s Call:  Continue process of learning and sharing with each other  Focus of today

480. Warm Handoff Plus: Role Play Scenarios (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-role-play-final508.pdf
     April 03, 2018 - Using the discussion prompts (page 3), engage the training group in a learning discussion on what went … Using the discussion prompts (page 3), engage the training group in a learning discussion on what went … Using the discussion prompts (page 3), engage the training group in a learning discussion on what went