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  1. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/idstateataglance.pdf
    March 01, 2012 - medical home coordinator, employed by the State and embedded in their practice, who participates in learning … priority areas for quality improvement, such as physical and behavioral health integration, while holding learning
  2. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/gastateataglance.pdf
    March 01, 2012 - Georgia is working with Maryland (one of the 10 grantees) and Wyoming in an innovative multi‐State learning … questions about the implementation and outcomes of their efforts including:  How did the multi‐State learning
  3. Facilitator-Notes (doc file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/facilitator-notes.docx
    March 01, 2017 - Invite input from all team members · Encourage team members to contribute · Promote active listening and learningLearning systems By establishing learning systems, organizations can manage both systems and human behavior … and Learn From Defects form in this toolkit are two communication tools that can be used to promote learningLearning opportunities, including the development of skills, techniques and career development, will
  4. 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
  5. www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/engage-checklist.html
    March 01, 2017 - AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning … Evaluate the ways you currently listen to residents and families (focus groups, learning circles, resident … Involve resident leaders in learning from defects discussions.      
  6. Module 2: Example (doc file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/example-pdsa-form.docx
    May 01, 2017 - In the “act” step, you integrate your learning into a next test or into daily practice. ] Use this
  7. Defects (doc file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.docx
    March 01, 2017 - With whom will we share our learning?
  8. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-maryland-state-snapshot.pdf
    January 01, 2018 - projects and met quarterly with Maryland and the Center for Health Care Strategies to engage in peer learning
  9. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
    May 01, 2017 - 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 … professionals/education/curriculum-tools/cusptoolkit/videos/04e_learndefects/index.html SAY: Apply these four Learning
  10. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-quickstart-final508.pdf
    April 04, 2018 - . � Complete the interactive learning module. 2 Make decisions for your implementation Set scope � Who … � Encourage the review of the interactive learning module.
  11. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-wyoming-state-snapshot.pdf
    January 01, 2018 - faced several design challenges, including agencies’ competing priorities and stakeholders’ steep learning … similar projects and met with Wyoming and the Center for Health Care Strategies to engage in peer learning
  12. Module 2: Example (doc file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-pdsa-form.docx
    May 01, 2017 - In the “act” step, integrate your learning into a next test or into daily practice.]
  13. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-ok.pdf
    November 01, 2017 - Improving practice quality takes more than learning the evidence for guidelines. … shoulder-to-shoulder’ facilitation in the practice with clinicians and staff reviewing their own data and learning … Presentations: • Collective Efforts to Overcome Quality Measurement Challenges: Lessons from a Primary Care Learning … 2016; Oklahoma State Health Department, 2016; and Oklahoma City Area Indian Health Service Clinical Learning
  14. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/wvstateataglance.pdf
    March 01, 2012 - 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
  15. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/utstateataglance.pdf
    March 01, 2012 - medical home coordinator employed by the State and embedded in their practice, who will participate in learning … Utah will offer learning collaboratives on various topics, such as physical and behavioral health integration
  16. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/ncstateataglance.pdf
    March 01, 2012 - collect, test, and report on the initial core set of quality measures for children, while using a learning … During an 18‐month learning collaborative, North Carolina will work with selected family and pediatric
  17. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-breakout.pdf
    September 28, 2016 - Develop a reporting environment and medical liability system that facilitates improved diagnosis through learning … ► Evaluate the effectiveness of PSOs as a major mechanism for voluntary reporting and learning from … ► Promote a legal environment that facilitates the timely identification, disclosure, and learning
  18. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.pdf
    June 06, 2018 - work together as an effective team ...................... 1 2 3 4 5 9 SECTION C: Organizational LearningLearning, rather than blame, is emphasized when mistakes are made ................................. … Safety SECTION A: Working in This Facility SECTION B: Teamwork and Training SECTION C: Organizational Learning
  19. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-id-success-story.pdf
    April 01, 2015 - IMPaCT funding allowed the group to travel to North Carolina for 2 days of peer-to-peer learning that … AHRQ Pub. 15-0040-4-EF April 2015 Acknowledgements North Carolina IMPaCT’s partner State learning … Support for Idaho’s participation in the North Carolina IMPaCT Learning Collaborative was provided by
  20. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/singh-summit2016.pdf
    September 01, 2016 - Error” as Diagnostic “Safety” 5 Being Realistic About Future Progress 6  Measurement ready for QI, learning … definitions  Measure ‘harm’, ‘safety’, ‘reliability’, ‘uncertainty’  Measurement ---> feedback & learning

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