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  1. www.ahrq.gov/research/findings/final-reports/diabetesnetwork/index.html
    October 01, 2014 - Hispanic Diabetes Disparities Learning Network in Community Health Centers Next Page Table … of Contents Hispanic Diabetes Disparities Learning Network in Community Health Centers Chapter … Structure of Learning Network Chapter 4. Evaluation Design Chapter 4. … This report describes the development of a learning network project that included interventions and needs … Structure of Learning Network     Learning Sessions     Site Visits and Telephone Conference Calls
  2. www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/learning-from-defects.html
    October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs Learning From Defects Previous Page Next Page … Explore the Learning From Defects tool. … Documents: Learning From Defects – Slides (PPTX, 3.2 MB) Learning From Defects – Facilitator Guide … process of Learning From Defects. … KB) Summary worksheet of the Learning From Defects process.
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
    April 21, 2008 - Patient Safety Learning Pilot: Narratives from the Frontlines Patient Safety Learning Pilot: Narratives … In addition, double-loop learning, essential to developing a learning organization, requires engagement … sessions and action periods between the learning sessions. … Data sources included: • Hospital presentations at the three learning sessions. … Defining and classifying medical error: Lessons for learning.
  4. digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-learning-network
    January 01, 2023 - Patient-Centered Outcomes Research Clinical Decision Support Learning Network Project … Clinical Decision Support Learning Network (PCCDS-LN or “the Learning Network”), was created as a multistakeholder … convening, implementing, and initiating operation of a multistakeholder CDS learning network. … In 2018 and 2019, the Learning Network sharpened the ability to demonstrate an impact on practice. … Patient-Centered Outcomes Research Clinical Decision Support Learning Network - Final Report.
  5. psnet.ahrq.gov/issue/learning-preventable-adverse-events-health-care-organizations-development-multilevel-model
    June 28, 2010 - Commentary Learning from preventable adverse events in health care organizations: … development of a multilevel model of learning and propositions. … Learning from preventable adverse events in health care organizations: development of a multilevel model … of learning and propositions. … of learning and propositions.
  6. www.ahrq.gov/nursing-home/learning-modules/health-learning.html
    November 01, 2022 - Supporting Nursing Home Residents’ Emotional Health Learning Module This learning module will
  7. psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes
    February 08, 2017 - Commentary Adverse events in healthcare: learning from mistakes. … Adverse events in healthcare: learning from mistakes. … lack of a standard method to collect and analyze data can hinder progress in determining trends and learning … Adverse events in healthcare: learning from mistakes.
  8. psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects
    December 24, 2008 - Multi-use Website Overview of Patient Safety Learning Laboratory Projects. … Citation Text: Overview of Patient Safety Learning Laboratory Projects. … Agency for Healthcare Research and Quality funding designed for rapid deployment through team-focused learning … Cite Citation Citation Text: Overview of Patient Safety Learning
  9. psnet.ahrq.gov/issue/learning-mechanisms-limit-medication-administration-errors
    August 30, 2017 - Study Learning mechanisms to limit medication administration errors. … Learning mechanisms to limit medication administration errors. … Learning mechanisms to limit medication administration errors. … March 1, 2023 Is anybody 'Learning' from deaths? … February 22, 2023 NHS ‘Learning from Deaths’ reports: a qualitative and quantitative
  10. psnet.ahrq.gov/issue/learning-samples-one-or-fewer
    December 21, 2017 - Review Classic Learning from samples of one or fewer. … Citation Text: Learning from samples of one or fewer. March JG, Sproull LS, Tamuz M. … However, learning from rare events is challenging because experience is limited. … May 24, 2023 Organisational learning in hospitals: a concept analysis. … December 17, 2009 Exploring the barriers to learning from crisis: organizational learning
  11. psnet.ahrq.gov/issue/patient-safety-interprofessional-learning-environment
    May 30, 2008 - Commentary Patient safety in an interprofessional learning environment. … Patient safety in an interprofessional learning environment. Med Educ. 2005;39(5):512-3. … The authors discuss a patient safety–focused, shared learning program developed by the medical and health … Patient safety in an interprofessional learning environment. Med Educ. 2005;39(5):512-3. … April 14, 2011 Learning from mistakes in New Zealand hospitals: what else do we need
  12. psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe
    June 17, 2020 - Commentary The role of purple pens in learning to prescribe. … The role of purple pens in learning to prescribe. … Participants universally found the initiative to be a learning experience. … The role of purple pens in learning to prescribe. … July 10, 2024 Using learning communities to support adoption of health care innovations
  13. psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how-can-informal
    March 14, 2012 - Review Informal learning from error in hospitals: what do we learn, how do we learn … and how can informal learning be enhanced? … Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning … Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning … March 14, 2012 The relationship between the learning and patient safety climates of clinical
  14. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight13.html
    June 01, 2015 - Learning collaboratives taught how to test improvements and measure progress Learning collaboratives … “I think [practices learning together] is a terrific concept…. … “Having a physician lead [the learning collaborative] was key. … States reported positive outcomes from their learning collaboratives At the conclusion of their learning … peer-to-peer learning.
  15. psnet.ahrq.gov/issue/anybody-learning-deaths-sequential-content-and-reflexive-thematic-analysis-national-statutory
    March 01, 2023 - Study Is anybody 'Learning' from deaths? … Is anybody ‘Learning’ from deaths? … In 2017, England’s National Health Service (NHS) implemented the Learning from Deaths program which … Is anybody ‘Learning’ from deaths? … The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020
  16. psnet.ahrq.gov/issue/how-medical-error-shapes-physicians-perceptions-learning-exploratory-study
    August 16, 2023 - Study How medical error shapes physicians' perceptions of learning: an exploratory … How Medical Error Shapes Physicians' Perceptions of Learning: An Exploratory Study. … providers experience after an error affect their perceptions of learning. … can facilitate learning from mistakes. … How Medical Error Shapes Physicians' Perceptions of Learning: An Exploratory Study.
  17. psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety
    November 17, 2021 - Study The fusion of incident learning and failure mode and effects analysis for data-driven … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … Assessing risk and learning from adverse events are core components of patient safety improvement. … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … March 2, 2022 Enabling a learning healthcare system with automated computer protocols
  18. psnet.ahrq.gov/issue/partnership-pathway-diagnostic-excellence-challenges-and-successes-implementing-safer-dx
    April 13, 2022 - Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning … Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning … This qualitative study involving 25 individuals associated with the Safer Dx Learning Lab identified … buy-in and the need for protected time for clinicians to participate in case review and continuous learning … October 28, 2020 Developing health care organizations that pursue learning and exploration
  19. psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
    February 12, 2020 - Newspaper/Magazine Article Becoming a high-reliability organization through shared learning … of safety events Citation Text: Becoming a high-reliability organization through shared learning … This article discusses a learning model built upon event definition, rapid contributing factor identification … , system-focused communication, and standardized learning to facilitate organizational learning from … Citation Citation Text: Becoming a high-reliability organization through shared learning
  20. psnet.ahrq.gov/issue/national-statutory-reporting-not-even-ticking-boxes-quality-learning-deaths-reporting-quality
    February 22, 2023 - The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020 … The quality of ‘Learning from Deaths’ reporting in quality accounts within the NHS in England 2017–2020 … The quality of ‘Learning from Deaths’ reporting in quality accounts within the NHS in England 2017–2020 … February 22, 2023 NHS ‘Learning from Deaths’ reports: a qualitative and quantitative … March 2, 2022 Indicators for implementation outcome monitoring of reporting and learning