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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
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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.
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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.
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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.
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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.
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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
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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.
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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
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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
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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
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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
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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
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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
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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.
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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
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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.
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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
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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
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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
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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