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psnet.ahrq.gov/issue/positive-approaches-safety-learning-what-we-do-well
September 15, 2021 - Commentary
Positive approaches to safety: learning from what we do well. … Positive approaches to safety: learning from what we do well. … and complementary positive strategies of patient safety, such as exnovation, appreciative inquiry, learning … Positive approaches to safety: learning from what we do well. … December 12, 2023
Measurement and Monitoring of Safety Framework (MMSF): learning from
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psnet.ahrq.gov/issue/nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis-first-year
February 22, 2023 - Study
NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document … NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year … NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year … The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020 … July 11, 2012
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Related Resources
Is anybody 'Learning'
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psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review
April 27, 2022 - Review
The value of learning from near misses to improve patient safety: a scoping … The value of learning from near misses to improve patient safety: a scoping review. … Reporting and learning from adverse events is a core patient safety activity. … Findings from this scoping review indicate limited evidence demonstrating that reporting and learning … The value of learning from near misses to improve patient safety: a scoping review.
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psnet.ahrq.gov/issue/association-clinician-diagnostic-performance-machine-learning-based-decision-support-systems
June 22, 2022 - Emerging Classic
Association of clinician diagnostic performance with machine learning–based … Association of clinician diagnostic performance with machine learning–based decision support systems: … This study explored the role of machine-learning based clinical decision support (CDS) algorithms … This systematic review of 37 studies found limited evidence that the use of machine learning-based CDS … Association of clinician diagnostic performance with machine learning–based decision support systems:
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psnet.ahrq.gov/issue/machine-learning-based-clinical-decision-support-system-identify-prescriptions-high-risk
May 20, 2020 - Study
Emerging Classic
A machine learning-based clinical … A machine learning–based clinical decision support system to identify prescriptions with a high risk … Machine learning can improve the accuracy of clinical decision support (CDS) tools. … The machine-learning based approach was more accurate than existing techniques such as the traditional … A machine learning–based clinical decision support system to identify prescriptions with a high risk
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psnet.ahrq.gov/issue/learning-environments-reliability-enhancing-work-practices-employee-engagement-and-safety
August 12, 2020 - Study
Learning environments, reliability enhancing work practices, employee engagement … Learning environments, reliability enhancing work practices, employee engagement, and safety climate … Ideal clinical learning environments (CLE) support employee engagement, satisfaction, and a culture … Learning environments, reliability enhancing work practices, employee engagement, and safety climate … June 24, 2020
Incident learning in radiation oncology: a review.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-ethical-principles-regulatory-approach-bias-healthcare
April 21, 2021 - and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning … and quality improvement: Ethical principles for a regulatory approach to bias in healthcare machine learning … recommendations for adopting ethical principles for the delivery of machine learning-assisted health … December 8, 2021
A machine learning-based clinical decision support system to identify … May 4, 2022
A machine learning approach to reclassifying miscellaneous patient safety
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psnet.ahrq.gov/issue/understanding-roles-three-academic-communities-prospective-learning-health-ecosystem
October 19, 2022 - Study
Understanding the roles of three academic communities in a prospective learning … Understanding the roles of three academic communities in a prospective learning health ecosystem for … The authors interviewed 32 individuals with expertise in learning health systems to explore how such … The authors discuss how machine learning and artificial intelligence can be leveraged to advance diagnostic … Understanding the roles of three academic communities in a prospective learning health ecosystem for
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psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs
September 01, 2021 - Government Resource
Learning how to learn: compliance with patient safety alerts … Citation Text:
Learning how to learn: compliance with patient safety alerts in the NHS. … August 1, 2018
An Organisation with a Memory: Report of an Expert Group on Learning from … October 31, 2018
Learning from Investigations. … March 28, 2018
Learning, Candour and Accountability.
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psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning
April 01, 2010 - Quality improvement for patient safety: project-level versus program-level learning. … Quality improvement for patient safety: project-level versus program-level learning. … Learning from other organizations' safety errors. … December 17, 2009
Active learning: when is more better? … October 14, 2009
The competitive imperative of learning.
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psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare
February 23, 2018 - Book/Report
Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare … Citation Text:
Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. … care delivery, provides suggestions to prevent similar incidents, and highlights opportunities for learning … Cite
Citation
Citation Text:
Prevention Is Better Than Cure: Learning … September 23, 2015
Reporting and Learning Systems for Medication Errors: The Role of
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psnet.ahrq.gov/issue/vincristine-learning-error-workshop
April 26, 2006 - Book/Report
Vincristine: Learning from Error Workshop.
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psnet.ahrq.gov/issue/learning-accountability-patient-outcomes
July 01, 2017 - Commentary
Learning accountability for patient outcomes. … Learning accountability for patient outcomes. JAMA. 2010;304(2):204-5. doi:10.1001/jama.2010.979. … Learning accountability for patient outcomes. … July 1, 2017
Enabling a learning healthcare system with automated computer protocols
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psnet.ahrq.gov/issue/analysis-interprofessional-clinical-learning-environment-quality-improvement-and-patient
April 19, 2017 - Study
Analysis of the interprofessional clinical learning environment for quality … Analysis of the interprofessional clinical learning environment for quality improvement and patient safety … Benefits (e.g., learning about other professions), facilitators, and barriers to resident involvement … and a positive clinical learning environment were identified. … April 19, 2017
Learning from patient safety incidents involving acutely sick adults in
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psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning-healthcare-systems
December 02, 2014 - Study
Using a network organisational architecture to support the development of Learning … Using a network organisational architecture to support the development of Learning Healthcare Systems … The National Academy of Sciences has advocated for a Learning Healthcare System in which patients are … This study describes the development and implementation of a network organizational model for learning … Using a network organisational architecture to support the development of Learning Healthcare Systems
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psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems
May 24, 2012 - Commentary
Establishing a global learning community for incident-reporting systems … Establishing a global learning community for incident-reporting systems. … Establishing a global learning community for incident-reporting systems. … October 7, 2020
The next step in learning from sentinel events in healthcare. … April 15, 2020
An organizational learning framework for patient safety.
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psnet.ahrq.gov/issue/improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle
December 16, 2020 - Commentary
Improving diagnostic performance through feedback: the Diagnosis Learning … Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. … collaborating with professionals outside of the healthcare field, researchers developed the Diagnosis Learning … Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. … A program to provide clinicians with feedback on their diagnostic performance in a learning
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psnet.ahrq.gov/issue/role-clinical-learning-environments-preparing-new-clinicians-engage-patient-safety
November 18, 2020 - Book/Report
The Role of Clinical Learning Environments in Preparing New Clinicians … Citation Text:
The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in … Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National Collaborative for Improving the Clinical Learning … Incorporating patient safety in education and learning environments can augment physician engagement … July 9, 2019
Quality Improvement and Patient Safety Competencies Across the Learning
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psnet.ahrq.gov/issue/health-technology-quality-and-safety-learning-health-system
February 09, 2022 - Commentary
Health technology, quality and safety in a learning health system. … Health technology, quality and safety in a learning health system. … This commentary describes how learning health systems can improve the safety of new technologies, such … Health technology, quality and safety in a learning health system. … July 7, 2021
Learning from patient safety incidents involving acutely sick adults in
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psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
May 24, 2016 - Book/Report
Organizational Learning from Experience in High-Hazard Industries: Problem … Citation Text:
Organizational Learning from Experience in High-Hazard Industries: Problem Investigations … This paper confronts two central issues for organizational learning from the prism of the chemical and … July 8, 2016
Work Design Drivers of Organizational Learning about Operational Failures … May 24, 2016
Learning from Disasters: A Management Approach. Third ed.