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141. Learning from patient safety incidents: The Green Cross method. | PSNet
     psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method
     June 14, 2023 - Study Learning from patient safety incidents: The Green Cross method. … Learning from patient safety incidents: the Green Cross method. … Learning from patient safety incidents: the Green Cross method. … 14, 2021 In situ simulation-based team training and its significance for transfer of learning

142. After Mid Staffordshire: from acknowledgement, through learning, to improvement. | PSNet
     psnet.ahrq.gov/issue/after-mid-staffordshire-acknowledgement-through-learning-improvement
     August 28, 2024 - Special or Theme Issue After Mid Staffordshire: from acknowledgement, through learning … After Mid Staffordshire: from acknowledgement, through learning, to improvement. … After Mid Staffordshire: from acknowledgement, through learning, to improvement. … May 21, 2014 Early warnings, weak signals and learning from healthcare disasters.

143. Early warnings, weak signals and learning from healthcare disasters. | PSNet
     psnet.ahrq.gov/issue/early-warnings-weak-signals-and-learning-healthcare-disasters
     February 28, 2024 - Commentary Early warnings, weak signals and learning from healthcare disasters. … Early warnings, weak signals and learning from healthcare disasters. … Early warnings, weak signals and learning from healthcare disasters. … May 20, 2019 Imitating incidents: how simulation can improve safety investigation and learning

144. Patients as partners in learning from unexpected events. | PSNet
     psnet.ahrq.gov/issue/patients-partners-learning-unexpected-events
     December 15, 2021 - Study Patients as partners in learning from unexpected events. … Patients as Partners in Learning from Unexpected Events. … Patients as Partners in Learning from Unexpected Events.

145. Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. | PSNet
     psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide
     November 02, 2022 - fit the  requirements of the supervisory authority rather than an opportunity for organizational learning … From the Same Author(s) Six major steps to make investigations of suicide valuable for learning … June 16, 2021 NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document … December 1, 2021 Exploring patient safety outcomes for people with learning disabilities … March 31, 2021 Learning from incident reporting?

146. National Report of Findings 2016: Issue Brief No. 2: Patient Safety. | PSNet
     psnet.ahrq.gov/issue/national-report-findings-2016-issue-brief-no-2-patient-safety
     November 18, 2020 - Clinical Learning Environment Review. … Facebook Twitter Linkedin Copy URL December 14, 2016 Clinical Learning … Clinical Learning Environment Review. … April 18, 2018 Clinical Learning Environment Review (CLER) Program. … The Learning and Working Environment (Duty Hours).

147. Radiology errors: are we learning from our mistakes? | PSNet
     psnet.ahrq.gov/issue/radiology-errors-are-we-learning-our-mistakes
     May 26, 2011 - Study Radiology errors: are we learning from our mistakes? … Radiology errors: are we learning from our mistakes? … Radiology errors: are we learning from our mistakes? … August 17, 2022 Learning from morbidity and mortality conferences: focus and sustainability … April 28, 2021 Does learning from mistakes have to be painful?

148. Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. | PSNet
     psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic-insights-us-health-care
     May 12, 2021 - Study Creating a learning health system for improving diagnostic safety: pragmatic … Creating a learning health system for improving diagnostic safety: pragmatic insights from US health … Creating a learning health system for improving diagnostic safety: pragmatic insights from US health … on Safety Interview In Conversation with Lucy Savitz about Learning … January 8, 2020 A learning health care system using computer-aided diagnosis.

149. Learning to ask tough questions of your surgeon. | PSNet
     psnet.ahrq.gov/issue/learning-ask-tough-questions-your-surgeon
     August 17, 2016 - Newspaper/Magazine Article Learning to ask tough questions of your surgeon. … Citation Text: Learning to ask tough questions of your surgeon. Landro L. … Linkedin Copy URL Cite Citation Citation Text: Learning

150. Learning safe prescribing during post-take ward rounds. | PSNet
     psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward-rounds
     August 14, 2013 - Newspaper/Magazine Article Learning safe prescribing during post-take ward rounds … Learning safe prescribing during post-take ward rounds. … Learning safe prescribing during post-take ward rounds. … June 29, 2009 Learning not to take it seriously: junior doctors' accounts of error.

151. Learning From Serious Failings in Care: Main Report. | PSNet
     psnet.ahrq.gov/issue/learning-serious-failings-care-main-report
     August 23, 2017 - Book/Report Learning From Serious Failings in Care: Main Report. … Citation Text: Learning From Serious Failings in Care: Main Report. … January 14, 2011 Quality Improvement and Patient Safety Competencies Across the Learning … April 1, 2021 National Reporting and Learning System Research and Development. … September 23, 2015 Learning Not Blaming.

152. Emerging Safety Issues in Artificial Intelligence | PSNet
     psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
     February 20, 2019 - As learning systems, machine learning systems are fallible, just as human decision makers are, and they … learning should be part of the standard design of machine learning experiments. … Deep learning for health informatics. IEEE J Biomed Health Inform. 2017;21:4-21. … Calibration drift in regression and machine learning models for acute kidney injury. … Clinically applicable deep learning for diagnosis and referral in retinal disease.

153. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/865308
     January 01, 2024 - the Organisational Learning in... … Learning from safety incidents in high reliability organizations: a systematic review of learning tools … /issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools https … the Organisational Learning in... … learning.

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867082/psn-pdf
     November 06, 2024 - Learning in radiation oncology: 12-month experience with a new incident learning system. … Learning in radiation oncology: 12?month experience with a new incident learning system. … https://psnet.ahrq.gov/issue/learning-radiation-oncology-12-month-experience-new-incident-learning- … learning to prevent future harm. … https://psnet.ahrq.gov/issue/learning-radiation-oncology-12-month-experience-new-incident-learning-system

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867655/psn-pdf
     February 26, 2025 - Learning Health Systems for Patient Safety. PSNet [internet]. 2025. … Learning systems focus on fostering continuous learning across healthcare organizations and facilitating … Shared learning and improvements in patient safety happen when learning health systems with a strong … The role of a learning health system is to foster this analysis and shared learning. … Health technology, quality and safety in a learning health system.

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867692/psn-pdf
     March 05, 2025 - Why is learning from patient safety incidents (still) so hard? … Why is learning from patient safety incidents (still) so hard? … and organizational learning. … https://psnet.ahrq.gov/issue/why-learning-patient-safety-incidents-still-so-hard-sociocultural-perspective-learning … https://psnet.ahrq.gov/issue/why-learning-patient-safety-incidents-still-so-hard-sociocultural-perspective-learning

157. The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations? | PSNet
     psnet.ahrq.gov/issue/importance-failing-forward-all-us-will-fail-and-make-mistakes-how-can-they-benefit-us-and-our
     July 27, 2016 - This newsletter piece discusses how hospital executives can promote learning from mistakes  in their … Learning from other organizations' safety errors. … January 10, 2011 Effects of learning climate and registered nurse staffing on medication … December 17, 2009 Active learning: when is more better? … October 14, 2009 The competitive imperative of learning.

158. Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. | PSNet
     psnet.ahrq.gov/issue/learning-diagnostic-errors-improve-patient-safety-when-gps-work-or-alongside-emergency
     December 15, 2021 - Study Learning from diagnostic errors to improve patient safety when GPs work in … Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments … Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments … December 15, 2021 Diagnostic error in the emergency department: learning from national … August 4, 2021 Learning from patient safety incidents involving acutely sick adults in

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865927/psn-pdf
     May 22, 2024 - Organizational learning starting points and presuppositions: a case study from a hospital’s surgical … Organizational learning starting points and presuppositions: a case study from a hospital’s surgical … https://psnet.ahrq.gov/issue/organizational-learning-starting-points-and-presuppositions-case-study- … specific problem) and organizational learning encompassed more formal and intentional practices. … https://psnet.ahrq.gov/curated-library/organizational-learning https://psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866557/psn-pdf
     August 21, 2024 - Minimization of occurrence of retained surgical items using machine learning and deep learning techniques … Minimization of occurrence of retained surgical items using machine learning and deep learning techniques … This review examined the use of machine learning (ML) and deep learning (DL) tools to support RSI prevention … https://psnet.ahrq.gov/issue/minimization-occurrence-retained-surgical-items-using-machine-learning-and-deep-learning … https://psnet.ahrq.gov/issue/minimization-occurrence-retained-surgical-items-using-machine-learning-and-deep-learning