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21. Learning from every death. | PSNet
    psnet.ahrq.gov/issue/learning-every-death
    June 28, 2011 - Commentary Learning from every death. … Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053. … The reporting program offers insights about how to promote and enhance organizational learning . … Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053.

22. Building a learning organization. | PSNet
    psnet.ahrq.gov/issue/building-learning-organization
    June 16, 2011 - Study Classic Building a learning organization. … Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. … from past experience, learning from the best practices of others, and transferring knowledge quickly … Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. … June 16, 2011 Enabling a learning healthcare system with automated computer protocols

23. Interprofessional learning for medication safety. | PSNet
    psnet.ahrq.gov/issue/interprofessional-learning-medication-safety
    September 23, 2020 - Commentary Interprofessional learning for medication safety. … Interprofessional learning for medication safety. … development of a training program that engaged pharmacy, nursing, and medical students in interprofessional learning … Interprofessional learning for medication safety.

24. Learning from errors and resilience. | PSNet
    psnet.ahrq.gov/issue/learning-errors-and-resilience
    December 18, 2019 - Review Learning from errors and resilience. … Learning from errors and resilience. … The authors suggest learning from errors or what goes right should be reframed simply as learning. … Learning from errors and resilience. … review of learning tools that could be adapted and used in healthcare.

25. Nurses' experiences of organizational learning. | PSNet
    psnet.ahrq.gov/issue/nurses-experiences-organizational-learning
    July 21, 2021 - Study Nurses' experiences of organizational learning. … Nurses' experiences of organisational learning: a qualitative descriptive study. … Thematic analyses revealed that organizational learning was more effective when closely aligned with … managers play a central role in organizational learning. … Nurses' experiences of organisational learning: a qualitative descriptive study.

26. Radiation Oncology Incident Learning System. | PSNet
    psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system
    April 22, 2020 - Multi-use Website Radiation Oncology Incident Learning System. … Citation Text: Radiation Oncology Incident Learning System. … Reporting of near misses and adverse events can provide a foundation for learning from error. … June 30, 2021 Evaluating incident learning systems and safety culture in two radiation … May 24, 2015 Quality Improvement and Patient Safety Competencies Across the Learning

27. Organizational learning: health care leaders need to design structures and processes that enhance collective learning. | PSNet
    psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
    November 18, 2020 - and processes that enhance collective learning. … Organizational learning in health care. Health Forum J. 2001;44(2):32-35. … This commentary discusses the context surrounding organizational learning. … Organizational learning in health care. Health Forum J. 2001;44(2):32-35. … March 18, 2020 Learning in Action: A Guide to Putting the Learning Organization to Work

28. Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care. | PSNet
    psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident
    May 05, 2021 - Study Implementing the clinical occurrence reporting and learning system: a double-loop … learning incident reporting system in long-term care. … Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting … Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting … December 19, 2014 Learning mechanisms to limit medication administration errors.

29. Learning Health Systems for Patient Safety | PSNet
    psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
    February 26, 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. … Sarah Mossburg: How do learning health systems facilitate the shared learning process and collaboration … Toward a science of learning systems: a research agenda for the high-functioning Learning Health System

30. Is yours a learning organization? | PSNet
    psnet.ahrq.gov/issue/yours-learning-organization
    March 18, 2019 - Newspaper/Magazine Article Is yours a learning organization? … Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16, 134. … where leadership behavior supports learning and creates a supportive learning environment, and where … concrete processes are in place to facilitate learning and encourage creativity among employees.  … Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16, 134.

31. Simulation, mastery learning and healthcare. | PSNet
    psnet.ahrq.gov/issue/simulation-mastery-learning-and-healthcare
    November 09, 2011 - Commentary Simulation, mastery learning and healthcare. … Simulation, Mastery Learning and Healthcare. … This commentary reviews mastery learning theory at the individual and system levels and suggests that … Simulation, Mastery Learning and Healthcare. … July 10, 2019 Challenges in health care simulation: are we learning anything new?

32. LeDeR - Learning from Lives and Deaths. | PSNet
    psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
    October 19, 2022 - Multi-use Website LeDeR - Learning from Lives and Deaths. … Citation Text: LeDeR - Learning from Lives and Deaths. … People with a Learning Disability and autistic people (LeDeR) is a National Health Service-sponsored … initiative that seeks to improve the care of learning disabled patients through examining what goes … October 19, 2022 Learning from Bristol: The Report of the Public Inquiry into Children's

33. Mitigating racial bias in machine learning. | PSNet
    psnet.ahrq.gov/issue/mitigating-racial-bias-machine-learning
    July 22, 2020 - Commentary Mitigating racial bias in machine learning. … Mitigating racial bias in machine learning. … This commentary discusses how algorithms in machine learning contribute to inaccuracies in the care … Mitigating racial bias in machine learning. … May 13, 2020 The potential for leveraging machine learning to filter medication alerts

34. Minimization of occurrence of retained surgical items using machine learning and deep learning techniques: a review. | PSNet
    psnet.ahrq.gov/issue/minimization-occurrence-retained-surgical-items-using-machine-learning-and-deep-learning
    July 06, 2012 - Review Minimization of occurrence of retained surgical items using machine learning … and deep learning techniques: a review. … 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 … Minimization of occurrence of retained surgical items using machine learning and deep learning techniques

35. What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. | PSNet
    psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters
    December 17, 2010 - Review What is learning? … A review of the safety literature to define learning from incidents, accidents and disasters. … What Is Learning? … A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. … What Is Learning?

36. Learning from the best. | PSNet
    psnet.ahrq.gov/issue/learning-best
    February 22, 2023 - Newspaper/Magazine Article Learning from the best. … Learning from the best. Behavioral healthcare. 2010;30(4):22-4. … Learning from the best. Behavioral healthcare. 2010;30(4):22-4.

37. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. | PSNet
    psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer
    June 30, 2011 - Study Using a survey of incident reporting and learning practices to improve organisational … learning at a cancer care centre. … Using a survey of incident reporting and learning practices to improve organisational learning at a cancer … This study describes a survey tool for measuring organizational learning and provides a framework for … Using a survey of incident reporting and learning practices to improve organisational learning at a cancer

38. Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. | PSNet
    psnet.ahrq.gov/issue/why-learning-patient-safety-incidents-still-so-hard-sociocultural-perspective-learning
    June 29, 2011 - Study Why is learning from patient safety incidents (still) so hard? … A sociocultural perspective on learning from incidents in healthcare organizations. … Why is learning from patient safety incidents (still) so hard? … A sociocultural perspective on learning from incidents in healthcare organizations. … Why is learning from patient safety incidents (still) so hard?

39. Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. | PSNet
    psnet.ahrq.gov/issue/giving-learning-failures-examination-learning-ones-own-failures-context-heart-surgeons
    April 03, 2013 - Study Giving up learning from failures? … Giving up learning from failures? … An examination of learning from one's own failures in the context of heart surgeons. … Learning from failure is a key component of high reliability . … Giving up learning from failures?

40. Clinical Learning Environment Review (CLER) Program. | PSNet
    psnet.ahrq.gov/issue/clinical-learning-environment-review-cler-program
    November 18, 2020 - Multi-use Website Clinical Learning Environment Review (CLER) Program. … Citation Text: Clinical Learning Environment Review (CLER) Program. … Copy URL Cite Citation Citation Text: Clinical Learning … November 18, 2020 The Role of Clinical Learning Environments in Preparing New Clinicians … The Learning and Working Environment (Duty Hours).