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201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74834/psn-pdf
     February 16, 2022 - Evaluating incident learning systems and safety culture in two radiation oncology departments. … Evaluating incident learning systems and safety culture in two radiation oncology departments. … https://psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation- … oncology-departments Reporting of near misses and adverse events can provide a foundation for learning … https://psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review https://psnet.ahrq.gov/issue

202. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73509/psn-pdf
     July 21, 2021 - 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 … https://psnet.ahrq.gov/issue/nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis … Trusts (NSCT) are required to report, learn from, and prevent potentially preventable deaths using the ‘Learning … https://psnet.ahrq.gov/issue/learning-not-blaming https://psnet.ahrq.gov/issue/learning-candour-and-accountability-review-way-nhs-trusts-review-and-investigate-deaths

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73132/psn-pdf
     April 14, 2021 - Association of clinician diagnostic performance with machine learning–based decision support systems … Association of clinician diagnostic performance with machine learning–based decision support systems … https://psnet.ahrq.gov/issue/association-clinician-diagnostic-performance-machine-learning-based- decision-support-systems … This study explored the role of machine-learning based clinical decision support (CDS) algorithms to … This systematic review of 37 studies found limited evidence that the use of machine learning-based CDS

204. A learning health care system using computer-aided diagnosis. | PSNet
     psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis
     May 08, 2017 - Commentary A learning health care system using computer-aided diagnosis. … A Learning Health Care System Using Computer-Aided Diagnosis. … A Learning Health Care System Using Computer-Aided Diagnosis. … September 21, 2011 Enabling a learning healthcare system with automated computer protocols

205. Rapid learning of adverse medical event disclosure and apology. | PSNet
     psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology
     November 04, 2014 - Study Rapid learning of adverse medical event disclosure and apology. … Rapid Learning of Adverse Medical Event Disclosure and Apology. … Rapid Learning of Adverse Medical Event Disclosure and Apology. … June 15, 2012 Establishing a safe container for learning in simulation: the role of the

206. Learning from defects to enhance morbidity and mortality conferences. | PSNet
     psnet.ahrq.gov/issue/learning-defects-enhance-morbidity-and-mortality-conferences
     May 20, 2009 - Commentary Learning from defects to enhance morbidity and mortality conferences. … Learning from defects to enhance morbidity and mortality conferences. … Learning from defects to enhance morbidity and mortality conferences. … March 23, 2011 Learning from mistakes: factors that influence how students and residents

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50827/psn-pdf
     January 22, 2020 - Becoming a high-reliability organization through shared learning of safety events January 22, 2020 … https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events … , system-focused communication, and standardized learning to facilitate organizational learning from … https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events … https://psnet.ahrq.gov/issue/best-care-lower-cost-path-continuously-learning-health-care-america

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48173/psn-pdf
     August 28, 2019 - Does learning from mistakes have to be painful? … Does learning from mistakes have to be painful? … https://psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds … - radiology Prior research has examined what factors may influence learning from mistakes. … https://psnet.ahrq.gov/issue/radiology-errors-are-we-learning-our-mistakes

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844991/psn-pdf
     February 22, 2023 - Is anybody 'Learning' from deaths? … Is anybody ‘Learning’ from deaths? … https://psnet.ahrq.gov/issue/anybody-learning-deaths-sequential-content-and-reflexive-thematic-analysis … - national-statutory In 2017, England’s National Health Service (NHS) implemented the Learning from … Trusts appear to have varied understanding and use of the term ‘learning’ and not all specified the

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60730/psn-pdf
     January 01, 2021 - A machine learning approach to reclassifying miscellaneous patient safety event reports. … A machine learning approach to reclassifying miscellaneous patient safety event reports. … https://psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event … This pilot study reported generally positive user feedback on a machine learning approach to reclassifying … psnet.ahrq.gov/issue/screening-electronic-health-record-related-patient-safety-reports-using-machine-learning

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851869/psn-pdf
     July 31, 2023 - One foundational area of this plan focuses on networked and continuous learning as key components of … The Patient Safety Learning System In a learning system, organizations use patient data, experience, … Learning across organizations that encourage sharing, learning, and improvement is a foundation for … of a learning system. … , and share findings and lessons learned with other learning systems.

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861278/psn-pdf
     January 24, 2024 - Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient … Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient … https://psnet.ahrq.gov/issue/interprofessional-learning-multidisciplinary-healthcare-teams-associated … - reduced-patient Interprofessional learning (IPL) is a common strategy to improve patient safety. … https://psnet.ahrq.gov/issue/interprofessional-learning-multidisciplinary-healthcare-teams-associated-reduced-patient

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867637/psn-pdf
     February 26, 2025 - Patient safety incident reporting and learning guidelines implemented by health care professionals in … Patient safety incident reporting and learning guidelines implemented by health care professionals in … https://psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health … - care Patient safety incident reporting and learning (PSIRL) systems are integral to ensuring patient … https://psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837594/psn-pdf
     June 29, 2022 - Machine learning models outperform manual result review for the identification of wrong blood in tube … Machine learning models outperform manual result review for the identification of wrong blood in tube … https://psnet.ahrq.gov/issue/machine-learning-models-outperform-manual-result-review-identification- … In this study, machine learning was used to identify potential WBIT errors which were then compared … The machine learning models showed higher accuracy, sensitivity, and specificity compared to manual

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50418/psn-pdf
     January 01, 2020 - Experiential learning through local implementation of a national chief resident in quality and patient … Experiential Learning Through Local Implementation of a National Chief Resident in Quality and Patient … https://psnet.ahrq.gov/issue/experiential-learning-through-local-implementation-national-chief-resident … The curriculum uses investigation, mentorship, and experiential learning as key educational tactics. … mentorship-newly-appointed-physicians-strategy-enhancing-patient-safety https://psnet.ahrq.gov/issue/learning-action-developing-safety-improvement-capabilities-through-action-learning

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841761/psn-pdf
     December 21, 2022 - Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept … Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept … This article describes learning objectives on patient safety generated by experts on patient safety … These learning objectives showed high correspondence with the WHO Patient Safety Curriculum Guide’s … learning objectives.

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50942/psn-pdf
     February 26, 2020 - Understanding the roles of three academic communities in a prospective learning health ecosystem for … Understanding the roles of three academic communities in a prospective learning health ecosystem for … https://psnet.ahrq.gov/issue/understanding-roles-three-academic-communities-prospective-learning-health … - ecosystem The authors interviewed 32 individuals with expertise in learning health systems to explore … The authors discuss how machine learning and artificial intelligence can be leveraged to advance diagnostic

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865310/psn-pdf
     March 27, 2024 - Organizational learning in the morbidity and mortality conference. … Organizational learning in the morbidity and mortality conference. … https://psnet.ahrq.gov/issue/organizational-learning-morbidity-and-mortality-conference Morbidity and … PSNet offers an online version of M&M conferences with an emphasis on systems learning. … https://psnet.ahrq.gov/issue/organizational-learning-morbidity-and-mortality-conference https://psnet.ahrq.gov

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50792/psn-pdf
     January 15, 2020 - Lessons learned implementing a complex and innovative patient safety learning laboratory project in … Lessons learned implementing a complex and innovative patient safety learning laboratory project in … https://psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning … laboratory In 2014, the Agency for Healthcare Research and Quality (AHRQ) began funding Patient Safety Learning … https://psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects https://psnet.ahrq.gov

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846161/psn-pdf
     March 15, 2023 - Ten years of online incident reporting and learning using CPiRLS: implications for improved patient … Ten years of online incident reporting and learning using CPiRLS: implications for improved patient … https://psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications … This longitudinal study describes chiropractic safety incidents reported to an online reporting and learning … Documented areas for learning and safety improvement included reducing patient falls, improving continuity