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201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849324/psn-pdf
     May 24, 2023 - Learning from errors and resilience. May 24, 2023 Arnal-Velasco D, Heras-Hernando V. … Learning from errors and resilience. … https://psnet.ahrq.gov/issue/learning-errors-and-resilience The Safety II framework and organizational … The authors suggest learning from errors or what goes right should be reframed simply as learning. … https://psnet.ahrq.gov/issue/learning-excellence-healthcare-new-approach-incident-reporting https://

202. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867656/psn-pdf
     February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety. … We spoke with her about learning systems and their impact on patient safety. … we expect to see in learning health systems. … This is a private initiative to come together as a learning network. … Toward a science of learning systems: a research agenda for the high-functioning Learning Health System

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866278/psn-pdf
     July 10, 2024 - Automating detection of diagnostic error of infectious diseases using machine learning. … Automating detection of diagnostic error of infectious diseases using machine learning. … https://psnet.ahrq.gov/issue/automating-detection-diagnostic-error-infectious-diseases-using-machine- learning … Developing machine learning (ML) models to detect real time adverse events requires careful validation … https://psnet.ahrq.gov/issue/automating-detection-diagnostic-error-infectious-diseases-using-machine-learning

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73065/psn-pdf
     March 24, 2021 - Implementing the clinical occurrence reporting and learning system: a double-loop learning incident … Implementing the clinical occurrence reporting and learning system: a double-loop learning incident … - learning-incident Incident reporting systems are a common method for hospitals to detect patient … https://psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident … https://psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60820/psn-pdf
     August 19, 2020 - Nurses' experiences of organizational learning. … Nurses' experiences of organisational learning: a qualitative descriptive study. … interviews with nurses to explore their experiences with organizational learning. … managers play a central role in organizational learning. … organisational-learning-hospitals-concept-analysis https://psnet.ahrq.gov/issue/relationship-between-organizational-leadership-safety-and-learning-patient-safety-events

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860386/psn-pdf
     January 10, 2024 - Conceptualising learning from resilient performance: a scoping literature review. … Conceptualising learning from resilient performance: a scoping literature review. … A cornerstone of resilience engineering is organizational learning. … This scoping review summarizes how learning is discussed in current research. … Descriptions include knowing what has happened; learning from the factual; learning from experience;

207. Learning from accidents—what more do we need to know? | PSNet
     psnet.ahrq.gov/issue/learning-accidents-what-more-do-we-need-know
     May 29, 2014 - Commentary Learning from accidents—what more do we need to know? … Learning from accidents – What more do we need to know? … Learning from accidents – What more do we need to know?

208. 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

209. Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation. | PSNet
     psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation
     January 04, 2017 - Study Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from … Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. … Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. … September 26, 2012 The costs of developing, implementing, and operating a safety learning

210. 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

211. Safety cultural preconditions for organizational learning in high-risk organizations. | PSNet
     psnet.ahrq.gov/issue/safety-cultural-preconditions-organizational-learning-high-risk-organizations
     June 17, 2009 - Commentary Safety cultural preconditions for organizational learning in high-risk … Safety Cultural Preconditions for Organizational Learning in High-Risk Organizations. … Safety Cultural Preconditions for Organizational Learning in High-Risk Organizations.

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48058/psn-pdf
     June 19, 2019 - Organisational learning in hospitals: a concept analysis. … Organisational learning in hospitals: A concept analysis. … This review defines the concept of organizational learning, characteristics of the activity, and the … https://psnet.ahrq.gov/issue/organisational-learning-hospitals-concept-analysis https://psnet.ahrq.gov … /issue/building-learning-organization https://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867042/psn-pdf
     October 30, 2024 - The foundational science of learning health systems. … The foundational science of learning health systems. … https://psnet.ahrq.gov/issue/foundational-science-learning-health-systems Learning health systems (LHS … https://psnet.ahrq.gov/issue/foundational-science-learning-health-systems https://psnet.ahrq.gov/glossary … /issue/kaiser-permanentes-performance-improvement-system-part-4-creating-learning-organization

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866195/psn-pdf
     June 26, 2024 - https://psnet.ahrq.gov/issue/exaggerated-benefits-failure Failure can be considered a learning opportunity … This article describes seven studies concerning people’s estimates of learning from previous failures … https://psnet.ahrq.gov/issue/exaggerated-benefits-failure https://psnet.ahrq.gov/issue/strategies-learning-failure … https://psnet.ahrq.gov/issue/using-trainee-failures-enhance-learning-qualitative-study-pediatric-hospitalists-allowing … https://psnet.ahrq.gov/issue/giving-learning-failures-examination-learning-ones-own-failures-context-heart-surgeons

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47726/psn-pdf
     April 10, 2019 - Machine learning in medicine. April 10, 2019 Rajkomar A, Dean J, Kohane IS. … Machine Learning in Medicine. New Engl J Med. 2019;380(14):1347- 1358. doi:10.1056/NEJMra1814259. … https://psnet.ahrq.gov/issue/machine-learning-medicine Machine learning in health care is in the early … This review explores machine learning and its potential to enhance clinical decision-making as a tool … https://psnet.ahrq.gov/issue/machine-learning-medicine https://psnet.ahrq.gov/issue/predicting-future-big-data-machine-learning-and-clinical-medicine

216. 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

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851061/psn-pdf
     June 28, 2023 - Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with … Learning from experience: a qualitative study of surgeons’ perspectives on reporting and dealing with … https://psnet.ahrq.gov/issue/learning-experience-qualitative-study-surgeons-perspectives-reporting-and … - dealing-serious Reporting and learning from adverse events are core components of patient safety. … /prevention-better-cure-learning-adverse-events-healthcare

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836860/psn-pdf
     April 06, 2022 - Learning environments, reliability enhancing work practices, employee engagement, and safety climate … Learning environments, reliability enhancing work practices, employee engagement, and safety climate … Ideal clinical learning environments (CLE) support employee engagement, satisfaction, and a culture … The Learning Environment and High Reliability Practices Survey (LEHR) was used to determine the association … Learning environments with higher average LEHR scores were associated with higher employee engagement

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837665/psn-pdf
     July 13, 2022 - Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health … Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health … https://psnet.ahrq.gov/issue/evaluating-patient-safety-learning-laboratory-create-interdisciplinary- … This study reports on how a learning ecosystem supported the success of three distinct PSLLs. … https://psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects https://psnet.ahrq.gov

220. 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