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221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48182/psn-pdf
     August 21, 2019 - Organizational learning in hospitals: a realist review. … Organizational learning in hospitals: A realist review. … that affect it, how such learning occurs, and improvements implemented as a result. … https://psnet.ahrq.gov/issue/organizational-learning-hospitals-realist-review https://psnet.ahrq.gov/ … /issue/water-cooler-learning-knowledge-sharing-clinical-backstage-and-its-contribution-patient

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836748/psn-pdf
     March 16, 2022 - Analysis of the interprofessional clinical learning environment for quality improvement and patient … Analysis of the interprofessional clinical learning environment for quality improvement and patient … https://psnet.ahrq.gov/issue/analysis-interprofessional-clinical-learning-environment-quality-improvement … Benefits (e.g., learning about other professions), facilitators, and barriers to resident involvement … and a positive clinical learning environment were identified.

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48187/psn-pdf
     August 21, 2019 - How medical error shapes physicians' perceptions of learning: an exploratory study. … How Medical Error Shapes Physicians' Perceptions of Learning: An Exploratory Study. … experience after an error affect their perceptions of learning. … Both cultural and individual factors facilitated and deterred learning from these experiences. … can facilitate learning from mistakes.

224. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/764404/psn-pdf
     March 02, 2022 - Systemic safety inequities for people with learning disabilities: a qualitative integrative analysis … of the experiences of English health and social care for people with learning disabilities, their … Systemic safety inequities for people with learning disabilities: a qualitative integrative analysis … of the experiences of English health and social care for people with learning disabilities, their families … - analysis Patients with learning disabilities encounter unique patient safety threats.

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73658/psn-pdf
     September 01, 2021 - Predicting self-intercepted medication ordering errors using machine learning. … Predicting self-intercepted medication ordering errors using machine learning. … https://psnet.ahrq.gov/issue/predicting-self-intercepted-medication-ordering-errors-using-machine-learning … https://psnet.ahrq.gov/issue/learning-errors-analysis-medication-order-voiding-cpoe-systems https:// … psnet.ahrq.gov/issue/machine-learning-medicine https://psnet.ahrq.gov/issue/machine-learning-based-clinical-decision-support-system-identify-prescriptions-high-risk

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60872/psn-pdf
     September 02, 2020 - How incident reporting systems can stimulate social and participative learning: a mixed-methods study … How incident reporting systems can stimulate social and participative learning: a mixed-methods study … https://psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning … this study evaluated how incident reporting systems in the Netherlands contribute to organizational learning … ; (4) local learning, and; (5) recommendations that improve care quality and safety.

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74116/psn-pdf
     November 24, 2021 - NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve … November 24, 2021 Chicago, IL: National Collaborative for Improving the Clinical Learning Environment … This report discusses characteristics of an environment that nurtures learning across disciplines in … https://psnet.ahrq.gov/issue/best-care-lower-cost-path-continuously-learning-health-care-america https … ://psnet.ahrq.gov/issue/clinical-learning-environment-review-cler-program https://psnet.ahrq.gov/issue

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48003/psn-pdf
     June 26, 2019 - Comparison of the accuracy of human readers versus machine-learning algorithms for pigmented skin lesion … Comparison of the accuracy of human readers versus machine- learning algorithms for pigmented skin lesion … Machine learning may have the potential to improve clinical decision-making and diagnosis. … In this study, machine-learning algorithms generally performed better than human experts in accurately … https://psnet.ahrq.gov/issue/machine-learning-medicine https://psnet.ahrq.gov/issue/predicting-future-big-data-machine-learning-and-clinical-medicine

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73630/psn-pdf
     August 25, 2021 - Towards safer healthcare: qualitative insights from a process view of organisational learning from failure … Towards safer healthcare: qualitative insights from a process view of organisational learning from failure … in high- and low-performing hospitals to better understand the barriers to effective organizational learning … Findings from these interviews suggest that the primary barriers to active learning stem from social … https://psnet.ahrq.gov/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents https

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865348/psn-pdf
     January 01, 2023 - Learning Health Systems January 1, 2023 Agency for Health Research and Quality. … https://psnet.ahrq.gov/issue/learning-health-systems The learning health system model centers on the … website shares projects, articles, and implementation examples to enhance adoption of the organizational learning … https://psnet.ahrq.gov/issue/learning-health-systems https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance … https://psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73444/psn-pdf
     June 30, 2021 - Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: … Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: … https://psnet.ahrq.gov/issue/exploring-patient-safety-outcomes-people-learning-disabilities-acute-hospital … - settings Prior research found that patients with learning disabilities (e.g., autism, attention deficit … Findings suggest that individuals with learning disabilities experience poorer patient outcomes but

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72856/psn-pdf
     March 17, 2021 - The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … https://psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven … - patient-safety Assessing risk and learning from adverse events are core components of patient safety … https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system https://psnet.ahrq.gov/issue

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47295/psn-pdf
     September 24, 2018 - Using learning communities to support adoption of health care innovations. … Using Learning Communities to Support Adoption of Health Care Innovations. … https://psnet.ahrq.gov/issue/using-learning-communities-support-adoption-health-care-innovations The … The learning communities focused on patient-centered care, improving medication therapy for distinct … https://psnet.ahrq.gov/issue/using-learning-communities-support-adoption-health-care-innovations https

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47285/psn-pdf
     November 19, 2018 - Potential biases in machine learning algorithms using electronic health record data. … Potential Biases in Machine Learning Algorithms Using Electronic Health Record Data. … https://psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record … - data Machine learning, a type of computing that uses data and statistical methods to enable computers … This commentary describes the potential for machine learning to worsen socioeconomic disparities in

235. 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

236. 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

237. 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

238. 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

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866164/psn-pdf
     June 19, 2024 - What is the effectiveness of reporting systems in promoting learning in healthcare? … What is the effectiveness of reporting systems in promoting learning in healthcare? … https://psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare Organizational … This article highlights the strengths of reporting and learning systems (e.g., the opportunity to learn … https://psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare https

240. 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.