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241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866621/psn-pdf
     August 28, 2024 - Success cause analysis: learning from what works to advance safety. … https://www.ihi.org/insights/success-cause-analysis-learning-what-works… 3. Drosey B. … Patient safety learning laboratory looks to enhance clinical communication. … The Practice of Learning Teams: Learning and Improving Safety, Quality and Operational Excellence. … facilitate learning from everyday work, critical and dynamic risks with the 4Ds.

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837972/psn-pdf
     September 01, 2022 - Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. … Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. … https://psnet.ahrq.gov/issue/patient-safety-where-aim-when-zero-harm-not-target-case-learning-and- resilience … and resilience goals (leveled-target goal setting, equal emphasis goals, data-driven learning, and … https://psnet.ahrq.gov/issue/patient-safety-where-aim-when-zero-harm-not-target-case-learning-and-resilience

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47877/psn-pdf
     June 15, 2019 - End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest computed tomography … End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest computed tomography … https://psnet.ahrq.gov/issue/end-end-lung-cancer-screening-three-dimensional-deep-learning-low-dose- … chest-computed Researchers developed a deep learning algorithm to predict a patient's risk of lung … https://psnet.ahrq.gov/issue/end-end-lung-cancer-screening-three-dimensional-deep-learning-low-dose-chest-computed

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61067/psn-pdf
     January 01, 2021 - A program to provide clinicians with feedback on their diagnostic performance in a learning health system … A program to provide clinicians with feedback on their diagnostic performance in a learning health system … https://psnet.ahrq.gov/issue/program-provide-clinicians-feedback-their-diagnostic-performance-learning … This article describes the development of a learning health system around diagnostic safety at one large … and used trained facilitators to provide feedback to clinicians about these missed opportunities as learning

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861286/psn-pdf
     January 24, 2024 - Surgical safety does not happen by accident: learning from perioperative near miss case studies. … Surgical safety does not happen by accident: learning from perioperative near miss case studies. … https://psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss … misses (or close calls) are often underreported but can offer unique opportunities for organizational learning … https://psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss-case-studies

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847716/psn-pdf
     April 19, 2023 - Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative … Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative … https://psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic … https://psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic-review … reporting-patient-safety-events https://psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838645/psn-pdf
     January 19, 2022 - LeDeR - Learning from Lives and Deaths. … https://psnet.ahrq.gov/issue/leder-learning-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 … https://psnet.ahrq.gov/issue/leder-learning-lives-and-deaths https://psnet.ahrq.gov/issue/nhs-improvement … https://psnet.ahrq.gov/issue/exploring-patient-safety-outcomes-people-learning-disabilities-acute-hospital-settings

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851069/psn-pdf
     June 28, 2023 - Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. … Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. … https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its- implementation-canada … This commentary describes the Canadian Learning Collaborative’s experience implementing MMSF and highlights … https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its-implementation-canada

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837515/psn-pdf
     June 22, 2022 - Mitigating racial bias in machine learning. … Mitigating racial bias in machine learning. … https://psnet.ahrq.gov/issue/mitigating-racial-bias-machine-learning Biases in decision support technologies … This commentary discusses how algorithms in machine learning contribute to inaccuracies in the care … https://psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record-data

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861765/psn-pdf
     January 31, 2024 - Observational study of conformity in yet another medical learning environment: conformity to preceptors … Observational study of conformity in yet another medical learning environment: conformity to preceptors … https://psnet.ahrq.gov/issue/observational-study-conformity-yet-another-medical-learning-environment- … https://psnet.ahrq.gov/issue/observational-study-conformity-yet-another-medical-learning-environment-conformity-preceptors … https://psnet.ahrq.gov/issue/observational-study-conformity-yet-another-medical-learning-environment-conformity-preceptors

251. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60648/psn-pdf
     July 01, 2020 - Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives … Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives … https://psnet.ahrq.gov/issue/chronicle-pandemic-foretold-learning-covid-19-failure-next-outbreak-arrives … financial and prioritization missteps that have contributed to the spread of COVID-19 and recommend learning … https://psnet.ahrq.gov/issue/chronicle-pandemic-foretold-learning-covid-19-failure-next-outbreak-arrives

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846750/psn-pdf
     March 29, 2023 - Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame … Errors in medicine: punishment versus learning medical adverse events revisited – expanding the frame … https://psnet.ahrq.gov/issue/errors-medicine-punishment-versus-learning-medical-adverse-events-revisited … apple" paradigm to a proactive just culture, where errors and near misses serve as organizational learning … https://psnet.ahrq.gov/issue/errors-medicine-punishment-versus-learning-medical-adverse-events-revisited-expanding-frame

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848810/psn-pdf
     May 10, 2023 - Factors contributing to preventing operating room "never events": a machine learning analysis. … Factors contributing to preventing operating room “never events”: a machine learning analysis. … https://psnet.ahrq.gov/issue/factors-contributing-preventing-operating-room-never-events-machine- learning-analysis … Using machine learning, this study identified 24 contributing factors to two types of surgical never … https://psnet.ahrq.gov/issue/factors-contributing-preventing-operating-room-never-events-machine-learning-analysis

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72555/psn-pdf
     December 09, 2020 - Development and validation of a deep learning model for detection of allergic reactions using safety … Development and validation of a deep learning model for detection of allergic reactions using safety … https://psnet.ahrq.gov/issue/development-and-validation-deep-learning-model-detection-allergic-reactions … This study found that a deep learning model can accurately and efficiently identify allergic reactions … https://psnet.ahrq.gov/issue/development-and-validation-deep-learning-model-detection-allergic-reactions-using-safety

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843088/psn-pdf
     January 25, 2023 - The value of learning from near misses to improve patient safety: a scoping review. … The value of learning from near misses to improve patient safety: a scoping review. … https://psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review Reporting … and learning from adverse events is a core patient safety activity. … Findings from this scoping review indicate limited evidence demonstrating that reporting and learning

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866344/psn-pdf
     January 01, 2025 - Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator … Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator … https://psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse- … https://psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator … https://psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838069/psn-pdf
     September 14, 2022 - Experience of learning from everyday work in daily safety huddles: a multi-method study. … Experience of learning from everyday work in daily safety huddles—a multi- method study. … https://psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study … This mixed-methods study found that patient safety huddles including a focus on learning from what works … https://psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853065/psn-pdf
     August 30, 2023 - Exploring the impact of safety culture on incident reporting: lessons learned from machine learning … Exploring the impact of safety culture on incident reporting: lessons learned from machine learning … //psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine- learning-analysis … Using different machine learning algorithms, this study found that several components of safety culture … https://psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60912/psn-pdf
     September 16, 2020 - Sensemaking and learning during the Covid-19 pandemic: a complex adaptive systems perspective on policy … Sensemaking and learning during the Covid-19 pandemic: a complex adaptive systems perspective on policy … https://psnet.ahrq.gov/issue/sensemaking-and-learning-during-covid-19-pandemic-complex-adaptive- systems-perspective-policy … challenges of policymaking in complex crises, such as the COVID-19 pandemic, and presents a roadmap for learning … https://psnet.ahrq.gov/issue/sensemaking-and-learning-during-covid-19-pandemic-complex-adaptive-systems-perspective-policy

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50700/psn-pdf
     January 01, 2020 - Developing health care organizations that pursue learning and exploration of diagnostic excellence: … Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: … https://psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration- diagnostic-excellence … culture of safety, evidence generation and translation, measurement improvement, and use of errors as a learning … https://psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration-diagnostic-excellence