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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
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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
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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
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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
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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
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psnet.ahrq.gov/node/862984/psn-pdf
February 21, 2024 - Machine learning in medication prescription: a systematic
review. … Machine learning in medication prescription: a systematic review. … https://psnet.ahrq.gov/issue/machine-learning-medication-prescription-systematic-review
Pediatric medication … This review sought to evaluate existing machine learning
algorithms for medication dosing to determine … https://psnet.ahrq.gov/issue/machine-learning-medication-prescription-systematic-review
https://psnet.ahrq.gov
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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
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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
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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
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psnet.ahrq.gov/node/42964/psn-pdf
May 10, 2014 - What is learning? … What Is Learning? … https://psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and … https://psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters … https://psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters
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psnet.ahrq.gov/node/47076/psn-pdf
August 15, 2018 - Incident learning in radiation oncology: a review.
August 15, 2018
Ford E, Evans SB. … Incident learning in radiation oncology: A review. Med Phys. 2018;45(5):e100-e119. … https://psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review
Learning from adverse events … https://psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer … /radiation-oncology-incident-learning-system
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psnet.ahrq.gov/node/37259/psn-pdf
March 23, 2011 - Using a survey of incident reporting and learning
practices to improve organisational learning at a … Using a survey of incident reporting and learning practices to improve
organisational learning at a … -
learning-cancer
This study describes a survey tool for measuring organizational learning and provides … https://psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer … https://psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer
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psnet.ahrq.gov/node/42553/psn-pdf
January 07, 2014 - Learning in action: developing safety improvement
capabilities through action learning. … Learning in action: developing safety improvement capabilities through
action learning. … -
learning
A patient safety education program that emphasized experiential learning helped nursing … https://psnet.ahrq.gov/issue/learning-action-developing-safety-improvement-capabilities-through-action-learning … https://psnet.ahrq.gov/issue/learning-action-developing-safety-improvement-capabilities-through-action-learning
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psnet.ahrq.gov/node/853240/psn-pdf
September 06, 2023 - Videos of simulated after action reviews: a training
resource to support social and inclusive learning … Videos of simulated after action reviews: a training resource to
support social and inclusive learning … psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-
inclusive-learning … psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning … psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning
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psnet.ahrq.gov/node/854639/psn-pdf
October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us
to Thrive.
October 18, 2023
Edmondson A. … https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive
Despite the harm … that failure can cause, its value as a learning opportunity, if examined through the lens of
human … https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive
https://psnet.ahrq.gov … /issue/strategies-learning-failure
https://psnet.ahrq.gov/issue/error-medicine
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/863215/psn-pdf
February 28, 2024 - Learning from non-routine events and teamwork in
intensive care units: challenges and opportunities. … Learning from non-routine events and teamwork in intensive care units: challenges and
opportunities. … https://psnet.ahrq.gov/issue/learning-non-routine-events-and-teamwork-intensive-care-units-challenges … https://psnet.ahrq.gov/issue/learning-non-routine-events-and-teamwork-intensive-care-units-challenges-and-opportunities … https://psnet.ahrq.gov/issue/learning-non-routine-events-and-teamwork-intensive-care-units-challenges-and-opportunities
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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
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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
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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
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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