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281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72546/psn-pdf
     December 09, 2020 - Learning from incident reporting? … Learning from incident reporting? … https://psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web … based on these reports was primarily used at the department level and did not lead to organizational learning … https://psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system

282. Psn-Pdf (pdf file)
     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

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854830/psn-pdf
     January 01, 2024 - The effect of evidence in crisis learning: based on a perspective integration framework. … The effect of evidence in crisis learning: based on a perspective integration framework. … https://psnet.ahrq.gov/issue/effect-evidence-crisis-learning-based-perspective-integration-framework … safety science and political/social perspectives, the authors outline a new evidence-informed crisis learning … https://psnet.ahrq.gov/issue/effect-evidence-crisis-learning-based-perspective-integration-framework

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836717/psn-pdf
     March 09, 2022 - The problem with…using stories as a source of evidence and learning. March 9, 2022 Iedema R. … The problem with … using stories as a source of evidence and learning. … https://psnet.ahrq.gov/issue/problem-withusing-stories-source-evidence-and-learning Patients and families … https://psnet.ahrq.gov/issue/problem-withusing-stories-source-evidence-and-learning https://psnet.ahrq.gov … /issue/our-story https://psnet.ahrq.gov/issue/husbands-story-tragedy-learning-and-action https://psnet.ahrq.gov

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837024/psn-pdf
     May 04, 2022 - The potential for leveraging machine learning to filter medication alerts. … The potential for leveraging machine learning to filter medication alerts. … https://psnet.ahrq.gov/issue/potential-leveraging-machine-learning-filter-medication-alerts Alert fatigue … In this study, researchers at one academic medical center found that machine learning techniques could … https://psnet.ahrq.gov/issue/potential-leveraging-machine-learning-filter-medication-alerts https://psnet.ahrq.gov

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72687/psn-pdf
     January 27, 2021 - Learning from errors with the new COVID-19 vaccines. …    https://psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines Learning from error … https://psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines https://psnet.ahrq.gov/issue/organisational-reporting-and-learning-systems-innovating-inside-and-outside-box

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73602/psn-pdf
     August 18, 2021 - The Child Health PSO at 10 years: an emerging learning network. … The Child Health PSO at 10 Years: an emerging learning network. … https://psnet.ahrq.gov/issue/child-health-pso-10-years-emerging-learning-network Patient safety organizations … This article describes the development of the Child Health PSO and how it evolved into a learning network … https://psnet.ahrq.gov/issue/child-health-pso-10-years-emerging-learning-network https://psnet.ahrq.gov

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844540/psn-pdf
     February 15, 2023 - Health technology, quality and safety in a learning health system. … Health technology, quality and safety in a learning health system. … https://psnet.ahrq.gov/issue/health-technology-quality-and-safety-learning-health-system Health technology … This commentary describes how learning health systems can improve the safety of new technologies, such … https://psnet.ahrq.gov/issue/health-technology-quality-and-safety-learning-health-system https://psnet.ahrq.gov

289. Psn-Pdf (pdf file)
     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

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866646/psn-pdf
     September 04, 2024 - Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. … Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. … https://psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts- medical-mishaps … https://psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts-medical-mishaps … https://psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts-medical-mishaps

291. Psn-Pdf (pdf file)
     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

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73653/psn-pdf
     September 01, 2021 - Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. … Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. … https://psnet.ahrq.gov/issue/improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle … collaborating with professionals outside of the healthcare field, researchers developed the Diagnosis Learning … https://psnet.ahrq.gov/issue/improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73569/psn-pdf
     August 04, 2021 - Enabling a learning healthcare system with automated computer protocols that produce replicable and … Enabling a learning healthcare system with automated computer protocols that produce replicable and … https://psnet.ahrq.gov/issue/enabling-learning-healthcare-system-automated-computer-protocols-produce … https://psnet.ahrq.gov/issue/enabling-learning-healthcare-system-automated-computer-protocols-produce-replicable-and … https://psnet.ahrq.gov/issue/enabling-learning-healthcare-system-automated-computer-protocols-produce-replicable-and

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60712/psn-pdf
     July 22, 2020 - and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning … and quality improvement: Ethical principles for a regulatory approach to bias in healthcare machine learning … patient-safety-and-quality-improvement-ethical-principles-regulatory-approach- bias-healthcare The authors discuss the challenges social inequalities pose to machine learning … models, provide several recommendations for adopting ethical principles for the delivery of machine learning-assisted … patient-safety-and-quality-improvement-ethical-principles-regulatory-approach-bias-healthcare https://psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record-data

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61051/psn-pdf
     October 21, 2020 - Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation … October 8, 2020;25(20):1-4 https://psnet.ahrq.gov/issue/safety-investigations-across-pond-deep-learning-englands-healthcare-safety … a commitment to deep, non-punitive analysis of patient safety incidents to enable transparency and learning … https://psnet.ahrq.gov/issue/safety-investigations-across-pond-deep-learning-englands-healthcare-safety-investigation … https://psnet.ahrq.gov/issue/safety-investigations-across-pond-deep-learning-englands-healthcare-safety-investigation

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73253/psn-pdf
     May 12, 2021 - Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19 … https://psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease- … https://psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease- … 2019-covid-19 https://psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease … -2019-covid-19 https://psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines https://psnet.ahrq.gov

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45266/psn-pdf
     January 01, 2020 - Learning from lawsuits: using malpractice claims data to develop care transitions planning tools. … Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. … https://psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions … https://psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools … https://psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60868/psn-pdf
     September 02, 2020 - Association between implementing comprehensive learning collaborative strategies in a statewide collaborative … Association between implementing comprehensive learning collaborative strategies in a statewide collaborative … https://psnet.ahrq.gov/issue/association-between-implementing-comprehensive-learning-collaborative- … https://psnet.ahrq.gov/issue/association-between-implementing-comprehensive-learning-collaborative-strategies-statewide … https://psnet.ahrq.gov/issue/association-between-implementing-comprehensive-learning-collaborative-strategies-statewide

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60960/psn-pdf
     September 30, 2020 - COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare … COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare … https://psnet.ahrq.gov/issue/covid-19-pandemic-preparation-using-simulation-systems-based-learning- … https://psnet.ahrq.gov/issue/covid-19-pandemic-preparation-using-simulation-systems-based-learning-prepare-largest … https://psnet.ahrq.gov/issue/covid-19-pandemic-preparation-using-simulation-systems-based-learning-prepare-largest

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854374/psn-pdf
     October 11, 2023 - Learning from latent safety threats identified during simulation to improve patient safety. … Learning from latent safety threats identified during simulation to improve patient safety. … https://psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient … https://psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety … https://psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety