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321. 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 …  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

322. 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

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47397/psn-pdf
     January 09, 2019 - Using patient safety reporting systems to understand the clinical learning environment: a content analysis … Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis … https://psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning- environment-content … https://psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning-environment-content … https://psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning-environment-content

324. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37406/psn-pdf
     March 28, 2012 - Learning from preventable adverse events in health care organizations: development of a multilevel model … of learning and propositions. … Learning from preventable adverse events in health care organizations: development of a multilevel model … of learning and propositions. … https://psnet.ahrq.gov/issue/learning-preventable-adverse-events-health-care-organizations-development

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46723/psn-pdf
     April 12, 2019 - Diagnostic assessment of deep learning algorithms for detection of lymph node metastases in women with … Diagnostic Assessment of Deep Learning Algorithms for Detection of Lymph Node Metastases in Women With … https://psnet.ahrq.gov/issue/diagnostic-assessment-deep-learning-algorithms-detection-lymph-node- metastases-women-breast … In this study, investigators compared the use of automated deep learning algorithms for detecting metastatic … https://psnet.ahrq.gov/issue/diagnostic-assessment-deep-learning-algorithms-detection-lymph-node-metastases-women-breast

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34660/psn-pdf
     December 24, 2008 - Building a learning organization. December 24, 2008 Garvin DA. Building a learning organization. … https://psnet.ahrq.gov/issue/building-learning-organization Garvin, a Harvard Business School professor … , postulates that for organizations to truly improve over time and succeed, they need to become "learning … from past experience, learning from the best practices of others, and transferring knowledge quickly … https://psnet.ahrq.gov/issue/building-learning-organization

327. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47636/psn-pdf
     December 12, 2018 - Learning from tragedy: the Julia Berg story. December 12, 2018 Graber ML, Berg D, Jerde W, et al. … Learning from tragedy: the Julia Berg story. … https://psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story This commentary provides a clinical review … https://psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story https://psnet.ahrq.gov/issue/clinical-diagnoses-and-autopsy-findings-discrepancies-critically-ill-patients … bias-eye-beholder-vignette-study-assess-recognition-cognitive-biases-clinical-case-workups https://psnet.ahrq.gov/issue/learning-patients-experiences-related-diagnostic-errors-essential-progress-patient-safety

328. 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

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47421/psn-pdf
     October 17, 2018 - The relationship between the learning and patient safety climates of clinical departments and residents … The Relationship Between the Learning and Patient Safety Climates of Clinical Departments and Residents … https://psnet.ahrq.gov/issue/relationship-between-learning-and-patient-safety-climates-clinical- departments-and-residents … https://psnet.ahrq.gov/issue/relationship-between-learning-and-patient-safety-climates-clinical-departments-and-residents … https://psnet.ahrq.gov/issue/relationship-between-learning-and-patient-safety-climates-clinical-departments-and-residents

330. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837508/psn-pdf
     June 22, 2022 - Creating a learning health system for improving diagnostic safety: pragmatic insights from US health … Creating a learning health system for improving diagnostic safety: pragmatic insights from US health … https://psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic- … https://psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic-insights-us-health-care … https://psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic-insights-us-health-care

331. 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

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73485/psn-pdf
     July 14, 2021 - The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment … The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment … https://psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning … https://psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment … https://psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44044/psn-pdf
     June 21, 2015 - A collaborative learning network approach to improvement: the CUSP learning network. … A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network. … https://psnet.ahrq.gov/issue/collaborative-learning-network-approach-improvement-cusp-learning-network … In addition to discussing the mentorship and network learning aspects of the collaborative, the authors … https://psnet.ahrq.gov/issue/collaborative-learning-network-approach-improvement-cusp-learning-network

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37333/psn-pdf
     December 19, 2007 - Exploring the barriers to learning from crisis: organizational learning and crisis. … Exploring the Barriers to Learning from Crisis. Manag Learn. 2007;38(5):519-538. … https://psnet.ahrq.gov/issue/exploring-barriers-learning-crisis-organizational-learning-and-crisis Investigating … https://psnet.ahrq.gov/issue/exploring-barriers-learning-crisis-organizational-learning-and-crisis

335. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47537/psn-pdf
     November 14, 2018 - Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led … Developing a learning health system: Insights from a qualitative process evaluation of a pharmacist-led … https://psnet.ahrq.gov/issue/developing-learning-health-system-insights-qualitative-process-evaluation … https://psnet.ahrq.gov/issue/developing-learning-health-system-insights-qualitative-process-evaluation-pharmacist-led … https://psnet.ahrq.gov/issue/developing-learning-health-system-insights-qualitative-process-evaluation-pharmacist-led

336. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48080/psn-pdf
     June 12, 2019 - Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK … Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK … https://psnet.ahrq.gov/issue/understanding-healthcare-workplace-learning-culture-through-safety-and- … https://psnet.ahrq.gov/issue/understanding-healthcare-workplace-learning-culture-through-safety-and-dignity-narratives-uk … https://psnet.ahrq.gov/issue/understanding-healthcare-workplace-learning-culture-through-safety-and-dignity-narratives-uk

337. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837143/psn-pdf
     January 01, 2023 - factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning … factors influencing implementation of a new national patient safety policy in England: lessons from ‘Learning … understanding-factors-influencing-implementation-new-national-patient-safety- policy-england Autopsies following unexpected deaths can provide valuable insights and learning … In 2017, the National Health Service (NHS) implemented “Learning from Deaths” (LfD) to report, learn … https://psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct https://psnet.ahrq.gov/issue/nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis-first-year

338. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60526/psn-pdf
     May 27, 2020 - A qualitative content analysis of retained surgical items: learning from root cause analysis investigations … A qualitative content analysis of retained surgical items: learning from root cause analysis investigations … https://psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause … https://psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis … https://psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis

339. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848036/psn-pdf
     April 26, 2023 - Using a learning system approach to improve safety for prone-position ventilation patients. … Using a learning system approach to improve safety for prone- position ventilation patients. … https://psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation … https://psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients … https://psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients

340. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847715/psn-pdf
     April 19, 2023 - Integrating implementation science in a quality and patient safety improvement learning collaborative … Integrating implementation science in a quality and patient safety improvement learning collaborative … ://psnet.ahrq.gov/issue/integrating-implementation-science-quality-and-patient-safety-improvement- learning … https://psnet.ahrq.gov/issue/integrating-implementation-science-quality-and-patient-safety-improvement-learning … https://psnet.ahrq.gov/issue/integrating-implementation-science-quality-and-patient-safety-improvement-learning