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psnet.ahrq.gov/issue/listening-learning-responding-concerns
June 12, 2024 - Book/Report
Listening, Learning, Responding to Concerns. … Citation Text:
Listening, Learning, Responding to Concerns. … Copy URL
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Listening, Learning … June 12, 2024
Learning, Candour and Accountability.
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psnet.ahrq.gov/issue/organizational-learning-starting-points-and-presuppositions-case-study-hospitals-surgical
September 25, 2024 - Study
Organizational learning starting points and presuppositions: a case study from … Organizational learning starting points and presuppositions: a case study from a hospital’s surgical … This qualitative study focuses on the starting points and presuppositions of organizational learning … specific problem) and organizational learning encompassed more formal and intentional practices. … Seeking leverage points for organizational learning.
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psnet.ahrq.gov/issue/partnership-pathway-diagnostic-excellence-challenges-and-successes-implementing-safer-dx
October 02, 2024 - Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning … This qualitative study involving 25 individuals associated with the Safer Dx Learning Lab identified … buy-in and the need for protected time for clinicians to participate in case review and continuous learning … March 3, 2021
Creating a learning health system for improving diagnostic safety: pragmatic … October 28, 2020
Developing health care organizations that pursue learning and exploration
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psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed
June 18, 2013 - Book/Report
Learning from Disasters: A Management Approach. … Citation Text:
Learning from Disasters: A Management Approach. Third ed. Toft B, Reynolds S. … Thinking About Learning for Improvement in Health Care. … December 19, 2011
Is yours a learning organization? … October 28, 2010
The competitive imperative of learning.
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psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects
December 24, 2008 - Multi-use Website
Overview of Patient Safety Learning Laboratory Projects. … Citation Text:
Overview of Patient Safety Learning Laboratory Projects. … Agency for Healthcare Research and Quality funding designed for rapid deployment through team-focused learning … Cite
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Overview of Patient Safety Learning
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psnet.ahrq.gov/issue/learning-mechanisms-limit-medication-administration-errors
August 30, 2017 - Study
Learning mechanisms to limit medication administration errors. … Learning mechanisms to limit medication administration errors. … Learning mechanisms to limit medication administration errors. … March 1, 2023
Is anybody 'Learning' from deaths? … February 22, 2023
NHS ‘Learning from Deaths’ reports: a qualitative and quantitative
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psnet.ahrq.gov/issue/organizational-learning-morbidity-and-mortality-conference
June 09, 2015 - Study
Organizational learning in the morbidity and mortality conference. … Organizational learning in the morbidity and mortality conference. … leadership, and reviewed M&M policies at three Canadian hospitals to describe how organizational learning … PSNet offers an online version of M&M conferences with an emphasis on systems learning. … Organizational learning in the morbidity and mortality conference.
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psnet.ahrq.gov/issue/machine-learning-enhance-electronic-detection-diagnostic-errors
December 18, 2024 - Commentary
Machine learning to enhance electronic detection of diagnostic errors. … Machine learning to enhance electronic detection of diagnostic errors. … Machine learning (ML) has the potential to improve diagnosis and reduce adverse events in healthcare … Machine learning to enhance electronic detection of diagnostic errors. … 2024
Automating detection of diagnostic error of infectious diseases using machine learning
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psnet.ahrq.gov/issue/learning-incidents-healthcare-journey-not-arrival-matters
June 12, 2024 - Commentary
Learning from incidents in healthcare: the journey, not the arrival, matters … Learning from incidents in healthcare: the journey, not the arrival, matters. … commentary describes the Dutch national reporting system effort to encourage individual hospital learning … Learning from incidents in healthcare: the journey, not the arrival, matters.
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psnet.ahrq.gov/issue/learning-excellence-healthcare-new-approach-incident-reporting
August 31, 2022 - Commentary
Learning from excellence in healthcare: a new approach to incident reporting … Learning from excellence in healthcare: a new approach to incident reporting. … Learning in health care can be motivated by seeing and building on the success of others. … Learning from excellence in healthcare: a new approach to incident reporting. … Related Resources From the Same Author(s)
Positive approaches to safety: learning
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psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare
September 23, 2020 - Review
What is the effectiveness of reporting systems in promoting learning in healthcare … What is the effectiveness of reporting systems in promoting learning in healthcare? … This article highlights the strengths of reporting and learning systems (e.g., the opportunity to learn … What is the effectiveness of reporting systems in promoting learning in healthcare? … October 25, 2023
Barriers and facilitators to improving patient safety learning systems
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psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patient-safety
January 12, 2022 - Commentary
Learning and mindfulness: improving perioperative patient safety. … Learning and mindfulness: improving perioperative patient safety. … This commentary discusses how organizational learning and mindfulness can help perioperative staff … Learning and mindfulness: improving perioperative patient safety. … and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning
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psnet.ahrq.gov/issue/learning-failure-need-independent-safety-investigation-healthcare
September 24, 2018 - Commentary
Learning from failure: the need for independent safety investigation in … Learning from failure: the need for independent safety investigation in healthcare. … To promote learning and improve health care safety in the United Kingdom , this commentary recommends … Learning from failure: the need for independent safety investigation in healthcare. … and Delayed Diagnoses of Cancer
July 31, 2023
Positive approaches to safety: learning
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psnet.ahrq.gov/issue/potential-leveraging-machine-learning-filter-medication-alerts
July 22, 2020 - Study
The potential for leveraging machine learning to filter medication alerts. … The potential for leveraging machine learning to filter medication alerts. … In this study, researchers at one academic medical center found that machine learning techniques could … The potential for leveraging machine learning to filter medication alerts. … April 21, 2021
A machine learning-based clinical decision support system to identify
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psnet.ahrq.gov/issue/how-medical-error-shapes-physicians-perceptions-learning-exploratory-study
August 16, 2023 - Study
How medical error shapes physicians' perceptions of learning: an exploratory … How Medical Error Shapes Physicians' Perceptions of Learning: An Exploratory Study. … providers experience after an error affect their perceptions of learning. … can facilitate learning from mistakes. … How Medical Error Shapes Physicians' Perceptions of Learning: An Exploratory Study.
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psnet.ahrq.gov/issue/grand-rounds-methodology-key-considerations-implementing-machine-learning-solutions-quality
July 26, 2023 - Commentary
Grand rounds in methodology: key considerations for implementing machine learning … Grand rounds in methodology: key considerations for implementing machine learning solutions in quality … This article highlights machine learning applications in quality improvement and patient safety (e.g. … , decision support) and practice considerations before deploying machine learning applications (e.g., … Grand rounds in methodology: key considerations for implementing machine learning solutions in quality
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psnet.ahrq.gov/issue/machine-learning-medication-prescription-systematic-review
October 16, 2013 - Study
Machine learning in medication prescription: a systematic review. … Machine learning in medication prescription: a systematic review. … This review sought to evaluate existing machine learning algorithms for medication dosing to determine … Machine learning in medication prescription: a systematic review. … January 22, 2016
Indicators for implementation outcome monitoring of reporting and learning
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psnet.ahrq.gov/issue/anybody-learning-deaths-sequential-content-and-reflexive-thematic-analysis-national-statutory
March 01, 2023 - Study
Is anybody 'Learning' from deaths? … Is anybody ‘Learning’ from deaths? … In 2017, England’s National Health Service (NHS) implemented the Learning from Deaths program which … Is anybody ‘Learning’ from deaths? … The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020
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psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
February 12, 2020 - Newspaper/Magazine Article
Becoming a high-reliability organization through shared learning … of safety events
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Becoming a high-reliability organization through shared learning … This article discusses a learning model built upon event definition, rapid contributing factor identification … , system-focused communication, and standardized learning to facilitate organizational learning from … Citation
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Becoming a high-reliability organization through shared learning
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psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety
November 17, 2021 - Study
The fusion of incident learning and failure mode and effects analysis for data-driven … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … Assessing risk and learning from adverse events are core components of patient safety improvement. … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … July 21, 2021
Enabling a learning healthcare system with automated computer protocols