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61. Listening, Learning, Responding to Concerns. | PSNet
    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 Cite Citation Citation Text: Listening, Learning … June 12, 2024 Learning, Candour and Accountability.

62. Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department. | PSNet
    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.

63. Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab. | PSNet
    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

64. Learning from Disasters: A Management Approach. Third ed. | PSNet
    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.

65. Overview of Patient Safety Learning Laboratory Projects. | PSNet
    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 Citation Citation Text: Overview of Patient Safety Learning

66. Learning mechanisms to limit medication administration errors. | PSNet
    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

67. Organizational learning in the morbidity and mortality conference. | PSNet
    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.

68. Machine learning to enhance electronic detection of diagnostic errors. | PSNet
    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

69. Learning from incidents in healthcare: the journey, not the arrival, matters. | PSNet
    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.

70. Learning from excellence in healthcare: a new approach to incident reporting. | PSNet
    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

71. What is the effectiveness of reporting systems in promoting learning in healthcare? | PSNet
    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

72. Learning and mindfulness: improving perioperative patient safety. | PSNet
    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

73. Learning from failure: the need for independent safety investigation in healthcare. | PSNet
    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

74. The potential for leveraging machine learning to filter medication alerts. | PSNet
    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

75. How medical error shapes physicians' perceptions of learning: an exploratory study. | PSNet
    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.

76. Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives. | PSNet
    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

77. Machine learning in medication prescription: a systematic review. | PSNet
    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

78. Is anybody 'Learning' from deaths? Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in England 2017-2020. | PSNet
    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

79. Becoming a high-reliability organization through shared learning of safety events | PSNet
    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 Citation Text: 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 Citation Text: Becoming a high-reliability organization through shared learning

80. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. | PSNet
    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