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81. National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. | PSNet
    psnet.ahrq.gov/issue/national-statutory-reporting-not-even-ticking-boxes-quality-learning-deaths-reporting-quality
    February 22, 2023 - The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020 … The quality of ‘Learning from Deaths’ reporting in quality accounts within the NHS in England 2017–2020 … The quality of ‘Learning from Deaths’ reporting in quality accounts within the NHS in England 2017–2020 … February 22, 2023 NHS ‘Learning from Deaths’ reports: a qualitative and quantitative … March 2, 2022 Indicators for implementation outcome monitoring of reporting and learning

82. Kaiser Permanente's performance improvement system, part 4: creating a learning organization. | PSNet
    psnet.ahrq.gov/issue/kaiser-permanentes-performance-improvement-system-part-4-creating-learning-organization
    July 19, 2023 - Commentary Kaiser Permanente's performance improvement system, part 4: creating a learning … Kaiser Permanente's performance improvement system, Part 4: Creating a learning organization. … July 19, 2023 Toward learning from patient safety reporting systems. … January 2, 2017 Is yours a learning organization? … June 16, 2011 The competitive imperative of learning.

83. The Gift of Failure: New Approaches to Analyzing and Learning from Events and Near-Misses. | PSNet
    psnet.ahrq.gov/issue/gift-failure-new-approaches-analyzing-and-learning-events-and-near-misses
    August 07, 2019 - Special or Theme Issue The Gift of Failure: New Approaches to Analyzing and Learning … Citation Text: The Gift of Failure: New Approaches to Analyzing and Learning from Events and Near-Misses … August 1, 2014 Organizational Learning from Experience in High-Hazard Industries: Problem … Learning from disasters to improve patient safety. … August 8, 2010 Development of a measure of patient safety event learning responses.

84. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. | PSNet
    psnet.ahrq.gov/issue/towards-safer-healthcare-qualitative-insights-process-view-organisational-learning-failure
    July 21, 2021 - Towards safer healthcare: qualitative insights from a process view of organisational learning … Towards safer healthcare: qualitative insights from a process view of organisational learning from failure … Findings from these interviews suggest that the primary barriers to active learning stem from social … Towards safer healthcare: qualitative insights from a process view of organisational learning from failure … March 13, 2024 Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive.

85. Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/interprofessional-learning-multidisciplinary-healthcare-teams-associated-reduced-patient
    April 10, 2024 - Review Interprofessional learning in multidisciplinary healthcare teams is associated … Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality … Interprofessional learning (IPL) is a common strategy to improve patient safety. … Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality

86. Systemic safety inequities for people with learning disabilities: a qualitative integrative analysis of the experiences of English health and social care for people with learning disabilities, their families and carers. | PSNet
    psnet.ahrq.gov/issue/systemic-safety-inequities-people-learning-disabilities-qualitative-integrative-analysis
    June 30, 2021 - Study Systemic safety inequities for people with learning disabilities: a qualitative … Systemic safety inequities for people with learning disabilities: a qualitative integrative analysis … of the experiences of English health and social care for people with learning disabilities, their families … Patients with learning disabilities encounter unique patient safety threats . … systematic review of learning tools that could be adapted and used in healthcare.

87. Interactions between the context of a health-care organisation and failure: the situational impact of failure on organisational learning. | PSNet
    psnet.ahrq.gov/issue/interactions-between-context-health-care-organisation-and-failure-situational-impact-failure
    May 17, 2012 - This review includes 49 studies that describe post-failure learning or non-learning behavior within healthcare … January 10, 2024 Learning from errors and resilience. … review of learning tools that could be adapted and used in healthcare. … March 18, 2020 Organizational learning in hospitals: a realist review. … June 19, 2019 Incident learning in radiation oncology: a review.

88. Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a scoping review. | PSNet
    psnet.ahrq.gov/issue/exploring-patient-safety-outcomes-people-learning-disabilities-acute-hospital-settings
    March 02, 2022 - Review Exploring patient safety outcomes for people with learning disabilities in … Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a … Prior research found that patients with learning disabilities (e.g., autism, attention deficit disorder … Findings suggest that individuals with learning disabilities experience poorer patient outcomes but that … Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a

89. Learning to Use Patient Stories. | PSNet
    psnet.ahrq.gov/issue/learning-use-patient-stories
    July 18, 2018 - Book/Report Learning to Use Patient Stories. … Citation Text: Learning to Use Patient Stories. Cardiff, UK: NHS Wales; April 2010. … Linkedin Copy URL Cite Citation Citation Text: Learning … September 27, 2017 Learning From Mistakes. … Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning

90. Predicting self-intercepted medication ordering errors using machine learning. | PSNet
    psnet.ahrq.gov/issue/predicting-self-intercepted-medication-ordering-errors-using-machine-learning
    May 13, 2020 - Study Predicting self-intercepted medication ordering errors using machine learning … Predicting self-intercepted medication ordering errors using machine learning. … Results indicate machine learning may be useful in understanding risk factors involved with medication … Predicting self-intercepted medication ordering errors using machine learning. … November 24, 2021 Safe opioid prescribing: a prognostic machine learning approach to

91. Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. | PSNet
    psnet.ahrq.gov/issue/safety-learning-among-young-newly-employed-workers-three-sectors-challenge-assumed-order
    July 22, 2020 - Study Safety learning among young newly employed workers in three sectors: a challenge … Safety learning among young newly employed workers in three sectors: a challenge to the assumed order … This study explores new employees’ safety learning in three sectors, including care of older adults … Organizational and informal safety training and learning are discussed. … Safety learning among young newly employed workers in three sectors: a challenge to the assumed order

92. IDEA4PS: the development of a research-oriented learning healthcare system. | PSNet
    psnet.ahrq.gov/issue/idea4ps-development-research-oriented-learning-healthcare-system
    April 24, 2018 - Commentary IDEA4PS: the development of a research-oriented learning healthcare system … IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. … Collaborating to implement rapid-cycle learning is a strategy to design and sustain patient safety … IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. … May 30, 2018 A learning health care system using computer-aided diagnosis.

93. Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. | PSNet
    psnet.ahrq.gov/issue/learning-candour-and-accountability-review-way-nhs-trusts-review-and-investigate-deaths
    January 23, 2019 - Book/Report Learning, Candour and Accountability. … Citation Text: Learning, Candour and Accountability. … Linkedin Copy URL Cite Citation Citation Text: Learning … January 12, 2022 Listening, Learning, Responding to Concerns. … November 7, 2018 Learning from Investigations.

94. Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative. | PSNet
    psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-qualitative-study-implementation-through-canadian
    January 24, 2024 - Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning … Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning … Learning collaboratives within the Canadian Patient Safety Institute are working to implement the … April 22, 2011 Learning from near misses: from quick fixes to closing off the Swiss-cheese … March 24, 2012 On the ball: leadership for patient safety and learning in critical care

95. Organisational reporting and learning systems: innovating inside and outside of the box. | PSNet
    psnet.ahrq.gov/issue/organisational-reporting-and-learning-systems-innovating-inside-and-outside-box
    July 22, 2020 - Commentary Organisational reporting and learning systems: innovating inside and outside … Organisational reporting and learning systems: Innovating inside and outside of the box. … Organisational reporting and learning systems: Innovating inside and outside of the box. … August 11, 2021 An organizational learning framework for patient safety. … December 23, 2012 From blaming to learning: re-framing organisational learning from adverse

96. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. | PSNet
    psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods
    November 04, 2020 - Study How incident reporting systems can stimulate social and participative learning … How incident reporting systems can stimulate social and participative learning: a mixed-methods study … ; (4) local learning, and; (5) recommendations that improve care quality and safety. … review of learning tools that could be adapted and used in healthcare. … March 31, 2021 Learning from incident reporting?

97. Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. | PSNet
    psnet.ahrq.gov/issue/learning-preventable-adverse-events-health-care-organizations-development-multilevel-model
    June 28, 2010 - Commentary 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. … of learning and propositions.

98. Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. | PSNet
    psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration-diagnostic-excellence
    October 28, 2020 - Commentary Developing health care organizations that pursue learning and exploration … Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An … Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An … March 3, 2021 Creating a learning health system for improving diagnostic safety: pragmatic … June 22, 2022 Improving diagnostic performance through feedback: the Diagnosis Learning

99. NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021. | PSNet
    psnet.ahrq.gov/issue/ncicle-pathways-excellence-expectations-optimal-clinical-learning-environment-achieve-safe
    October 18, 2017 - Book/Report NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning … Citation Text: NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment … Chicago, IL: National Collaborative for Improving the Clinical Learning Environment; 2021. … This report discusses characteristics of an environment that nurtures learning across disciplines in … Chicago, IL: National Collaborative for Improving the Clinical Learning Environment; 2021.

100. An organizational learning framework for patient safety. | PSNet
     psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
     November 28, 2018 - Commentary An organizational learning framework for patient safety. … An Organizational Learning Framework for Patient Safety. … An Organizational Learning Framework for Patient Safety. … September 9, 2015 Organisational reporting and learning systems: innovating inside and … September 22, 2010 The competitive imperative of learning.