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121. 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

122. 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.

123. 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.

124. 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.

125. National Center for Pediatric Practice-Based Research and Learning | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/national-center-pediatric-practice-based-research-and-learning
     January 01, 2023 - National Center for Pediatric Practice-Based Research and Learning Project Final … HS021645 Funding Mechanism(s) Research Centers in Primary Care Practice Based Research and Learning … The overarching goal of the C-PRL was to improve the delivery of and learning from pediatric primary … National Center for Pediatric Practice Based Research and Learning - 2012 × Disclaimer … National Center for Pediatric Practice Based Research and Learning - Final Report.

126. Final Progress Report: Determining a Learning Curve for Complex Laparoscopic Gastrointestinal Surgery (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/fowler-report.pdf
     January 01, 2024 - To define the learning curve for complex laparoscopic surgery. … The Learning Curve A learning curve describes the rate at which individuals acquire the skill to perform … curve and define the learning curve for complex laparoscopic GI surgery. … the learning curve for complex laparoscopic gastrointestinal surgery. … learning during the fellowship year.

127. 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

128. Final Progress Report: Creating Learning Cultures Around Mistakes for Residents (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
     January 01, 2024 - of learning (see Table 1). … Learning best practices observed in relation to surgery and MICU errors Learning Best Practice Surgery … The Learning Culture: Managing the Contradictions of Stability, Learning, and Change. … Learning to avoid learning: The paradoxes of residency training around medical errors. … Learning to avoid learning: The paradoxes of residency training around medical errors. 5th Annual

129. Improving Safety and Quality of Emergency Care Using Machine Learning-Based Clinical Decision Support at Triage | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-emergency-care-using-machine-learning-based
     September 30, 2023 - Improving Safety and Quality of Emergency Care Using Machine Learning-Based Clinical Decision Support … Research Story The use of an emergency department triage tool informed by machine learning … /2028 Technology Artificial Intelligence Clinical Decision Support System Machine Learning … The current triage prediction model will be refined using machine learning algorithms trained on the … Leveraging the power of machine learning can improve triage While electronic health records (EHRs) do

130. 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

131. 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
     August 12, 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

132. Learn-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
     May 01, 2017 - Learning systems; and 5. Accountability and justice. … Slide 20 SAY: Learning systems By establishing learning systems, organizations can manage both systems … tools that can be used to promote learning systems. … Third, offer positive reinforcement at the monthly Learning From Defects meeting. … The Learning From Defects process is an effective way to instill or reinforce learning systems that contribute

133. Chapter 6. Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/diabetesnetwork/diabnet6.html
     October 01, 2014 - Hispanic Diabetes Disparities Learning Network in Community Health Centers Chapter 6. … Summary Previous Page Next Page Table of Contents Hispanic Diabetes Disparities Learning … Structure of Learning Network Chapter 4. Evaluation Design Chapter 4. … Action Plan Spanish Chronic Disease Self-Efficacy Scale The AHRQ Diabetes Disparities Learning … For this learning network the Action Plan was felt to be a helpful tool in the goal-setting process with

134. Final Report: Regional Patient Safety Officer Conference—Learning Together Today and Tomorrow (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/schade-willis-report.pdf
     January 01, 2024 - Methods: The design was based on adult learning theory. … topic or tool involved active learning by participants. … For example, if the learning was about approaches for building a learning culture, participants compared … Building a patient safety community around support and learning. … Learning to Listen Learning to Teach, The Power of Dialogue in Educating Adults.

135. 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

136. 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.

137. Learning how to learn: compliance with patient safety alerts in the NHS. | PSNet
     psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs
     September 01, 2021 - Government Resource Learning how to learn: compliance with patient safety alerts … Citation Text: Learning how to learn: compliance with patient safety alerts in the NHS. … August 1, 2018 An Organisation with a Memory: Report of an Expert Group on Learning from … October 31, 2018 Learning from Investigations. … March 28, 2018 Learning, Candour and Accountability.

138. 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

139. 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?

140. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. | PSNet
     psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient
     December 23, 2020 - Study Ten years of online incident reporting and learning using CPiRLS: implications … Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety … Documented areas for learning and safety improvement included reducing patient falls, improving continuity … December 23, 2020 Learning from patient safety incidents involving acutely sick adults … August 19, 2020 The fusion of incident learning and failure mode and effects analysis