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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., … February 1, 2023 Positive approaches to safety: learning from what we do well.

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. Understanding and learning from organisational failure. | PSNet
     psnet.ahrq.gov/issue/understanding-and-learning-organisational-failure
     April 19, 2011 - Commentary Understanding and learning from organisational failure. … Understanding and learning from organisational failure. Qual Saf Health Care. 2003;12(2):81-2. … Understanding and learning from organisational failure. Qual Saf Health Care. 2003;12(2):81-2. … March 3, 2011 Learning from litigation. … June 22, 2009 Exploring the barriers to learning from crisis: organizational learning

124. 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.

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. 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.

127. Learning from errors with the new COVID-19 vaccines. | PSNet
     psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
     October 21, 2021 - Newspaper/Magazine Article Learning from errors with the new COVID-19 vaccines. … Citation Text: Learning from errors with the new COVID-19 vaccines. ISMP Medication Safety Alert! … Learning from error  rests on transparency efforts buttressed by frontline reports. … Linkedin Copy URL Cite Citation Citation Text: Learning … Primers Medication Administration Errors March 12, 2021 Learning

128. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. | PSNet
     psnet.ahrq.gov/issue/improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle
     December 16, 2020 - Commentary Improving diagnostic performance through feedback: the Diagnosis Learning … Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. … collaborating with professionals outside of the healthcare field, researchers developed the Diagnosis Learning … Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. … A program to provide clinicians with feedback on their diagnostic performance in a learning

129. 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

130. 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

131. 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.

132. 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.

133. 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

134. 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

135. Learning from adverse events and near misses. | PSNet
     psnet.ahrq.gov/issue/learning-adverse-events-and-near-misses
     January 15, 2020 - Commentary Learning from adverse events and near misses. … Learning from adverse events and near misses. … Learning from adverse events and near misses. … January 23, 2017 Safety considerations in learning new procedures: a survey of surgeons

136. High-Alert Medication Learning Guides for Consumers. | PSNet
     psnet.ahrq.gov/issue/high-alert-medication-learning-guides-consumers
     April 30, 2019 - Fact Sheet/FAQs High-Alert Medication Learning Guides for Consumers. … Citation Text: High-Alert Medication Learning Guides for Consumers. … URL Cite Citation Citation Text: High-Alert Medication Learning

137. Perioperative safety: learning, not taking, from aviation. | PSNet
     psnet.ahrq.gov/issue/perioperative-safety-learning-not-taking-aviation
     June 26, 2019 - Commentary Perioperative safety: learning, not taking, from aviation. … Perioperative Safety: Learning, Not Taking, from Aviation. … Perioperative Safety: Learning, Not Taking, from Aviation. … Resources From the Same Author(s) Comparison of the accuracy of human readers versus machine-learning

138. Increasing physician reporting of diagnostic learning opportunities. | PSNet
     psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities
     March 23, 2022 - Study Increasing physician reporting of diagnostic learning opportunities. … Increasing physician reporting of diagnostic learning opportunities. … Increasing physician reporting of diagnostic learning opportunities. … A program to provide clinicians with feedback on their diagnostic performance in a learning

139. Learning from tragedy: the Julia Berg story. | PSNet
     psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story
     October 28, 2020 - Commentary Learning from tragedy: the Julia Berg story. … Learning from tragedy: the Julia Berg story. … Learning from tragedy: the Julia Berg story. … June 8, 2022 Improving diagnostic performance through feedback: the Diagnosis Learning … September 1, 2021 Adverse events and perceived abandonment: learning from patients' accounts

140. 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