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psnet.ahrq.gov/issue/health-technology-quality-and-safety-learning-health-system
February 09, 2022 - Commentary
Health technology, quality and safety in a learning health system. … Health technology, quality and safety in a learning health system. … This commentary describes how learning health systems can improve the safety of new technologies, such … Health technology, quality and safety in a learning health system. … July 7, 2021
Learning from patient safety incidents involving acutely sick adults in
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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
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psnet.ahrq.gov/issue/nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis-first-year
February 22, 2023 - Study
NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document … NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year … NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year … The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020 … July 11, 2012
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Related Resources
Is anybody 'Learning'
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www.ahrq.gov/teamstepps-program/curriculum/intro/teach.html
August 01, 2023 - The guidance that follows addresses five issues:
Maximizing active learning in trainings
Teaching … As teaching norms have changed, students now expect to be actively engaged in learning. … Options for Maximizing Active Learning
Some options to limit the amount of time spent describing the … Blend learning approaches. … Why does peer instruction benefit student learning? Cogn Research. 2020 Apr 9;5:15.
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www.ahrq.gov/teamstepps-program/curriculum/communication/teach/index.html
December 01, 2023 - The guidance that follows addresses five issues:
Maximizing active learning in trainings
Teaching … Blend learning approaches. … Using a variety of approaches may best serve participants whose learning styles and preferences differ … Teaching Goals
It's critical to lay groundwork for the time spent with trainees learning TeamSTEPPS … Why does peer instruction benefit student learning? Cogn Research. 2020 Apr 9;5:15.
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psnet.ahrq.gov/issue/role-clinical-learning-environments-preparing-new-clinicians-engage-patient-safety
November 18, 2020 - Book/Report
The Role of Clinical Learning Environments in Preparing New Clinicians … Citation Text:
The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in … Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National Collaborative for Improving the Clinical Learning … Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National Collaborative for Improving the Clinical Learning … Incorporating patient safety in education and learning environments can augment physician engagement
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight13.pdf
September 08, 2015 - How did CHIPRA quality demonstration States employ learning collaboratives to improve children's health … Learning collaboratives
taught how to test
improvements and measure
progress
Learning collaboratives … States reported positive
outcomes from their
learning collaboratives
At the conclusion of their learning … peer-to-peer learning. … A literature
review of learning collaboratives in mental
health care: used but untested.
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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.
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effectivehealthcare.ahrq.gov/products/machine-learning-screening/methods-report
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effectivehealthcare.ahrq.gov/products/learning-health-systems-panel/overview
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effectivehealthcare.ahrq.gov/products/machine-learning-tools/white-paper
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www.ahrq.gov/news/events/ahrq-research-summit-learning-health-system.html
March 01, 2018 - AHRQ Research Summit on Learning Health Systems
Date: September 15, 2017
Introduction … AHRQ hosted a research summit on learning health systems (LHS) for a variety of external stakeholders … Recognize the role of attendees in helping to create a learning health care ecosystem. … Executive Summary: AHRQ Research Summit on Learning Health Systems . … Supporting Learning Health Systems
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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
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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
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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
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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
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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
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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/national-reporting-and-learning-system-research-and-development
April 06, 2016 - Book/Report
National Reporting and Learning System Research and Development. … Citation Text:
National Reporting and Learning System Research and Development. … reporting has achieved varying levels of success in encouraging transparency and facilitating system learning … Cite
Citation
Citation Text:
National Reporting and Learning … September 16, 2015
Learning Not Blaming.
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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.