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181. 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.

182. The relationship between organizational leadership for safety and learning from patient safety events. | PSNet
     psnet.ahrq.gov/issue/relationship-between-organizational-leadership-safety-and-learning-patient-safety-events
     November 27, 2009 - Study The relationship between organizational leadership for safety and learning … The relationship between organizational leadership for safety and learning from patient safety events … This Canadian study sought to quantify the relationship between leadership and organizational learning … The relationship between organizational leadership for safety and learning from patient safety events … : development of a multilevel model of learning and propositions.

183. Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. | PSNet
     psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants
     August 14, 2014 - Study Implementing an interprofessional patient safety learning initiative: insights … Implementing an interprofessional patient safety learning initiative: insights from participants, project … Implementing an interprofessional patient safety learning initiative: insights from participants, project … August 14, 2014 On the ball: leadership for patient safety and learning in critical care … April 19, 2023 Learning from near misses: from quick fixes to closing off the Swiss-cheese

184. Artificial Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug Event Prediction | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/artificial-intelligence-based-health-it-tools-optimize-critical-care
     January 01, 2024 - 31/2027 Technology Artificial Intelligence Dashboard Data Visualization Machine Learning … Unsupervised machine learning analysis to identify patterns of ICU medication use for fluid overload … Machine learning vs. traditional regression analysis for fluid overload prediction in the ICU. … Machine learning vs. traditional regression analysis for fluid overload prediction in the ICU. … Machine learning based prediction of prolonged duration of mechanical ventilation incorporating

185. Patients as partners in learning from unexpected events. | PSNet
     psnet.ahrq.gov/issue/patients-partners-learning-unexpected-events
     December 15, 2021 - Study Patients as partners in learning from unexpected events. … Patients as Partners in Learning from Unexpected Events. … Patients as Partners in Learning from Unexpected Events.

186. Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. | PSNet
     psnet.ahrq.gov/issue/best-care-lower-cost-path-continuously-learning-health-care-america
     July 08, 2016 - Classic Best Care at Lower Cost: The Path to Continuously Learning … Citation Text: Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. … Committee on the Learning Health Care System in America, Institute of Medicine. … Committee on the Learning Health Care System in America, Institute of Medicine. … Committee on the Learning Health Care System in America, Institute of Medicine.

187. EnhanCed HandOffs (ECHO) | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/enhanced-handoffs-echo
     January 01, 2024 - Project Description Publications Research Story Implementing a machine learning-augmented … Machine learning-augmented interventions in perioperative care: A systematic review and meta-analysis … Machine learning-augmented interventions in perioperative care: A systematic review and meta-analysis … By harnessing state of-the-art machine learning and telemedicine innovations, I am confident that our … to Improve Patient Triage in the Emergency Department Using Machine Learning for Military Service

188. Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice. | PSNet
     psnet.ahrq.gov/issue/learning-through-simulated-independent-practice-leads-better-future-performance-simulated
     June 14, 2019 - Study Learning through simulated independent practice leads to better future performance … in a simulated crisis than learning through simulated supervised practice. … Learning through simulated independent practice leads to better future performance in a simulated crisis … than learning through simulated supervised practice. … than learning through simulated supervised practice.

189. Research Centers in Primary Care Practice Based Research and Learning | Digital Healthcare Research
     digital.ahrq.gov/funding-mechanism/research-centers-primary-care-practice-based-research-and-learning
     January 01, 2023 - Research Centers in Primary Care Practice Based Research and Learning … Fiks, Alexander Project Name National Center for Pediatric Practice-Based Research and Learning … Research Centers in Primary Care Practice Based Research and Learning - Final … Research Centers in Primary Care Practice Based Research and Learning - Final Report. … Research Centers in Primary Care Practice-Based Research and Learning

190. In Conversation with... Regina Hoffman about Building Capacity for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
     July 31, 2023 - clear direction on how learning systems are in line with that vision. … In terms of intraorganizational learning, or learning within a single facility or organization, there … The Patient Safety Learning System In a learning system , organizations use patient data, experience … Learning across organizations that encourage sharing, learning, and improvement is a foundation for the … of a learning system.

191. Optimal Methods for Notifying Clinicians About Epilepsy Surgery Patients | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/optimal-methods-notifying-clinicians-about-epilepsy-surgery-patients
     January 01, 2023 - This research prospectively evaluated a machine learning algorithm that identified surgical candidates … The research showed that an EHR-integrated machine learning algorithm can aid clinicians in identifying … Automated, machine learning-based alerts increase epilepsy surgery referrals: A randomized controlled … Early identification of epilepsy surgery candidates: A multicenter, machine learning study. … Investigation of bias in an epilepsy machine learning algorithm trained on physician notes.

192. The science of safety improvement: learning while doing. | PSNet
     psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing
     August 04, 2021 - Commentary The science of safety improvement: learning while doing. … The science of safety improvement: learning while doing. … The science of safety improvement: learning while doing. … November 30, 2016 A collaborative learning network approach to improvement: the CUSP … learning network.

193. Driving Learning and Improvement After RCA2 Event Reviews. | PSNet
     psnet.ahrq.gov/issue/driving-learning-and-improvement-after-rca2-event-reviews
     April 06, 2022 - Meeting/Conference Proceedings Driving Learning and Improvement After RCA2 Event … Citation Text: Driving Learning and Improvement After RCA2 Event Reviews. … Copy URL Cite Citation Citation Text: Driving Learning … and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning

194. Toward learning from patient safety reporting systems. | PSNet
     psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
     January 02, 2017 - Study Toward learning from patient safety reporting systems. … Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15. … Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15.

195. Patient safety: learning from the aviation industry. | PSNet
     psnet.ahrq.gov/issue/patient-safety-learning-aviation-industry
     September 03, 2011 - Commentary Patient safety: learning from the aviation industry. … Patient safety: learning from the aviation industry. Nurs Manage. 2007;38(1):25-30; quiz 31. … Patient safety: learning from the aviation industry. Nurs Manage. 2007;38(1):25-30; quiz 31.

196. Using the Electronic Health Record To Identify Children Likely To Suffer Last-Minute Surgery Cancellation | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/using-electronic-health-record-identify-children-likely-suffer-last-minute
     January 01, 2023 - Close Project Description Publications The use of machine learning … Machine learning uses computerized algorithms to identify patterns among a dataset that can be used to … Machine learning classifiers were formed to predict patient-related cancellations. … The findings found that machine learning to predict surgery cancellation is feasible, particularly with … Mining patient-specific and contextual data with machine learning technologies to predict cancellation

197. Final Progress Report: Engineering Highly Reliable Communication and Coordination Systems for High-Risk Patients, Referrals, and Tests (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/singer-benneyan-phillips-report.pdf
     January 01, 2025 - Key Words: patient safety, systems engineering, learning laboratory, organizational learning Purpose … lab, their team’s learning, and participants’ individual learning. … for new learning labs. … The AHRQ patient safety learning laboratories - What are we learning? … The AHRQ patient safety learning laboratories - What are we learning?

198. Machine Learning Methods in Systematic Reviews: Identifying Quality Improvement Intervention Evaluations | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/machine-learning-quality/research

199. The Patient-Centered Clinical Decision Support Learning Network: Improving the Dissemination of PCOR in Patient-Centered Clinical Decision Support - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/u18hs024849-blumenfeld-final-report-2020.pdf
     January 01, 2020 - Decision Support Learning Network (PCCDS-LN or “the Learning Network”), was created as a multistakeholder … Learning Network Structure 5 Data Sources and Interventions The intent of the Learning Network … Website and Resource Center The Learning Network planned the development of a website to guide Learning … The Learning Network Self-Evaluation At its inception, the Learning Network was charged to monitor and … learning?

200. Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. | PSNet
     psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide
     November 02, 2022 - fit the  requirements of the supervisory authority rather than an opportunity for organizational learning … From the Same Author(s) Six major steps to make investigations of suicide valuable for learning … June 16, 2021 NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document … December 1, 2021 Exploring patient safety outcomes for people with learning disabilities … March 31, 2021 Learning from incident reporting?