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281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867637/psn-pdf
     February 26, 2025 - Patient safety incident reporting and learning guidelines implemented by health care professionals in … Patient safety incident reporting and learning guidelines implemented by health care professionals in … https://psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health … - care Patient safety incident reporting and learning (PSIRL) systems are integral to ensuring patient … https://psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61039/psn-pdf
     October 21, 2020 - A machine learning-based clinical decision support system to identify prescriptions with a high risk … A machine learning–based clinical decision support system to identify prescriptions with a high risk … https://psnet.ahrq.gov/issue/machine-learning-based-clinical-decision-support-system-identify- prescriptions-high-risk … Machine learning can improve the accuracy of clinical decision support (CDS) tools.  … The machine- learning based approach was more accurate than existing techniques such as the traditional

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50792/psn-pdf
     January 15, 2020 - Lessons learned implementing a complex and innovative patient safety learning laboratory project in … Lessons learned implementing a complex and innovative patient safety learning laboratory project in … https://psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning … laboratory In 2014, the Agency for Healthcare Research and Quality (AHRQ) began funding Patient Safety Learning … https://psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects https://psnet.ahrq.gov

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846161/psn-pdf
     March 15, 2023 - Ten years of online incident reporting and learning using CPiRLS: implications for improved patient … Ten years of online incident reporting and learning using CPiRLS: implications for improved patient … https://psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications … This longitudinal study describes chiropractic safety incidents reported to an online reporting and learning … Documented areas for learning and safety improvement included reducing patient falls, improving continuity

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72805/psn-pdf
     March 03, 2021 - When machine learning goes off the rails. A guide to managing the risks. … https://psnet.ahrq.gov/issue/when-machine-learning-goes-rails-guide-managing-risks  This article discusses … how machine learning can create unanticipated risks in the context of health care delivery. … https://psnet.ahrq.gov/issue/when-machine-learning-goes-rails-guide-managing-risks https://psnet.ahrq.gov … /issue/machine-learning-based-clinical-decision-support-system-identify-prescriptions-high-risk https

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866819/psn-pdf
     September 25, 2024 - Machine learning to enhance electronic detection of diagnostic errors. … Machine learning to enhance electronic detection of diagnostic errors. … https://psnet.ahrq.gov/issue/machine-learning-enhance-electronic-detection-diagnostic-errors Machine … learning (ML) has the potential to improve diagnosis and reduce adverse events in healthcare.  … https://psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-machine-learning-technologies

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844556/psn-pdf
     February 15, 2023 - Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. … https://psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults … The potential of machine learning to improve care and safety is emerging as its application increases … https://psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults … https://psnet.ahrq.gov/issue/machine-learning-medicine https://psnet.ahrq.gov/issue/machine-learning-models-outperform-manual-result-review-identification-wrong-blood-tube

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50940/psn-pdf
     February 26, 2020 - The effect of smartphone-based application learning on the nursing students' performance in preventing … The effect of smartphone-based application learning on the nursing students' performance in preventing … https://psnet.ahrq.gov/issue/effect-smartphone-based-application-learning-nursing-students-performance … preventing This single site study examined the effect of a smartphone messenger app on nursing students’ learning … Researchers concluded that such a tool can reduce medication errors and increase learning among nursing

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845298/psn-pdf
     March 01, 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 … https://psnet.ahrq.gov/issue/national-statutory-reporting-not-even-ticking-boxes-quality-learning-deaths … help improve patient safety beyond the original impacted facility, but low-quality reports can hinder learning … study describes the quality of reports submitted during the first three years of England’s mandatory Learning

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866621/psn-pdf
     August 28, 2024 - Success cause analysis: learning from what works to advance safety. … https://www.ihi.org/insights/success-cause-analysis-learning-what-works… 3. Drosey B. … Patient safety learning laboratory looks to enhance clinical communication. … The Practice of Learning Teams: Learning and Improving Safety, Quality and Operational Excellence. … facilitate learning from everyday work, critical and dynamic risks with the 4Ds.

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46784/psn-pdf
     January 11, 2023 - Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Engineering, … https://psnet.ahrq.gov/issue/patient-safety-learning-laboratories-advancing-patient-safety-through-design … - systems This funding opportunity will support collaborative learning strategies that enable individuals … This learning laboratory funding builds on prior initiatives to further improvements in patient safety … https://psnet.ahrq.gov/issue/patient-safety-learning-laboratories-advancing-patient-safety-through-design-systems

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867589/psn-pdf
     January 22, 2025 - A machine learning-based clinical predictive tool to identify patients at high risk of medication errors … A machine learning-based clinical predictive tool to identify patients at high risk of medication errors … https://psnet.ahrq.gov/issue/machine-learning-based-clinical-predictive-tool-identify-patients-high-risk … In this study, a machine learning (ML) tool was developed to identify hospitalized patients at risk … https://psnet.ahrq.gov/issue/machine-learning-based-clinical-predictive-tool-identify-patients-high-risk-medication-errors

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867519/psn-pdf
     January 15, 2025 - High-risk medication errors: insight from the UK National Reporting and Learning System. … High-risk medication errors: Insight from the UK National Reporting and learning system. … https://psnet.ahrq.gov/issue/high-risk-medication-errors-insight-uk-national-reporting-and-learning-system … In this study, incident reports from the UK's National Reporting and Learning System involving three … https://psnet.ahrq.gov/issue/high-risk-medication-errors-insight-uk-national-reporting-and-learning-system

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837962/psn-pdf
     August 31, 2022 - Positive approaches to safety: learning from what we do well. … Positive approaches to safety: learning from what we do well. … https://psnet.ahrq.gov/issue/positive-approaches-safety-learning-what-we-do-well Safety-I focuses on … https://psnet.ahrq.gov/issue/positive-approaches-safety-learning-what-we-do-well https://psnet.ahrq.gov … https://psnet.ahrq.gov/issue/learning-excellence-healthcare-new-approach-incident-reporting https://

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60227/psn-pdf
     April 15, 2020 - The next step in learning from sentinel events in healthcare. … The next step in learning from sentinel events in healthcare. … https://psnet.ahrq.gov/issue/next-step-learning-sentinel-events-healthcare To support the development … evaluated how SEs are handled and leveraged for learning across eight academic hospitals. … /becoming-high-reliability-organization-through-shared-learning-safety-events

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838930/psn-pdf
     October 26, 2022 - Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for … https://psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-machine-learning … - technologies Machine learning is a subset of artificial intelligence that has potential to improve … This report examines the value of existing machine learning diagnostic technologies and discusses concerns … https://psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-machine-learning-technologies

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74078/psn-pdf
     November 17, 2021 - Safety learning among young newly employed workers in three sectors: a challenge to the assumed order … Safety learning among young newly employed workers in three sectors: a challenge to the assumed order … https://psnet.ahrq.gov/issue/safety-learning-among-young-newly-employed-workers-three-sectors- challenge-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.

298. Accelerating what works: using qualitative research methods in developing a change package for a learning collaborative. | PSNet
     psnet.ahrq.gov/issue/accelerating-what-works-using-qualitative-research-methods-developing-change-package-learning
     November 25, 2009 - Accelerating what works: using qualitative research methods in developing a change package for a learning … Accelerating what works: using qualitative research methods in developing a change package for a learning … Accelerating what works: using qualitative research methods in developing a change package for a learning … April 4, 2018 Enabling a learning healthcare system with automated computer protocols … January 8, 2020 An organizational learning framework for patient safety.

299. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. | PSNet
     psnet.ahrq.gov/issue/engineering-learning-healthcare-system-look-future-workshop-summary
     June 15, 2011 - Book/Report Engineering a Learning Healthcare System: A Look at the Future: Workshop … Citation Text: Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. … June 15, 2011 Best Care at Lower Cost: The Path to Continuously Learning Health Care … October 24, 2018 An organizational learning framework for patient safety. … October 6, 2011 Teaching but not learning: how medical residency programs handle errors

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836822/psn-pdf
     March 30, 2022 - Leveraging a safety event management system to improve organizational learning and safety culture. … Leveraging a safety event management system to improve organizational learning and safety culture. … https://psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning … reporting remains underutilized in many clinical settings despite its importance for organizational learning … https://psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning-and-safety-culture