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301. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837972/psn-pdf
     September 01, 2022 - Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. … Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. … https://psnet.ahrq.gov/issue/patient-safety-where-aim-when-zero-harm-not-target-case-learning-and- resilience … and resilience goals (leveled-target goal setting, equal emphasis goals, data-driven learning, and … https://psnet.ahrq.gov/issue/patient-safety-where-aim-when-zero-harm-not-target-case-learning-and-resilience

302. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47877/psn-pdf
     June 15, 2019 - End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest computed tomography … End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest computed tomography … https://psnet.ahrq.gov/issue/end-end-lung-cancer-screening-three-dimensional-deep-learning-low-dose- … chest-computed Researchers developed a deep learning algorithm to predict a patient's risk of lung … https://psnet.ahrq.gov/issue/end-end-lung-cancer-screening-three-dimensional-deep-learning-low-dose-chest-computed

303. Development of a measure of patient safety event learning responses. | PSNet
     psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses
     June 28, 2010 - Study Development of a measure of patient safety event learning responses. … Development of a measure of patient safety event learning responses. … Development of a measure of patient safety event learning responses. … development of a multilevel model of learning and propositions. … June 28, 2010 Learning mechanisms to limit medication administration errors.

304. Bad stars or guiding lights? Learning from disasters to improve patient safety. | PSNet
     psnet.ahrq.gov/issue/bad-stars-or-guiding-lights-learning-disasters-improve-patient-safety
     June 08, 2011 - Learning from disasters to improve patient safety. … Learning from disasters to improve patient safety. … Learning from disasters to improve patient safety. … February 13, 2013 The Gift of Failure: New Approaches to Analyzing and Learning from … July 31, 2012 Learning from disasters to improve patient safety: applying the generic

305. Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. | PSNet
     psnet.ahrq.gov/issue/learning-near-misses-quick-fixes-closing-swiss-cheese-holes
     April 11, 2012 - Study Learning from near misses: from quick fixes to closing off the Swiss-cheese … Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. … Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. … April 19, 2023 On the ball: leadership for patient safety and learning in critical care … July 2, 2014 Early warnings, weak signals and learning from healthcare disasters.

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61067/psn-pdf
     January 01, 2021 - A program to provide clinicians with feedback on their diagnostic performance in a learning health system … A program to provide clinicians with feedback on their diagnostic performance in a learning health system … https://psnet.ahrq.gov/issue/program-provide-clinicians-feedback-their-diagnostic-performance-learning … This article describes the development of a learning health system around diagnostic safety at one large … and used trained facilitators to provide feedback to clinicians about these missed opportunities as learning

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847716/psn-pdf
     April 19, 2023 - Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative … Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative … https://psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic … https://psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic-review … reporting-patient-safety-events https://psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861286/psn-pdf
     January 24, 2024 - Surgical safety does not happen by accident: learning from perioperative near miss case studies. … Surgical safety does not happen by accident: learning from perioperative near miss case studies. … https://psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss … misses (or close calls) are often underreported but can offer unique opportunities for organizational learning … https://psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss-case-studies

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838645/psn-pdf
     January 19, 2022 - LeDeR - Learning from Lives and Deaths. … https://psnet.ahrq.gov/issue/leder-learning-lives-and-deaths People with a Learning Disability and autistic … people (LeDeR) is a National Health Service-sponsored initiative that seeks to improve the care of learning … https://psnet.ahrq.gov/issue/leder-learning-lives-and-deaths https://psnet.ahrq.gov/issue/nhs-improvement … https://psnet.ahrq.gov/issue/exploring-patient-safety-outcomes-people-learning-disabilities-acute-hospital-settings

310. Dexheimer, Judith W. | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/dexheimer-judith-w
     October 14, 2020 - Automated, machine learning-based alerts increase epilepsy surgery referrals: A randomized controlled … Automated, machine learning-based alerts increase epilepsy surgery referrals: A randomized controlled … Early identification of epilepsy surgery candidates: A multicenter, machine learning study. … Prospective validation of a machine learning model that uses provider notes to identify candidates for … Investigation of bias in an epilepsy machine learning algorithm trained on physician notes.

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851069/psn-pdf
     June 28, 2023 - Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. … Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. … https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its- implementation-canada … This commentary describes the Canadian Learning Collaborative’s experience implementing MMSF and highlights … https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its-implementation-canada

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837515/psn-pdf
     June 22, 2022 - Mitigating racial bias in machine learning. … Mitigating racial bias in machine learning. … https://psnet.ahrq.gov/issue/mitigating-racial-bias-machine-learning Biases in decision support technologies … This commentary discusses how algorithms in machine learning contribute to inaccuracies in the care … https://psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record-data

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861765/psn-pdf
     January 31, 2024 - Observational study of conformity in yet another medical learning environment: conformity to preceptors … Observational study of conformity in yet another medical learning environment: conformity to preceptors … https://psnet.ahrq.gov/issue/observational-study-conformity-yet-another-medical-learning-environment- … https://psnet.ahrq.gov/issue/observational-study-conformity-yet-another-medical-learning-environment-conformity-preceptors … https://psnet.ahrq.gov/issue/observational-study-conformity-yet-another-medical-learning-environment-conformity-preceptors

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866622/psn-pdf
     August 28, 2024 - We use the word “learning” frequently to emphasize our intent. … From learning will come improving, but we don't focus on the improvement; we focus on the learning. … and squeezing out as much learning as possible. … If so, we'll do a learning team about catheter insertion. … There are other sorts of Safety-II tools besides learning teams.

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72555/psn-pdf
     December 09, 2020 - Development and validation of a deep learning model for detection of allergic reactions using safety … Development and validation of a deep learning model for detection of allergic reactions using safety … https://psnet.ahrq.gov/issue/development-and-validation-deep-learning-model-detection-allergic-reactions … This study found that a deep learning model can accurately and efficiently identify allergic reactions … https://psnet.ahrq.gov/issue/development-and-validation-deep-learning-model-detection-allergic-reactions-using-safety

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843088/psn-pdf
     January 25, 2023 - The value of learning from near misses to improve patient safety: a scoping review. … The value of learning from near misses to improve patient safety: a scoping review. … https://psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review Reporting … and learning from adverse events is a core patient safety activity. … Findings from this scoping review indicate limited evidence demonstrating that reporting and learning

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846750/psn-pdf
     March 29, 2023 - Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame … Errors in medicine: punishment versus learning medical adverse events revisited – expanding the frame … https://psnet.ahrq.gov/issue/errors-medicine-punishment-versus-learning-medical-adverse-events-revisited … apple" paradigm to a proactive just culture, where errors and near misses serve as organizational learning … https://psnet.ahrq.gov/issue/errors-medicine-punishment-versus-learning-medical-adverse-events-revisited-expanding-frame

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848810/psn-pdf
     May 10, 2023 - Factors contributing to preventing operating room "never events": a machine learning analysis. … Factors contributing to preventing operating room “never events”: a machine learning analysis. … https://psnet.ahrq.gov/issue/factors-contributing-preventing-operating-room-never-events-machine- learning-analysis … Using machine learning, this study identified 24 contributing factors to two types of surgical never … https://psnet.ahrq.gov/issue/factors-contributing-preventing-operating-room-never-events-machine-learning-analysis

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60648/psn-pdf
     July 01, 2020 - Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives … Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives … https://psnet.ahrq.gov/issue/chronicle-pandemic-foretold-learning-covid-19-failure-next-outbreak-arrives … financial and prioritization missteps that have contributed to the spread of COVID-19 and recommend learning … https://psnet.ahrq.gov/issue/chronicle-pandemic-foretold-learning-covid-19-failure-next-outbreak-arrives

320. Learning from Primary Care Meaningful Use Exemplars - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r18hs022701-ornstein-final-report-2014.pdf
     January 01, 2014 - Learning from Primary Care Meaningful Use Exemplars - Final Report … Title of Project: Learning from Primary Care Meaningful Use Exemplars Principal … Presentations: • Ornstein S: “Learning from Primary Care Meaningful Use Exemplars.” … AHRQ Centers for Primary Care Practice-Based Research and Learning 2012 [10-29-2012]. … Learning from Primary Care Meaningful Use Exemplars Title of Project: Learning from Primary Care