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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42964/psn-pdf
    May 10, 2014 - What is learning? … What Is Learning? … https://psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and … https://psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters … https://psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37259/psn-pdf
    March 23, 2011 - Using a survey of incident reporting and learning practices to improve organisational learning at a … Using a survey of incident reporting and learning practices to improve organisational learning at a … - learning-cancer This study describes a survey tool for measuring organizational learning and provides … https://psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer … https://psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47076/psn-pdf
    August 15, 2018 - Incident learning in radiation oncology: a review. August 15, 2018 Ford E, Evans SB. … Incident learning in radiation oncology: A review. Med Phys. 2018;45(5):e100-e119. … https://psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review Learning from adverse events … https://psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer … /radiation-oncology-incident-learning-system
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42553/psn-pdf
    January 07, 2014 - Learning in action: developing safety improvement capabilities through action learning. … Learning in action: developing safety improvement capabilities through action learning. … - learning A patient safety education program that emphasized experiential learning helped nursing … https://psnet.ahrq.gov/issue/learning-action-developing-safety-improvement-capabilities-through-action-learning … https://psnet.ahrq.gov/issue/learning-action-developing-safety-improvement-capabilities-through-action-learning
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37610/psn-pdf
    June 16, 2011 - Is yours a learning organization? June 16, 2011 Garvin DA, Edmondson A, Gino F. … Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16, 134. … https://psnet.ahrq.gov/issue/yours-learning-organization Key tenets of improving patient safety at the … where leadership behavior supports learning and creates a supportive learning environment, and where … concrete processes are in place to facilitate learning and encourage creativity among employees. 
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34665/psn-pdf
    December 24, 2008 - Organizational learning: health care leaders need to design structures and processes that enhance collective … learning. … Organizational learning in health care. Health Forum J. 2001;44(2):32-35. … https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and- … processes-enhance This commentary discusses the context surrounding organizational learning.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47726/psn-pdf
    April 10, 2019 - Machine learning in medicine. April 10, 2019 Rajkomar A, Dean J, Kohane IS. … Machine Learning in Medicine. New Engl J Med. 2019;380(14):1347- 1358. doi:10.1056/NEJMra1814259. … https://psnet.ahrq.gov/issue/machine-learning-medicine Machine learning in health care is in the early … This review explores machine learning and its potential to enhance clinical decision-making as a tool … https://psnet.ahrq.gov/issue/machine-learning-medicine https://psnet.ahrq.gov/issue/predicting-future-big-data-machine-learning-and-clinical-medicine
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42662/psn-pdf
    October 16, 2013 - Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning … Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning … https://psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how … examines opportunities to learn from errors in hospitals and outlines recommendations to augment informal learning … https://psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how-can-informal
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40876/psn-pdf
    October 26, 2011 - From blaming to learning: re-framing organisational learning from adverse incidents. … From blaming to learning: re?framing organisational learning from adverse incidents. … https://psnet.ahrq.gov/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents This … https://psnet.ahrq.gov/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents https
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47295/psn-pdf
    September 24, 2018 - Using learning communities to support adoption of health care innovations. … Using Learning Communities to Support Adoption of Health Care Innovations. … https://psnet.ahrq.gov/issue/using-learning-communities-support-adoption-health-care-innovations The … The learning communities focused on patient-centered care, improving medication therapy for distinct … https://psnet.ahrq.gov/issue/using-learning-communities-support-adoption-health-care-innovations https
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47285/psn-pdf
    November 19, 2018 - Potential biases in machine learning algorithms using electronic health record data. … Potential Biases in Machine Learning Algorithms Using Electronic Health Record Data. … https://psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record … - data Machine learning, a type of computing that uses data and statistical methods to enable computers … This commentary describes the potential for machine learning to worsen socioeconomic disparities in
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37406/psn-pdf
    March 28, 2012 - Learning from preventable adverse events in health care organizations: development of a multilevel model … of learning and propositions. … Learning from preventable adverse events in health care organizations: development of a multilevel model … of learning and propositions. … https://psnet.ahrq.gov/issue/learning-preventable-adverse-events-health-care-organizations-development
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34660/psn-pdf
    December 24, 2008 - Building a learning organization. December 24, 2008 Garvin DA. Building a learning organization. … https://psnet.ahrq.gov/issue/building-learning-organization Garvin, a Harvard Business School professor … , postulates that for organizations to truly improve over time and succeed, they need to become "learning … from past experience, learning from the best practices of others, and transferring knowledge quickly … https://psnet.ahrq.gov/issue/building-learning-organization
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44044/psn-pdf
    June 21, 2015 - A collaborative learning network approach to improvement: the CUSP learning network. … A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network. … https://psnet.ahrq.gov/issue/collaborative-learning-network-approach-improvement-cusp-learning-network … In addition to discussing the mentorship and network learning aspects of the collaborative, the authors … https://psnet.ahrq.gov/issue/collaborative-learning-network-approach-improvement-cusp-learning-network
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46660/psn-pdf
    October 18, 2018 - Using a network organisational architecture to support the development of Learning Healthcare Systems … Using a network organisational architecture to support the development of Learning Healthcare Systems … https://psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning- … healthcare-systems The National Academy of Sciences has advocated for a Learning Healthcare System … This study describes the development and implementation of a network organizational model for learning
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37333/psn-pdf
    December 19, 2007 - Exploring the barriers to learning from crisis: organizational learning and crisis. … Exploring the Barriers to Learning from Crisis. Manag Learn. 2007;38(5):519-538. … https://psnet.ahrq.gov/issue/exploring-barriers-learning-crisis-organizational-learning-and-crisis Investigating … https://psnet.ahrq.gov/issue/exploring-barriers-learning-crisis-organizational-learning-and-crisis
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42804/psn-pdf
    December 11, 2013 - The costs of developing, implementing, and operating a safety learning system in community practice. … The costs of developing, implementing, and operating a safety learning system in community practice. … This study estimated a cost of approximately CAD $260,000 over 4 years to develop and run a safety learning … https://psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family-practice … https://psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family-practice
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43681/psn-pdf
    June 03, 2016 - Learning from failure: the need for independent safety investigation in healthcare. … Learning from failure: the need for independent safety investigation in healthcare. … https://psnet.ahrq.gov/issue/learning-failure-need-independent-safety-investigation-healthcare High … To promote learning and improve health care safety in the United Kingdom, this commentary recommends … //psnet.ahrq.gov/issue/strategies-learning-failure https://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40365/psn-pdf
    February 12, 2014 - Strategies for learning from failure. February 12, 2014 Edmondson A. … Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137. … https://psnet.ahrq.gov/issue/strategies-learning-failure Failures are inevitable in any industry, especially … characteristic of high reliability organizations, and creating a climate that emphasizes organizational learning … unavoidable failures in complex organizations, which should be reported, analyzed, and treated as learning
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40955/psn-pdf
    March 08, 2017 - Kaiser Permanente's performance improvement system, part 4: creating a learning organization. … Kaiser Permanente's performance improvement system, Part 4: Creating a learning organization. … https://psnet.ahrq.gov/issue/kaiser-permanentes-performance-improvement-system-part-4-creating- learning-organization … article discusses Kaiser Permanente's efforts to develop a performance improvement system and become a learning … https://psnet.ahrq.gov/issue/building-learning-organization