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121. (How) do we learn from errors? A prospective study of the link between the ward's learning practices and medication administration errors. | PSNet
     psnet.ahrq.gov/issue/how-do-we-learn-errors-prospective-study-link-between-wards-learning-practices-and-medication
     August 30, 2017 - Study (How) do we learn from errors? … (How) do we learn from errors? … (How) do we learn from errors?

122. Reflection and analysis of how pharmacy students learn to communicate about medication errors. | PSNet
     psnet.ahrq.gov/issue/reflection-and-analysis-how-pharmacy-students-learn-communicate-about-medication-errors
     April 12, 2011 - Study Reflection and analysis of how pharmacy students learn to communicate about … Reflection and analysis of how pharmacy students learn to communicate about medication errors. … Reflection and analysis of how pharmacy students learn to communicate about medication errors.

123. Conceptualising learning from resilient performance: a scoping literature review. | PSNet
     psnet.ahrq.gov/issue/conceptualising-learning-resilient-performance-scoping-literature-review
     October 09, 2024 - include knowing what has happened; learning from the factual; learning from experience; knowing how to learn … the right lessons from the right experience; learn from successes as well as failures; and adjusting

124. From blaming to learning: re-framing organisational learning from adverse incidents. | PSNet
     psnet.ahrq.gov/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents
     October 05, 2022 - Learn Org. 2011;18(6):438-453. doi:10.1108/09696471111171295. … Learn Org . 2011; 18 (6) :438-453 . View more articles from the same authors. … Learn Org. 2011;18(6):438-453. doi:10.1108/09696471111171295.

125. What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. | PSNet
     psnet.ahrq.gov/issue/what-can-we-learn-depth-analysis-human-errors-resulting-diagnostic-errors-emergency
     June 08, 2022 - Study What can we learn from in-depth analysis of human errors resulting in diagnostic … What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency … What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency

126. Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement? | PSNet
     psnet.ahrq.gov/issue/salzburg-global-seminar-session-565-better-health-care-how-do-we-learn-about-improvement
     April 27, 2011 - Conference Proceedings Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn … Citation Text: Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement … Citation Citation Text: Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61050/psn-pdf
     October 21, 2020 - health-care-management-during-covid-19-insights-complexity-science Complexity science provides a foundation to manage and learn … The authors also describe how to apply that experience to learn from crisis situations to better respond

128. Health care management during Covid-19: insights from complexity science. | PSNet
     psnet.ahrq.gov/issue/health-care-management-during-covid-19-insights-complexity-science
     July 22, 2020 - Complexity science  provides a foundation to manage and learn from  crisis .  … The authors also describe how to apply that experience to learn from crisis situations to better respond

129. Organisational learning in hospitals: a concept analysis. | PSNet
     psnet.ahrq.gov/issue/organisational-learning-hospitals-concept-analysis
     August 21, 2019 - Organizations are encouraged to learn from failures and sustain improvement. … January 5, 2011 Communication and teamwork in patient care: how much can we learn from

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838069/psn-pdf
     September 14, 2022 - experience-learning-everyday-work-daily-safety-huddles-multi-method-study Patient safety huddles generally use a Safety-I approach to learn … safety-i-safety-ii-white-paper https://psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events

131. How do we learn about error? A cross-sectional study of urology trainees. | PSNet
     psnet.ahrq.gov/issue/how-do-we-learn-about-error-cross-sectional-study-urology-trainees
     October 21, 2010 - Study How do we learn about error? … How do we learn about error? A cross-sectional study of urology trainees. … How do we learn about error? A cross-sectional study of urology trainees.

132. Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland. | PSNet
     psnet.ahrq.gov/issue/seven-hundred-and-fifty-nine-759-chances-learn-3-year-pilot-project-analyse-transfusion
     September 25, 2008 - Study Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project … Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related … Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related

133. Learning in radiation oncology: 12-month experience with a new incident learning system. | PSNet
     psnet.ahrq.gov/issue/learning-radiation-oncology-12-month-experience-new-incident-learning-system
     February 16, 2022 - department practiced a no-blame culture, and nearly half thought the department showed an ability to learn … March 27, 2024 Patient safety near misses – still missing opportunities to learn

134. National Patient Safety Alerting System. | PSNet
     psnet.ahrq.gov/issue/national-patient-safety-alerting-system
     April 15, 2020 - report , this three-stage reporting system was launched to help National Health Service organizations learn … December 30, 2014 A Promise to Learn—a Commitment to Act: Improving the Safety of Patients

135. An organizational learning framework for patient safety. | PSNet
     psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
     November 28, 2018 - Organizations are encouraged to learn from their failures, but evidence shows that changes after … This commentary presents a model to help organizations learn from system failures through focusing

136. Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis. | PSNet
     psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic-review
     October 16, 2024 - Incident reporting systems offer important opportunities for health systems to learn from safety events … systematic review of 22 studies identified barriers and facilitators influencing how health systems use and learn

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73509/psn-pdf
     July 21, 2021 - nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis- first-year Organizations are expected to learn … The National Health Service Secondary Care Trusts (NSCT) are required to report, learn from, and prevent

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33821/psn-pdf
     December 01, 2016 - Errors and Near Misses: What Health Care Could Learn From Aviation December 1, 2016 Macrae C. … Errors and Near Misses: What Health Care Could Learn From Aviation. PSNet [internet]. 2016. … https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation Perspective … One important approach is to learn from minor errors and near-miss incidents, such as when a doctor … provide valuable opportunities to improve safety.(1,2) Health care systems have mainly attempted to learn

139. Organisation Patient Safety Incident Reports. | PSNet
     psnet.ahrq.gov/issue/organisation-patient-safety-incident-reports
     October 26, 2007 - In June 2024, Learn from patient safety events (LFPSE) service replaced the Organisation Patient Safety … Learn from patient safety events service Save Save to your library Print Download

140. Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. | PSNet
     psnet.ahrq.gov/issue/are-clinical-instructors-preventing-or-provoking-adverse-events-involving-students
     November 15, 2023 - Students are likely to make mistakes as they learn and develop skills in the health care environment … This commentary discusses how clinical instructors can establish a safe learning culture, learn about