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psnet.ahrq.gov/node/866164/psn-pdf
June 19, 2024 - what-effectiveness-reporting-systems-promoting-learning-healthcare
Organizational incident reporting systems are an important tool to identify, and learn … This article highlights the strengths of reporting and learning systems (e.g., the
opportunity to learn
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psnet.ahrq.gov/node/860386/psn-pdf
January 10, 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
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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.
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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
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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
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psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events
February 20, 2019 - Study
Using Safety-II and resilient healthcare principles to learn from Never Events … Using Safety-II and resilient healthcare principles to learn from Never Events. … Using Safety-II and resilient healthcare principles to learn from Never Events.
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psnet.ahrq.gov/node/866642/psn-pdf
September 04, 2024 - learning-patient-safety-incidents-green-cross-method
A diverse array of methods exists to report and learn … care unit (PACU) nurses' experience with the Green Cross method, a proactive method to
report and learn
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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
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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
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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
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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
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psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
February 17, 2016 - Study
Using voluntary reports from physicians to learn from diagnostic errors in … Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. … Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine.
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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
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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
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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
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psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare
September 23, 2020 - Organizational incident reporting systems are an important tool to identify, and learn from, adverse … This article highlights the strengths of reporting and learning systems (e.g., the opportunity to learn
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psnet.ahrq.gov/issue/understanding-roles-three-academic-communities-prospective-learning-health-ecosystem
October 19, 2022 - Learn Health Syst. 2019;4(1):e210204. doi:10.1002/lrh2.10204. … Learn Health Syst . 2019; 4 (1) :e210204 .
View more articles from the same authors. … Learn Health Syst. 2019;4(1):e210204. doi:10.1002/lrh2.10204.
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psnet.ahrq.gov/issue/operational-measurement-diagnostic-safety-state-science-0
September 28, 2022 - on operational measurement of diagnostic safety and how health care organizations can measure and learn … Related Resources From the Same Author(s)
Measure Dx: implementing pathways to discover and learn
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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
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psnet.ahrq.gov/node/867655/psn-pdf
February 26, 2025 - when
learning health systems with a strong safety culture make it possible to communicate openly, learn … data and experience together with external evidence to continuously learn, disseminate knowledge, and … Learn Health Syst. 2020;5(2). [Free full text]
10. ?Borycki EM, Kushniruk AW. … Learn Health Syst. 2024;8(Suppl
1):e10432. Published May 27, 2024. [Free full text]
13. … Learn from every patient: how a learning health system
can improve patient care.