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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. 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.
  4. 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
  5. 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
  6. 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.
  7. Psn-Pdf (pdf file)

    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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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.
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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.
  18. 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
  19. 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
  20. Psn-Pdf (pdf file)

    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.

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