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141. Systems science: a primer on high reliability. | PSNet
     psnet.ahrq.gov/issue/systems-science-primer-high-reliability
     March 23, 2022 - interpersonal working methods that enable high-risk industries like health care to practice reliably and learn … July 6, 2011 Communication and teamwork in patient care: how much can we learn from aviation

142. 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

143. View from the cockpit: what the airline industry can teach us about patient safety. | PSNet
     psnet.ahrq.gov/issue/view-cockpit-what-airline-industry-can-teach-us-about-patient-safety
     January 08, 2020 - January 8, 2020 What can we learn from in-depth analysis of human errors resulting in … June 29, 2022 Cybersecurity in health is an urgent patient safety concern: we can learn … review of trauma crew resource management training: what can the United States and the United Kingdom learn

144. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. | PSNet
     psnet.ahrq.gov/issue/standardized-sign-out-reduces-intern-perception-medical-errors-general-internal-medicine-ward
     August 04, 2021 - Teach Learn Med. 2009;21(2):121-6. doi:10.1080/10401330902791354. … Teach Learn Med . 2009; 21 (2) :121-6 . View more articles from the same authors. … Teach Learn Med. 2009;21(2):121-6. doi:10.1080/10401330902791354.

145. 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

146. Residents' perspective on the impact of the 80-hour workweek policy. | PSNet
     psnet.ahrq.gov/issue/residents-perspective-impact-80-hour-workweek-policy
     November 16, 2022 - Teach Learn Med. 2008;20(2):131-5. doi:10.1080/10401330801991584. … Teach Learn Med . 2008; 20 (2) :131-5 . View more articles from the same authors. … Teach Learn Med. 2008;20(2):131-5. doi:10.1080/10401330801991584.

147. Design of hospital errors and omissions activities that include patient-specific medication related problems. | PSNet
     psnet.ahrq.gov/issue/design-hospital-errors-and-omissions-activities-include-patient-specific-medication-related
     June 01, 2022 - Curr Pharm Teach Learn. 2019;11(1):66-75. doi:10.1016/j.cptl.2018.09.018. … Curr Pharm Teach Learn . 2019; 11 (1) :66-75 . … Curr Pharm Teach Learn. 2019;11(1):66-75. doi:10.1016/j.cptl.2018.09.018.

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847716/psn-pdf
     April 19, 2023 - barriers-and-facilitators-improving-patient-safety-learning-systems-systematic- review Incident reporting systems offer important opportunities for health systems to learn … systematic review of 22 studies identified barriers and facilitators influencing how health systems use and learn

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73446/psn-pdf
     June 30, 2021 - comprehensive-departmental-care-review-model-requirements-structure-and- flow Peer review can provide clinicians an opportunity to learn … clinical-perspective-creating-effective-practice-peer-review-process-primer https://psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learn

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60869/psn-pdf
     September 02, 2020 - review of trauma crew resource management training: what can the United States and the United Kingdom learn … review of trauma crew resource management training: what can the United States and the United Kingdom learn

151. Learning from patient safety incidents: The Green Cross method. | PSNet
     psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method
     June 14, 2023 - A diverse array of methods exists to report and learn from patient safety incidents. … care unit (PACU) nurses' experience with the Green Cross method, a proactive method to report and learn

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37333/psn-pdf
     December 19, 2007 - Manag Learn. 2007;38(5):519-538. doi:10.1177/1350507607083205. … exploring-barriers-learning-crisis-organizational-learning-and-crisis Investigating obstacles organizations face in attempts to learn

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41291/psn-pdf
     April 11, 2012 - https://psnet.ahrq.gov/issue/monday-mornings To illustrate how physicians learn from mistakes, this … https://psnet.ahrq.gov/issue/monday-mornings https://psnet.ahrq.gov/issue/do-house-officers-learn-their-mistakes

154. Systematically Identified Failure Is the Route to a Successful Health System. | PSNet
     psnet.ahrq.gov/issue/systematically-identified-failure-route-successful-health-system
     January 10, 2018 - Exploring challenges to system-level efforts to learn from failure in health care, articles in this … February 17, 2016 Patient Safety: Committing to Learn and Acting to Improve.

155. Using clinical simulation to study how to improve quality and safety in healthcare. | PSNet
     psnet.ahrq.gov/issue/using-clinical-simulation-study-how-improve-quality-and-safety-healthcare
     March 31, 2021 - BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370. … BMJ Simul Technol Enhanc Learn . 2018; 6 (2) :87-94 . … BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370.

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34719/psn-pdf
     December 23, 2008 - https://psnet.ahrq.gov/issue/learning-samples-one-or-fewer Organizations learn from experience. … The authors cite examples of rare events and outline the strategies that organizations use to learn

157. Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. | PSNet
     psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
     May 24, 2016 - rapidly changing environments and more complex and interdependent sets of knowledge, their capacity to learn … Lessons discussed here can be applied to health care as it seeks to learn from accident investigation

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34599/psn-pdf
     January 30, 2008 - rapidly changing environments and more complex and interdependent sets of knowledge, their capacity to learn … Lessons discussed here can be applied to health care as it seeks to learn from accident investigation

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44889/psn-pdf
     April 13, 2017 - psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety Organizations are encouraged to learn … This commentary presents a model to help organizations learn from system failures through focusing on

160. The Submit a Case Process | PSNet
     psnet.ahrq.gov/submit-case
     November 03, 2025 - Watch the video below to learn more about the Submit a Case process.