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161. Beyond 'find and fix': improving quality and safety through resilient healthcare systems. | PSNet
     psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-systems
     August 04, 2021 - systems that anticipate future demands, respond to current demands, monitor for emergent problems and learn … review of trauma crew resource management training: what can the United States and the United Kingdom learn

162. Safety skills for clinicians: an essential component of patient safety. | PSNet
     psnet.ahrq.gov/issue/safety-skills-clinicians-essential-component-patient-safety
     June 01, 2012 - article reviews safety concepts, including hazards, human error, and system failure, for clinicians to learn … November 27, 2009 We may remember but what did we learn?

163. 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

164. NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme. | PSNet
     psnet.ahrq.gov/issue/nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis-first-year
     February 22, 2023 - Organizations are expected to learn from failures . … The National Health Service Secondary Care Trusts (NSCT) are required to report, learn from, and prevent

165. A comprehensive departmental care review model: requirements, structure, and flow. | PSNet
     psnet.ahrq.gov/issue/comprehensive-departmental-care-review-model-requirements-structure-and-flow
     July 06, 2022 - Peer review can provide clinicians an opportunity to learn from failure, but the process has yet to … Quality April 26, 2023 Measure Dx: implementing pathways to discover and learn

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842779/psn-pdf
     January 12, 2011 - organizational aptitude to respond to disruptions, monitor their environment, anticipate future impacts, and learn … resilience-and-resilience-engineering-health-care https://psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events

167. Safe prescribing: an educational intervention for medical students. | PSNet
     psnet.ahrq.gov/issue/safe-prescribing-educational-intervention-medical-students
     September 24, 2010 - Teach Learn Med. 2006;18(3):244-50. … Teach Learn Med . 2006; 18 (3) :244-50 . View more articles from the same authors. … Teach Learn Med. 2006;18(3):244-50.

168. A concept analysis of systems thinking. | PSNet
     psnet.ahrq.gov/issue/concept-analysis-systems-thinking
     August 20, 2018 - Systems thinking focuses on enabling an organization to learn from experience to address complex problems … January 5, 2011 Communication and teamwork in patient care: how much can we learn from

169. Teaching and medical errors: primary care preceptors' views. | PSNet
     psnet.ahrq.gov/issue/teaching-and-medical-errors-primary-care-preceptors-views
     August 05, 2009 - The authors interviewed preceptors on how they teach medical trainees to learn from and respond to mistakes … 15, 2011 Learning from mistakes: factors that influence how students and residents learn

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47130/psn-pdf
     October 10, 2018 - are-clinical-instructors-preventing-or-provoking-adverse-events-involving- students Students are likely to make mistakes as they learn … This commentary discusses how clinical instructors can establish a safe learning culture, learn about

171. Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice. | PSNet
     psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical
     September 29, 2018 - BMJ Simul Technol Enhanc Learn. 2021;7(5):345-351. doi:10.1136/bmjstel-2020-000659. … BMJ Simul Technol Enhanc Learn . 2021; 7 (5) :345-351 . … BMJ Simul Technol Enhanc Learn. 2021;7(5):345-351. doi:10.1136/bmjstel-2020-000659.

172. Learning from failure: the need for independent safety investigation in healthcare. | PSNet
     psnet.ahrq.gov/issue/learning-failure-need-independent-safety-investigation-healthcare
     September 24, 2018 - High reliability organizations learn from experience . … September 13, 2023 Remembering to learn: the overlooked role of remembrance in safety

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47184/psn-pdf
     August 08, 2018 - delivering-promise-cler-patient-safety-rotation-aligns-resident-education- hospital-processes Physician trainees are required to learn … delivering-promise-cler-patient-safety-rotation-aligns-resident-education-hospital-processes https://psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors

174. Patient safety education: what was, what is, and what will be? | PSNet
     psnet.ahrq.gov/issue/patient-safety-education-what-was-what-and-what-will-be
     April 10, 2019 - Teach Learn Med. 2013;25(sup1). doi:10.1080/10401334.2013.842906. … Teach Learn Med . 2013; 25 (sup1) . View more articles from the same authors. … Teach Learn Med. 2013;25(sup1). doi:10.1080/10401334.2013.842906.

175. An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England | PSNet
     psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-monitoring-and-regulation
     March 17, 2011 - Health care organizations can learn from internal and external incidents to identify potential patient … review of trauma crew resource management training: what can the United States and the United Kingdom learn

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46654/psn-pdf
     December 13, 2017 - organisational-paradoxes-speaking-safety-implications-interprofessional-field Psychological safety enables staff to raise concerns, reduce mistakes, and learn … deafening-silence-time-reconsider-whether-organisations-are-silent-or-deaf-when-things-go https://psnet.ahrq.gov/issue/discussing-undiscussable-powerful-why-and-how-faculty-must-learn-counteract-organizational

177. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. | PSNet
     psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear
     May 24, 2012 - that an organizational peer review program be developed to identify system issues and help clinicians learn … July 31, 2017 Peer review of medical practices: missed opportunities to learn.

178. Improving disclosure and management of medical error—an opportunity to transform the surgeons of tomorrow. | PSNet
     psnet.ahrq.gov/issue/improving-disclosure-and-management-medical-error-opportunity-transform-surgeons-tomorrow
     April 11, 2012 - about error disclosure , teamwork , and non-technical skills to augment their ability to cope and learn … August 26, 2020 View More Related Resources How do we learn about

179. Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
     May 18, 2022 - Root cause analysis (RCA) is widely used to investigate, monitor, and learn from unintended events ( … Download Citation Related Resources From the Same Author(s) What can we learn

180. The Second Society for Simulation in Healthcare Research Summit: Beyond Our Boundaries. | PSNet
     psnet.ahrq.gov/issue/second-society-simulation-healthcare-research-summit-beyond-our-boundaries
     September 02, 2020 - September 1, 2014 Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn … February 13, 2019 Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn