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  1. 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

  2. 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

  3. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? | PSNet

    psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
    September 01, 2006 - What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? … What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation?. … What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation?. … RW: What did you learn about the issue of authority gradients, when you as an intern saw something that … What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation?.

  4. 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.

  5. 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

  6. 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

  7. 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

  8. 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?

  9. 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

  10. Duke Well-Being Ambassador Virtual Course | PSNet

    psnet.ahrq.gov/training-catalog/duke-well-being-ambassador-virtual-course
    January 11, 2022 - Attendees will learn strategies that can enhance their own well-being, and through sharing, the well-being

  11. 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

  12. 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.

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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.

  19. 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

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43438/psn-pdf
    February 23, 2018 - A  PSNet perspective explored what health care can learn from aviation, another high-risk industry. … structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
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