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181. 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

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46010/psn-pdf
     July 12, 2017 - conditions-influence-impact-malpractice-litigation-risk-physicians-behavior-regarding-patient https://psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors … https://psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors

183. Interprofessional learning for medication safety. | PSNet
     psnet.ahrq.gov/issue/interprofessional-learning-medication-safety
     September 23, 2020 - 26, 2023 Patient safety in nursing education: contexts, tensions and feeling safe to learn … 19, 2014 Patient safety in nursing education: contexts, tensions and feeling safe to learn

184. 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

185. 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.

186. 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

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36902/psn-pdf
     June 09, 2010 - patient-handover-surgery-intensive-care-using-formula-1-pit-stop-and-aviation-models-improve https://psnet.ahrq.gov/issue/hospital-races-learn-lessons-ferrari-pit-stop … https://psnet.ahrq.gov/issue/hospital-races-learn-lessons-ferrari-pit-stop

188. Drug Errors in Anesthesia 2023 | PSNet
     psnet.ahrq.gov/training-catalog/drug-errors-anesthesia-2023
     January 01, 2023 - Anesthesiologists Event Description: In this on demand course, participants will learn

189. Huddles and debriefings: improving communication on labor and delivery. | PSNet
     psnet.ahrq.gov/issue/huddles-and-debriefings-improving-communication-labor-and-delivery
     February 13, 2013 - discusses huddles as a strategy to reduce communication errors and debriefings as opportunities to learn … June 1, 2012 Communication and teamwork in patient care: how much can we learn from aviation

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36006/psn-pdf
     November 15, 2011 - preceptors' responses to medical errors, and the factors that influence how students and residents learn … factors-influencing-preceptors-responses-medical-errors-factorial-survey https://psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors

191. Improve Patient Flow in Your Emergency Department | PSNet
     psnet.ahrq.gov/training-catalog/improve-patient-flow-your-emergency-department
     June 04, 2021 - Description: This 5-session virtual program  will provide health care professionals with the opportunity to learn

192. 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

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33810/psn-pdf
     June 01, 2016 - By scripting our staff with certain key messages, patients and families learn why staff perform certain … Earning the CPPS credential is a wonderful way to learn and validate experience, knowledge, and skill … Professionals in Patient Safety provide the CPPS credentialing opportunity, enabling patient safety experts to learn

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

195. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. | PSNet
     psnet.ahrq.gov/issue/developing-implementing-evaluating-electronic-apparent-cause-analysis-across-health-care
     February 07, 2018 - combines features from high reliability, human factors engineering, and just culture, to investigate and  learn … March 27, 2024 Patient safety near misses – still missing opportunities to learn.

196. Compensation of chief executive officers at nonprofit US hospitals. | PSNet
     psnet.ahrq.gov/issue/compensation-chief-executive-officers-nonprofit-us-hospitals
     December 18, 2018 - January 22, 2014 Informal learning from error in hospitals: what do we learn, how do … we learn and how can informal learning be enhanced?

197. Broken Trust: Making Patient Safety More than Just a Promise. | PSNet
     psnet.ahrq.gov/issue/broken-trust-making-patient-safety-more-just-promise
     October 07, 2020 - October 7, 2020 Unlocking Solutions in Imaging: Working Together to Learn from Failings … Diagnostic Safety and Quality April 26, 2023 A health system that won't learn

198. Diagnosing overdiagnosis: conceptual challenges and suggested solutions. | PSNet
     psnet.ahrq.gov/issue/diagnosing-overdiagnosis-conceptual-challenges-and-suggested-solutions
     September 20, 2023 - March 27, 2024 Thresholds, rules and defensive strategies: how physicians learn … August 2, 2015 Peer review of medical practices: missed opportunities to learn.

199. Discussion of medical errors in morbidity and mortality conferences. | PSNet
     psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences
     August 04, 2015 - Traditional morbidity and mortality conferences were designed to focus on educational opportunities to learn … October 4, 2011 Learning from mistakes: factors that influence how students and residents learn

200. Learning Health Systems for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
     February 26, 2025 - Learn Health Syst. 2020;5(2). [Free full text] ‌ Borycki EM, Kushniruk AW. … Learn Health Syst. 2024;8(Suppl 1):e10432. Published May 27, 2024. … Learn from every patient: how a learning health system can improve patient care. … Lucy Savitz: The future is about how we share and learn together. … Learn Health Syst. 2020;5(2):e10232. [Free full text] Active Learning Health Networks.