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21. Patient Safety: Committing to Learn and Acting to Improve. | PSNet
    psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve
    June 09, 2009 - Special or Theme Issue Patient Safety: Committing to Learn and Acting to Improve. … Citation Text: Patient Safety: Committing to Learn and Acting to Improve. … Cite Citation Citation Text: Patient Safety: Committing to Learn

22. PSNet How-to Videos | PSNet
    psnet.ahrq.gov/curated-library/video-library
    May 05, 2025 - Audio-Described Version  (1 minute 24 seconds) Learn About PSNet’s CME Without a Fee Learn … Watch the video below to learn more about the Submit an Innovation process.     … Learn About PSNet New User Account Registration Learn more about how to register and create your … Watch the video below to learn more about the Submit a Case process. … Watch the video below to learn more about the Submit a Case process.

23. Organizational Learning | PSNet
    psnet.ahrq.gov/curated-library/organizational-learning
    May 04, 2025 - Organizations are encouraged to learn from failures and sustain improvement. … High reliability organizations consistently examine and learn from failures. … Learn Health Syst . 2019; 4 :e210204 . … High reliability organizations consistently examine and learn from failures. … Learn Health Syst . 2019; 4 (1) :e210204 .

24. What do nursing students learn about patient safety? An integrative literature review. | PSNet
    psnet.ahrq.gov/issue/what-do-nursing-students-learn-about-patient-safety-integrative-literature-review
    October 15, 2016 - Review What do nursing students learn about patient safety? … What do nursing students learn about patient safety? an integrative literature review. … This literature review found that nurses learn about patient safety through formal curricula and through … What do nursing students learn about patient safety? an integrative literature review. … 10, 2014 Patient safety in nursing education: contexts, tensions and feeling safe to learn

25. A tragic death: a time to blame or a time to learn? | PSNet
    psnet.ahrq.gov/issue/tragic-death-time-blame-or-time-learn
    March 23, 2011 - Commentary A tragic death: a time to blame or a time to learn? … A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2. … A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2.

26. PSNet Curated Library (pdf file)
    psnet.ahrq.gov/print/pdf/node/840940
    March 22, 2024 - Learn about our main search bar, search by author, saved search, and other tools designed to help you … Audio-Described Version (2 min, 57 seconds) Learn About PSNet’s CME Without a Fee March 22, 2024 Learn … Watch the video below to learn more about the Submit an Innovation process.     … 22, 2024 Learn About PSNet New User Account Registration Learn more about how to register and create … Watch the video below to learn more about the Submit a Case process.

27. Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. | PSNet
    psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs
    October 07, 2020 - Book/Report Unlocking Solutions in Imaging: Working Together to Learn from Failings … Citation Text: Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. … Cite Citation Citation Text: Unlocking Solutions in Imaging: Working Together to Learn

28. Fifteen years after To Err Is Human: a success story to learn from. | PSNet
    psnet.ahrq.gov/issue/fifteen-years-after-err-human-success-story-learn
    August 04, 2021 - Commentary Fifteen years after To Err Is Human: a success story to learn from. … Fifteen years after To Err is Human: a success story to learn from. … Fifteen years after To Err is Human: a success story to learn from.

29. Black Box Thinking: Why Most People Never Learn From Their Mistakes—But Some Do. | PSNet
    psnet.ahrq.gov/issue/black-box-thinking-why-most-people-never-learn-their-mistakes-some-do
    November 03, 2015 - Book/Report Black Box Thinking: Why Most People Never Learn From Their Mistakes—But … Citation Text: Black Box Thinking: Why Most People Never Learn From Their Mistakes—But Some Do. … This book explores how individuals can recognize and learn from their own mistakes by openly acknowledging … Cite Citation Citation Text: Black Box Thinking: Why Most People Never Learn

30. Patient safety in nursing education: contexts, tensions and feeling safe to learn. | PSNet
    psnet.ahrq.gov/issue/patient-safety-nursing-education-contexts-tensions-and-feeling-safe-learn
    September 19, 2013 - Study Patient safety in nursing education: contexts, tensions and feeling safe to learn … Patient safety in nursing education: contexts, tensions and feeling safe to learn. … multi-site study explored the formal and informal ways that nursing students in the United Kingdom learn … Patient safety in nursing education: contexts, tensions and feeling safe to learn.

31. Measure Dx: implementing pathways to discover and learn from diagnostic errors. | PSNet
    psnet.ahrq.gov/issue/measure-dx-implementing-pathways-discover-and-learn-diagnostic-errors
    August 25, 2021 - Commentary Measure Dx: implementing pathways to discover and learn from diagnostic … Measure Dx: Implementing pathways to discover and learn from diagnostic errors. … Measure Dx: Implementing pathways to discover and learn from diagnostic errors.

32. Assessing nourishment problems at a hospital: what can we learn from them? | PSNet
    psnet.ahrq.gov/issue/assessing-nourishment-problems-hospital-what-can-we-learn-them
    January 08, 2025 - Study Assessing nourishment problems at a hospital: what can we learn from them? … Assessing nourishment problems at a hospital: what can we learn from them? … Assessing nourishment problems at a hospital: what can we learn from them?

33. We may remember but what did we learn? Dealing with errors, crimes and misdemeanours around adverse events in healthcare. | PSNet
    psnet.ahrq.gov/issue/we-may-remember-what-did-we-learn-dealing-errors-crimes-and-misdemeanours-around-adverse
    December 29, 2014 - Commentary We may remember but what did we learn? … WE MAY REMEMBER BUT WHAT DID WE LEARN? … into historical context and discusses their effect on both organizational and individual ability to learn … WE MAY REMEMBER BUT WHAT DID WE LEARN?

34. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/852456/psn-pdf
    August 16, 2023 - Residents, responsibility, and error: how residents learn to navigate the intersection. … Residents, responsibility, and error: how residents learn to navigate the intersection. … https://psnet.ahrq.gov/issue/residents-responsibility-and-error-how-residents-learn-navigate-intersection … Canadian hospital participated in semi-structured interviews exploring how residents experience and learn … https://psnet.ahrq.gov/issue/residents-responsibility-and-error-how-residents-learn-navigate-intersection

35. Quality & safety in the time of coronavirus--design better, learn faster. | PSNet
    psnet.ahrq.gov/issue/quality-safety-time-coronavirus-design-better-learn-faster
    March 29, 2017 - Commentary Quality & safety in the time of coronavirus--design better, learn faster … Quality and safety in the time of Coronavirus: design better, learn faster. … Quality and safety in the time of Coronavirus: design better, learn faster.

36. Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. | PSNet
    psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
    August 01, 2012 - Toolkit Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety … Citation Text: Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events … The Measure Dx tool provides teams with guidance and strategies to detect and learn from diagnostic … Cite Citation Citation Text: Measure Dx: A Resource to Identify, Analyze, and Learn

37. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867020/psn-pdf
    October 23, 2024 - What can we learn from coroners’ reports on preventable deaths? October 23, 2024 Jeraj S. … What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. … https://psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths Analysis of system … This article discusses an effort in the United Kingdom to learn from preventable deaths reported to … https://psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths https://psnet.ahrq.gov

38. "Doctor Jazz": lessons that medical professionals can learn from jazz musicians. | PSNet
    psnet.ahrq.gov/issue/doctor-jazz-lessons-medical-professionals-can-learn-jazz-musicians
    August 10, 2022 - Review "Doctor Jazz": lessons that medical professionals can learn from jazz musicians … "Doctor Jazz": Lessons that medical professionals can learn from jazz musicians. … "Doctor Jazz": Lessons that medical professionals can learn from jazz musicians.

39. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42662/psn-pdf
    October 16, 2013 - Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning … Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning … https://psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how … https://psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how-can-informal … https://psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how-can-informal

40. Doctors could learn something about medical handoffs from the Navy. | PSNet
    psnet.ahrq.gov/issue/doctors-could-learn-something-about-medical-handoffs-navy
    September 03, 2014 - Newspaper/Magazine Article Doctors could learn something about medical handoffs from … Citation Text: Doctors could learn something about medical handoffs from the Navy. Parikh R. … Copy URL Cite Citation Citation Text: Doctors could learn