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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47458/psn-pdf
    January 01, 2019 - interpersonal working methods that enable high-risk industries like health care to practice reliably and learn

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46943/psn-pdf
    November 16, 2018 - This commentary illustrates how physicians can recognize and learn from errors in medical practice.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48058/psn-pdf
    June 19, 2019 - psnet.ahrq.gov/issue/organisational-learning-hospitals-concept-analysis Organizations are encouraged to learn

  4. Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. | PSNet

    psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports-92
    September 01, 2021 - October 7, 2020 Cybersecurity in health is an urgent patient safety concern: we can learn … April 7, 2021 What can we learn from in-depth analysis of human errors resulting in diagnostic

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837738/psn-pdf
    July 27, 2022 - primer/high-reliability https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72711/psn-pdf
    February 03, 2021 - never-events-analysis-hsibs-national-investigations-report Never events provide organizations with motivation to  analyze and learn

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866527/psn-pdf
    August 14, 2024 - combines features from high reliability, human factors engineering, and just culture, to investigate and  learn

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866352/psn-pdf
    July 24, 2024 - This commentary describes the challenges of using national falls databases to learn from falls occurring

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867348/psn-pdf
    December 11, 2024 - This commentary argues that patient safety concepts should be applied to prevent and learn from clinician

  10. Pharmacy student knowledge and communication of medication errors. | PSNet

    psnet.ahrq.gov/issue/pharmacy-student-knowledge-and-communication-medication-errors
    June 24, 2009 - Related Resources From the Same Author(s) Reflection and analysis of how pharmacy students learn … February 16, 2011 Reflection and analysis of how pharmacy students learn to communicate

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867383/psn-pdf
    December 18, 2024 - interactions-between-context-health-care-organisation-and-failure-situational- impact-failure Organizations are encouraged to learn

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33640/psn-pdf
    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? … https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety- transformation … through each of these in greater https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation … https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861283/psn-pdf
    January 24, 2024 - what-and-when-debrief-scoping-review-examining-interprofessional-clinical- debriefing Clinical debriefing is important to learn

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837962/psn-pdf
    August 31, 2022 - Safety-II seeks to understand and learn from the many cases where things go right, including ordinary

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73639/psn-pdf
    August 25, 2021 - support clinicians providing maternity care, provide patient-centered care to mothers and babies, and learn

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844757/psn-pdf
    September 11, 2019 - diagnostic-overshadowing-dentistry https://psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences-caregivers-and

  17. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.131_slideshow.ppt
    August 01, 2006 - Use your five senses….Learn to see, learn to hear, learn to feel, learn to smell, and know that by practice

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60020/psn-pdf
    March 04, 2020 - enotss-platform-surgeons-nontechnical-skills-performance-improvement This article describes an online training module for surgeons to learn

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74167/psn-pdf
    December 08, 2021 - ://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/can-hospitals-learn-about-safety-airlines

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841481/psn-pdf
    January 01, 2023 - surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical https://psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
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