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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
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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
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psnet.ahrq.gov/issue/review-educational-strategies-improve-nurses-roles-recognizing-and-responding-deteriorating
October 16, 2013 - Resources From the Same Author(s)
Informal learning from error in hospitals: what do we learn … , how do we learn and how can informal learning be enhanced?
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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
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psnet.ahrq.gov/node/50922/psn-pdf
February 19, 2020 - organisation-losing-its-memory-patient-safety-alerts-implementation-
monitoring-and-regulation
Health care organizations can learn
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psnet.ahrq.gov/issue/safety-criterion-quality-critical-nursing-situation-index-paediatric-critical-care
March 01, 2011 - March 6, 2019
Informal learning from error in hospitals: what do we learn, how do we … learn and how can informal learning be enhanced?
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psnet.ahrq.gov/issue/drug-administration-errors-hospital-inpatients-systematic-review
September 01, 2016 - January 22, 2014
Informal learning from error in hospitals: what do we learn, how do … we learn and how can informal learning be enhanced?
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psnet.ahrq.gov/issue/prevalence-patterns-and-predictors-nursing-care-left-undone-european-hospitals-results
January 04, 2015 - August 2, 2015
Informal learning from error in hospitals: what do we learn, how do we … learn and how can informal learning be enhanced?
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psnet.ahrq.gov/node/847731/psn-pdf
April 19, 2023 - safety-inpatient-health-care
https://psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events
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psnet.ahrq.gov/node/867382/psn-pdf
December 18, 2024 - suggest that a switch from a compliance-based culture to a just culture, where
workers and organizations learn
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psnet.ahrq.gov/node/74169/psn-pdf
December 08, 2021 - nurses-perspectives-impact-management-approaches-blame-culture-health-care-organizations
https://psnet.ahrq.gov/issue/learn-not-blame
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psnet.ahrq.gov/node/837201/psn-pdf
May 25, 2022 - near-miss-research-healthcare-system-scoping-review
https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
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psnet.ahrq.gov/node/843413/psn-pdf
February 01, 2023 - assessing-validity-net
Organizations are encouraged to proactively identify patient safety risks and learn
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psnet.ahrq.gov/node/865927/psn-pdf
May 22, 2024 - Learn Org. 2024;31(3):337-357. doi:10.1108/tlo-12-2022-0160.
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psnet.ahrq.gov/node/867082/psn-pdf
November 06, 2024 - department practiced a no-blame culture, and
nearly half thought the department showed an ability to learn
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psnet.ahrq.gov/node/867804/psn-pdf
February 26, 2025 - https://psnet.ahrq.gov//#2
https://psnet.ahrq.gov/issue/fifteen-years-after-err-human-success-story-learn … https://psnet.ahrq.gov/issue/fifteen-years-after-err-human-success-story-learn
https://psnet.ahrq.gov … Fifteen years after To Err is Human: a success
story to learn from.
-
psnet.ahrq.gov/node/60935/psn-pdf
September 23, 2020 - considered essential for resilient
performance: potential to respond, potential to monitor, potential to learn
-
psnet.ahrq.gov/node/73185/psn-pdf
April 28, 2021 - balancing-patient-safety-clinical-efficacy-and-cybersecurity-clinician-partners
https://psnet.ahrq.gov/issue/cybersecurity-health-urgent-patient-safety-concern-we-can-learn-existing-patient-safety
-
psnet.ahrq.gov/node/841492/psn-pdf
December 14, 2022 - balancing-patient-safety-clinical-efficacy-and-cybersecurity-clinician-partners
https://psnet.ahrq.gov/issue/cybersecurity-health-urgent-patient-safety-concern-we-can-learn-existing-patient-safety
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psnet.ahrq.gov/node/73243/psn-pdf
May 12, 2021 - The authors
suggest several high reliability strategies to prevent and learn from patient safety hazards