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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/issue/disruptive-behaviors-among-physicians
August 14, 2014 - July 31, 2017
Discussing the undiscussable with the powerful: why and how faculty must learn … July 3, 2016
Peer review of medical practices: missed opportunities to learn.
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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
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psnet.ahrq.gov/node/38215/psn-pdf
November 14, 2011 - could-it-happen-here-learning-other-organizations-safety-errors
This brief article explains step-by-step how health care leadership can learn
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psnet.ahrq.gov/node/61091/psn-pdf
November 04, 2020 - prioritising-recommendations-following-analyses-adverse-events-healthcare-
systematic-review
High-reliability organizations learn
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psnet.ahrq.gov/node/73583/psn-pdf
August 11, 2021 - A US children’s hospital developed three tools for frontline clinicians to recognize, mitigate, and learn
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psnet.ahrq.gov/node/838029/psn-pdf
September 07, 2022 - emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-downtime
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/47555/psn-pdf
November 14, 2018 - psnet.ahrq.gov/issue/error-management-lessons-aviation
https://psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
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psnet.ahrq.gov/node/50942/psn-pdf
February 26, 2020 - Learn Health Syst. 2019;4(1):e210204.
doi:10.1002/lrh2.10204.
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psnet.ahrq.gov/node/853622/psn-pdf
January 01, 2024 - enhancing-patient-safety-national-standard-cyber-resiliency-healthcare
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/837143/psn-pdf
January 01, 2023 - In 2017, the National Health Service (NHS) implemented “Learning from Deaths”
(LfD) to report, learn
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psnet.ahrq.gov/node/47143/psn-pdf
January 30, 2019 - development and implementation of an
electronic risk management course in Spain to help participants learn
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psnet.ahrq.gov/node/33859/psn-pdf
June 01, 2018 - His residents said that they had so much patient care and so many surgeries to learn that they
simply … did not have time to learn ultrasound. … They also wanted to learn guided procedures and AAA [abdominal aortic
aneurysm] screening. … We look at what they can learn, what they can learn well, but
also want them to appreciate what the … much about heart sounds and they learn to only trust the echo.
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psnet.ahrq.gov/node/72482/psn-pdf
November 18, 2020 - real-time-debriefing-after-critical-events-exploring-gap-between-principle-and-
reality
Debriefing is an established strategy teams use to learn
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psnet.ahrq.gov/node/839311/psn-pdf
January 01, 2023 - This study compared two interventions to induce error management (direct or indirect
encouragement to learn
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psnet.ahrq.gov/node/865664/psn-pdf
April 24, 2024 - use-positive-deviance-approach-improve-health-service-delivery-and-quality-
care-scoping
Positive deviance (PD) in healthcare is an approach to learn
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psnet.ahrq.gov/node/867044/psn-pdf
October 30, 2024 - developing-reporting-culture-learning-close-calls-and-hazardous-conditions
https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
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psnet.ahrq.gov/node/866565/psn-pdf
August 21, 2024 - disclosure-errors
https://psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
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psnet.ahrq.gov/node/40876/psn-pdf
October 26, 2011 - Learn Org. 2011;18(6):438-453. doi:10.1108/09696471111171295.
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psnet.ahrq.gov/node/34750/psn-pdf
May 21, 2019 - language that allowed the tool to be
used by technical and administrative employees at all levels to learn