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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73968/psn-pdf
    October 13, 2021 - institution-just-culture-physician-peer-review-academic-medical-center The goal of peer review is to provide clinicians with the opportunity to learn

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74753/psn-pdf
    February 09, 2022 - allocate ample time for open communication to foster innovative thinking; take a global approach; learn

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73090/psn-pdf
    March 31, 2021 - learning-safety-incidents-high-reliability-organizations-systematic-review- learning-tools High reliability organizations consistently examine and learn

  4. Psn-Pdf (pdf file)

    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

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40876/psn-pdf
    October 26, 2011 - Learn Org. 2011;18(6):438-453. doi:10.1108/09696471111171295.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73182/psn-pdf
    April 28, 2021 - patient-care Morbidity and mortality (M&M) conferences are a useful tool for teams to investigate and learn

  7. Psn-Pdf (pdf file)

    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

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35624/psn-pdf
    August 05, 2009 - interviewed residents and found that their ability to cope with adverse incidents relied on opportunities to learn

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36094/psn-pdf
    February 12, 2014 - learning-disasters-management-approach-third-ed This book provides a discussion of how organizations can learn

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72658/psn-pdf
    January 20, 2021 - internal, and family medicine physicians, this qualitative study explores how physicians experience and learn

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48066/psn-pdf
    July 24, 2019 - psnet.ahrq.gov/primer/diagnostic-errors https://psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine

  12. Psn-Pdf (pdf file)

    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

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846751/psn-pdf
    March 29, 2023 - high-fidelity-simulations-impact-clinical-reasoning-and-patient-safety-scoping- review Simulation-based training allows learners to learn

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73165/psn-pdf
    April 21, 2021 - This position paper defines adaptive CDS as “systems that can learn and change performance over time

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838926/psn-pdf
    October 26, 2022 - position-statement-criminalization-medical-error-and-call-action-prevent- patient-harm-error Criminalizing human error can deter the transparency necessary to learn

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851450/psn-pdf
    July 19, 2023 - safety-i-safety-ii-white-paper https://psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences-caregivers-and

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60225/psn-pdf
    April 15, 2020 - systems that anticipate future demands, respond to current demands, monitor for emergent problems and learn

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853235/psn-pdf
    September 06, 2023 - untold-story-cyberattack-hospital-and-dying-woman https://psnet.ahrq.gov/issue/cybersecurity-health-urgent-patient-safety-concern-we-can-learn-existing-patient-safety

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837335/psn-pdf
    June 08, 2022 - root-cause-analysis-using-prevention-and-recovery-information-system- monitoring-and-analysis Root cause analysis (RCA) is widely used to investigate, monitor, and learn

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60334/psn-pdf
    May 13, 2020 - covers how to proactively apply the program’s experience to assess legal and ethical considerations, learn
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