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psnet.ahrq.gov/node/42549/psn-pdf
August 28, 2013 - provides an overview of patient safety, including types of adverse events, causes for
errors, and how to learn
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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/73182/psn-pdf
April 28, 2021 - patient-care
Morbidity and mortality (M&M) conferences are a useful tool for teams to investigate and learn
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psnet.ahrq.gov/node/862601/psn-pdf
February 14, 2024 - why-simulation-matters-systematic-review-medical-errors-occurring-during-
simulated-health
Simulation provides a safe environment to learn
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psnet.ahrq.gov/node/72658/psn-pdf
January 20, 2021 - internal, and family medicine physicians,
this qualitative study explores how physicians experience and learn
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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
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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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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
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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
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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
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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
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psnet.ahrq.gov/node/47673/psn-pdf
January 09, 2019 - understanding-diagnostic-safety-emergency-medicine-case-case-review-closed-ed-malpractice
https://psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
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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
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psnet.ahrq.gov/node/47596/psn-pdf
March 27, 2019 - bias-vs-systems
Morbidity and mortality (M&M) conferences were traditionally promoted as a strategy to learn
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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - _edn2
The four classic capacities of a resilient healthcare system are the capacities to respond, learn … Resilient
systems learn from both successful and unsuccessful outcomes, seeking to understand what worked … and education in resilient
healthcare will help ensure our healthcare delivery systems continue to learn
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psnet.ahrq.gov/node/36115/psn-pdf
September 28, 2010 - Teach Learn Med. 2006;18(3):244-50.
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psnet.ahrq.gov/node/854385/psn-pdf
October 11, 2023 - mortality conferences offer important opportunities for healthcare teams to discuss adverse
events, learn
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psnet.ahrq.gov/node/844991/psn-pdf
February 22, 2023 - Learning from Deaths program which
requires NHS Secondary Care Trusts (NSCT) to report, investigate, and learn
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psnet.ahrq.gov/node/48173/psn-pdf
August 28, 2019 - years-experience-leeds-radiology
https://psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
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psnet.ahrq.gov/node/38001/psn-pdf
July 14, 2010 - article reviews safety concepts, including hazards, human error, and system failure, for clinicians to
learn