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  1. Psn-Pdf (pdf file)

    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
  2. 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?
  3. 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
  4. Psn-Pdf (pdf file)

    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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. Psn-Pdf (pdf file)

    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
  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/47596/psn-pdf
    March 27, 2019 - bias-vs-systems Morbidity and mortality (M&M) conferences were traditionally promoted as a strategy to learn
  15. Psn-Pdf (pdf file)

    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
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36115/psn-pdf
    September 28, 2010 - Teach Learn Med. 2006;18(3):244-50.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854385/psn-pdf
    October 11, 2023 - mortality conferences offer important opportunities for healthcare teams to discuss adverse events, learn
  18. Psn-Pdf (pdf file)

    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
  19. Psn-Pdf (pdf file)

    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
  20. Psn-Pdf (pdf file)

    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

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