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421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40365/psn-pdf
     February 12, 2014 - The ability to learn from failures is a crucial characteristic of high reliability organizations, and

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33883/psn-pdf
     July 01, 2019 - from robotics into software design and machine learning, which is a way to think about using data to learn … RW: When you saw how stunned she was by your question and began to learn how little use health care … As a result, we could learn a lot more about a user. Who is our user? Where are they coming from? … history into account, and as much of historical records we have of other patients into account to learn

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46365/psn-pdf
     September 06, 2017 - This commentary describes an interprofessional simulation program developed to help students learn to

424. Psn-Pdf (pdf file)
     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

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44888/psn-pdf
     April 06, 2016 - Traditional morbidity and mortality conferences were designed to focus on educational opportunities to learn

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47341/psn-pdf
     August 29, 2018 - aorn-position-statement-criminalization-human-errors-perioperative-setting Categorizing human error as a criminal act can deter reporting required to learn

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43647/psn-pdf
     November 12, 2014 - harm-hope-and-purposeful-action-what-could-we-do-after-francis https://psnet.ahrq.gov/issue/promise-learn-commitment-act-improving-safety-patients-england

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39732/psn-pdf
     August 04, 2010 - Resident Site Visit Project (RSVP), which sent teams of internal medicine housestaff to other programs to learn

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44291/psn-pdf
     September 13, 2016 - https://psnet.ahrq.gov/issue/piece-my-mind-im-sorry Being accountable for errors and working to learn

430. Psn-Pdf (pdf file)
     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

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60212/psn-pdf
     January 29, 2021 - freely- available full text document will be updated appropriately as Italy continues to respond, learn

432. Learning Not Blaming. | PSNet
     psnet.ahrq.gov/issue/learning-not-blaming
     March 28, 2018 - Book/Report Learning Not Blaming. Citation Text: Learning Not Blaming. Department of Health and Social Care. London, England: Crown Publishing; July 2015. ISBN: 9781474123716. Copy Citation Save Save to your library Print Download PDF Share F…

433. Application of Safety-II Principles | PSNet
     psnet.ahrq.gov/perspective/application-safety-ii-principles
     August 28, 2024 - In contrast, Safety-II focuses on what goes well and seeks to understand how we can learn from and replicate … Having curiosity for what went well, in addition to understanding where we can learn and improve, changes … It's been incredible to watch the “aha” moments as frontline team members engage and learn from each … to humanize the experience and highlight the Inova team members who took the time to come together, learn … analysis, you can ask what normally happens, not what happened in this instance, which can help you learn

434. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
     psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
     August 28, 2024 - In contrast, Safety-II focuses on what goes well and seeks to understand how we can learn from and replicate … Having curiosity for what went well, in addition to understanding where we can learn and improve, changes … It's been incredible to watch the “aha” moments as frontline team members engage and learn from each … to humanize the experience and highlight the Inova team members who took the time to come together, learn … analysis, you can ask what normally happens, not what happened in this instance, which can help you learn

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34061/psn-pdf
     January 04, 2017 - intervention that brings senior executives to the bedside and uses them to engage frontline staff and learn

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45622/psn-pdf
     December 07, 2016 - The authors discuss the importance of reporting mechanisms to help health care organizations learn from

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47683/psn-pdf
     April 10, 2019 - Curr Pharm Teach Learn. 2019;11(1):66-75. doi:10.1016/j.cptl.2018.09.018.

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43498/psn-pdf
     October 06, 2016 - hospital environment while preparing medications to understand how they can contribute to errors and learn

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846761/psn-pdf
     September 29, 2018 - BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370.

440. In Conversation with...James P. Bagian, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
     September 01, 2006 - RW: What did you learn about the issue of authority gradients, when you as an intern saw something that … That enabled us, for instance, to learn that 44% of incorrect surgeries were right-left mix-ups, versus … What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? … [go to PubMed]   Errors and Near Misses: What Health Care Could Learn … instructive to look again at what insights might be gained from the approaches used in aviation to learn