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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45724/psn-pdf
    July 21, 2017 - Remembering to learn: the overlooked role of remembrance in safety improvement. … Remembering to learn: the overlooked role of remembrance in safety improvement. … https://psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement A key … https://psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement https:/

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34695/psn-pdf
    June 26, 2015 - Do house officers learn from their mistakes? June 26, 2015 Wu AW, Folkman S, McPhee SJ, et al. … Do house officers learn from their mistakes? JAMA. 1991;265(16):2089-94. … https://psnet.ahrq.gov/issue/do-house-officers-learn-their-mistakes The authors report their 1991 survey … https://psnet.ahrq.gov/issue/do-house-officers-learn-their-mistakes

  3. The next phase of health care improvement: what can we learn from social movements? | PSNet

    psnet.ahrq.gov/issue/next-phase-health-care-improvement-what-can-we-learn-social-movements
    July 22, 2010 - Commentary The next phase of health care improvement: what can we learn from social … The next phase of healthcare improvement: what can we learn from social movements? … The next phase of healthcare improvement: what can we learn from social movements? … October 28, 2020 Quality & safety in the time of coronavirus--design better, learn faster

  4. Thomas, Eric | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/thomas-eric
    January 01, 2023 - Principal Investigator Thomas, Eric Project Name Using Electronic Records to Detect and Learn … Principal Investigator Thomas, Eric Project Name Using Electronic Records to Detect and Learn … Principal Investigator Thomas, Eric Project Name Using Electronic Records to Detect and Learn … Principal Investigator Thomas, Eric Project Name Using Electronic Records to Detect and Learn … Principal Investigator Thomas, Eric Project Name Using Electronic Records to Detect and Learn

  5. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality

    www.healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
    July 01, 2023 - Delivery Units Perinatal Safety Toolkit Toolkit Pillars Sensemaking and Learn … Safety News and Events Education & Training Resources Sensemaking and Learn … Tools Staff Safety Assessment Discovery Form Safety Issues Worksheet Root Cause Analysis Learn … Mode and Effects Analysis Probabilistic Risk Assessment Tools to examine defects or failures Learn … Slide 20: Summary: Sensemaking and Learn From Defects Sensemaking and Learn From Defects share several

  6. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality

    www.monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
    July 01, 2023 - Delivery Units Perinatal Safety Toolkit Toolkit Pillars Sensemaking and Learn … Safety News and Events Education & Training Resources Sensemaking and Learn … Tools Staff Safety Assessment Discovery Form Safety Issues Worksheet Root Cause Analysis Learn … Mode and Effects Analysis Probabilistic Risk Assessment Tools to examine defects or failures Learn … Slide 20: Summary: Sensemaking and Learn From Defects Sensemaking and Learn From Defects share several

  7. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality

    www.innovations.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
    July 01, 2023 - Delivery Units Perinatal Safety Toolkit Toolkit Pillars Sensemaking and Learn … Safety News and Events Education & Training Resources Sensemaking and Learn … Tools Staff Safety Assessment Discovery Form Safety Issues Worksheet Root Cause Analysis Learn … Mode and Effects Analysis Probabilistic Risk Assessment Tools to examine defects or failures Learn … Slide 20: Summary: Sensemaking and Learn From Defects Sensemaking and Learn From Defects share several

  8. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality

    www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
    July 01, 2023 - Delivery Units Perinatal Safety Toolkit Toolkit Pillars Sensemaking and Learn … Safety News and Events Education & Training Resources Sensemaking and Learn … Tools Staff Safety Assessment Discovery Form Safety Issues Worksheet Root Cause Analysis Learn … Mode and Effects Analysis Probabilistic Risk Assessment Tools to examine defects or failures Learn … Slide 20: Summary: Sensemaking and Learn From Defects Sensemaking and Learn From Defects share several

  9. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality

    www.talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
    July 01, 2023 - Delivery Units Perinatal Safety Toolkit Toolkit Pillars Sensemaking and Learn … Safety News and Events Education & Training Resources Sensemaking and Learn … Tools Staff Safety Assessment Discovery Form Safety Issues Worksheet Root Cause Analysis Learn … Mode and Effects Analysis Probabilistic Risk Assessment Tools to examine defects or failures Learn … Slide 20: Summary: Sensemaking and Learn From Defects Sensemaking and Learn From Defects share several

  10. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality

    www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
    July 01, 2023 - Delivery Units Perinatal Safety Toolkit Toolkit Pillars Sensemaking and Learn … Safety News and Events Education & Training Resources Sensemaking and Learn … Tools Staff Safety Assessment Discovery Form Safety Issues Worksheet Root Cause Analysis Learn … Mode and Effects Analysis Probabilistic Risk Assessment Tools to examine defects or failures Learn … Slide 20: Summary: Sensemaking and Learn From Defects Sensemaking and Learn From Defects share several

  11. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality

    www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
    July 01, 2023 - Delivery Units Perinatal Safety Toolkit Toolkit Pillars Sensemaking and Learn … Safety News and Events Education & Training Resources Sensemaking and Learn … Tools Staff Safety Assessment Discovery Form Safety Issues Worksheet Root Cause Analysis Learn … Mode and Effects Analysis Probabilistic Risk Assessment Tools to examine defects or failures Learn … Slide 20: Summary: Sensemaking and Learn From Defects Sensemaking and Learn From Defects share several

  12. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality

    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
    July 01, 2023 - Delivery Units Perinatal Safety Toolkit Toolkit Pillars Sensemaking and Learn … Safety News and Events Education & Training Resources Sensemaking and Learn … Tools Staff Safety Assessment Discovery Form Safety Issues Worksheet Root Cause Analysis Learn … Mode and Effects Analysis Probabilistic Risk Assessment Tools to examine defects or failures Learn … Slide 20: Summary: Sensemaking and Learn From Defects Sensemaking and Learn From Defects share several

  13. Acknowledging Our Track Chairs (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/2006ClancyKeyesYoung_051211comp.pdf
    May 23, 2011 - What Did We Learn? … What Did We Learn? … What Did We Learn? Key Insights  Rates of AMDEs are much higher than previously recognized. … What Did We Learn? … What Did We Learn?

  14. Lessons From the Field | Agency for Healthcare Research and Quality

    www.talkingquality.ahrq.gov/learning-health-systems/lessons-from-the-field.html
    February 01, 2022 - How Learning Health Systems Learn: Lessons From the Field AHRQ conducted site visits at a few leading … organizations to learn about the steps they have taken to move evidence to the frontlines of care. … How Learning Health Systems Learn: Lessons from the Field  gathered information that could be shared … Learn Health Syst. 2018 Sep 26;2(4):e10068. Harrison MI, Borsky A. … Learn Health Syst. 2020 Apr 2;5(2):e10226.

  15. Lessons From the Field | Agency for Healthcare Research and Quality

    www.qualitymeasures.ahrq.gov/learning-health-systems/lessons-from-the-field.html
    February 01, 2022 - How Learning Health Systems Learn: Lessons From the Field AHRQ conducted site visits at a few leading … organizations to learn about the steps they have taken to move evidence to the frontlines of care. … How Learning Health Systems Learn: Lessons from the Field  gathered information that could be shared … Learn Health Syst. 2018 Sep 26;2(4):e10068. Harrison MI, Borsky A. … Learn Health Syst. 2020 Apr 2;5(2):e10226.

  16. Lessons From the Field | Agency for Healthcare Research and Quality

    teamstepps.ahrq.gov/learning-health-systems/lessons-from-the-field.html
    February 01, 2022 - How Learning Health Systems Learn: Lessons From the Field AHRQ conducted site visits at a few leading … organizations to learn about the steps they have taken to move evidence to the frontlines of care. … How Learning Health Systems Learn: Lessons from the Field  gathered information that could be shared … Learn Health Syst. 2018 Sep 26;2(4):e10068. Harrison MI, Borsky A. … Learn Health Syst. 2020 Apr 2;5(2):e10226.

  17. Lessons From the Field | Agency for Healthcare Research and Quality

    www.cahps.ahrq.gov/learning-health-systems/lessons-from-the-field.html
    February 01, 2022 - How Learning Health Systems Learn: Lessons From the Field AHRQ conducted site visits at a few leading … organizations to learn about the steps they have taken to move evidence to the frontlines of care. … How Learning Health Systems Learn: Lessons from the Field  gathered information that could be shared … Learn Health Syst. 2018 Sep 26;2(4):e10068. Harrison MI, Borsky A. … Learn Health Syst. 2020 Apr 2;5(2):e10226.

  18. Lessons From the Field | Agency for Healthcare Research and Quality

    www.cpsi.ahrq.gov/learning-health-systems/lessons-from-the-field.html
    February 01, 2022 - How Learning Health Systems Learn: Lessons From the Field AHRQ conducted site visits at a few leading … organizations to learn about the steps they have taken to move evidence to the frontlines of care. … How Learning Health Systems Learn: Lessons from the Field  gathered information that could be shared … Learn Health Syst. 2018 Sep 26;2(4):e10068. Harrison MI, Borsky A. … Learn Health Syst. 2020 Apr 2;5(2):e10226.

  19. Lessons From the Field | Agency for Healthcare Research and Quality

    www.healthcare411.ahrq.gov/learning-health-systems/lessons-from-the-field.html
    February 01, 2022 - How Learning Health Systems Learn: Lessons From the Field AHRQ conducted site visits at a few leading … organizations to learn about the steps they have taken to move evidence to the frontlines of care. … How Learning Health Systems Learn: Lessons from the Field  gathered information that could be shared … Learn Health Syst. 2018 Sep 26;2(4):e10068. Harrison MI, Borsky A. … Learn Health Syst. 2020 Apr 2;5(2):e10226.

  20. Lessons From the Field | Agency for Healthcare Research and Quality

    www.innovations.ahrq.gov/learning-health-systems/lessons-from-the-field.html
    February 01, 2022 - How Learning Health Systems Learn: Lessons From the Field AHRQ conducted site visits at a few leading … organizations to learn about the steps they have taken to move evidence to the frontlines of care. … How Learning Health Systems Learn: Lessons from the Field  gathered information that could be shared … Learn Health Syst. 2018 Sep 26;2(4):e10068. Harrison MI, Borsky A. … Learn Health Syst. 2020 Apr 2;5(2):e10226.
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