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161. Learning from Errors: Analysis of a Medication Error | PSNet
     psnet.ahrq.gov/training-catalog/learning-errors-analysis-medication-error
     Learning from Errors: Analysis of a Medication Error Save Save to your library … Weblink: Weblink https://www.aacn.org/education/ce-activities/nti23272/learning-from-errors-anal

162. Situational Awareness and Patient Safety: A Learning Package. | PSNet
     psnet.ahrq.gov/issue/situational-awareness-and-patient-safety-learning-package
     September 13, 2017 - Book/Report Situational Awareness and Patient Safety: A Learning Package. … Citation Text: Situational Awareness and Patient Safety: A Learning Package. … Cite Citation Citation Text: Situational Awareness and Patient Safety: A Learning

163. Learning and sharing safety lessons to improve patient care. | PSNet
     psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care
     August 07, 2019 - Commentary Learning and sharing safety lessons to improve patient care. … Learning and sharing safety lessons to improve patient care. … Learning and sharing safety lessons to improve patient care.

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866080/psn-pdf
     June 05, 2024 - Giving up learning from failures? … Giving up learning from failures? … https://psnet.ahrq.gov/issue/giving-learning-failures-examination-learning-ones-own-failures-context-heart … https://psnet.ahrq.gov/issue/giving-learning-failures-examination-learning-ones-own-failures-context-heart-surgeons … https://psnet.ahrq.gov/issue/giving-learning-failures-examination-learning-ones-own-failures-context-heart-surgeons

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73090/psn-pdf
     March 31, 2021 - Learning from safety incidents in high reliability organizations: a systematic review of learning tools … Learning from safety incidents in high-reliability organizations: a systematic review of learning tools … - learning-tools High reliability organizations consistently examine and learn from failures. … https://psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools … https://psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867656/psn-pdf
     February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety. … We spoke with her about learning systems and their impact on patient safety. … we expect to see in learning health systems. … This is a private initiative to come together as a learning network. … Toward a science of learning systems: a research agenda for the high-functioning Learning Health System

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861774/psn-pdf
     January 31, 2024 - Grand rounds in methodology: key considerations for implementing machine learning solutions in quality … Grand rounds in methodology: key considerations for implementing machine learning solutions in quality … This article highlights machine learning applications in quality improvement and patient safety (e.g … ., decision support) and practice considerations before deploying machine learning applications (e.g … https://psnet.ahrq.gov/issue/mitigating-racial-bias-machine-learning

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866438/psn-pdf
     August 07, 2024 - Using machine learning or deep learning models in a hospital setting to detect inappropriate prescriptions … Using machine learning or deep learning models in a hospital setting to detect inappropriate prescriptions … https://psnet.ahrq.gov/issue/using-machine-learning-or-deep-learning-models-hospital-setting-detect- … https://psnet.ahrq.gov/issue/using-machine-learning-or-deep-learning-models-hospital-setting-detect-inappropriate … https://psnet.ahrq.gov/issue/using-machine-learning-or-deep-learning-models-hospital-setting-detect-inappropriate

169. Residents' responses to medical error: coping, learning, and change. | PSNet
     psnet.ahrq.gov/issue/residents-responses-medical-error-coping-learning-and-change
     August 03, 2009 - Study Residents' responses to medical error: coping, learning, and change. … Residents' responses to medical error: coping, learning, and change. Acad Med. 2006;81(1):86-93. … Residents' responses to medical error: coping, learning, and change. … February 15, 2011 Teaching but not learning: how medical residency programs handle errors

170. ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. | PSNet
     psnet.ahrq.gov/issue/acgme-summary-report-pursuing-excellence-pathway-leaders-patient-safety-collaborative
     October 18, 2017 - Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learning Environments: Pathway … The clinical learning environment (CLE)  situates the development of safety behaviors in resident … Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learning Environments: Pathway … April 18, 2018 Clinical Learning Environment Review (CLER) Program. … The Learning and Working Environment (Duty Hours).

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867383/psn-pdf
     December 18, 2024 - context of a health-care organisation and failure: the situational impact of failure on organisational learning … This review includes 49 studies that describe post-failure learning or non-learning behavior within … Several factors susceptible to the impact of learning from failure (e.g., workload, communication) can … https://psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety https://psnet.ahrq.gov … /curated-library/organizational-learning

172. Using external errors to signal a clear and present danger. | PSNet
     psnet.ahrq.gov/issue/using-external-errors-signal-clear-and-present-danger
     May 02, 2018 - biases inherent when hearing reports of errors at other institutions and explains the importance of learning … December 12, 2018 Learning from influenza vaccine errors to prepare for COVID-19 vaccination … Improving Diagnostic Safety and Quality April 26, 2023 Learning … from safety incidents in high reliability organizations: a systematic review of learning tools that … March 31, 2021 Learning from incident reporting?

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73065/psn-pdf
     March 24, 2021 - Implementing the clinical occurrence reporting and learning system: a double-loop learning incident … Implementing the clinical occurrence reporting and learning system: a double-loop learning incident … - learning-incident Incident reporting systems are a common method for hospitals to detect patient … https://psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident … https://psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60820/psn-pdf
     August 19, 2020 - Nurses' experiences of organizational learning. … Nurses' experiences of organisational learning: a qualitative descriptive study. … interviews with nurses to explore their experiences with organizational learning. … managers play a central role in organizational learning. … organisational-learning-hospitals-concept-analysis https://psnet.ahrq.gov/issue/relationship-between-organizational-leadership-safety-and-learning-patient-safety-events

175. The husband's story: from tragedy to learning and action. | PSNet
     psnet.ahrq.gov/issue/husbands-story-tragedy-learning-and-action
     February 02, 2022 - Commentary The husband's story: from tragedy to learning and action. … The husband's story: from tragedy to learning and action. … The husband's story: from tragedy to learning and action.

176. Structuring feedback and debriefing to achieve mastery learning goals. | PSNet
     psnet.ahrq.gov/issue/structuring-feedback-and-debriefing-achieve-mastery-learning-goals
     September 02, 2020 - Study Structuring feedback and debriefing to achieve mastery learning goals. … Structuring feedback and debriefing to achieve mastery learning goals. … Structuring feedback and debriefing to achieve mastery learning goals.

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48058/psn-pdf
     June 19, 2019 - Organisational learning in hospitals: a concept analysis. … Organisational learning in hospitals: A concept analysis. … This review defines the concept of organizational learning, characteristics of the activity, and the … https://psnet.ahrq.gov/issue/organisational-learning-hospitals-concept-analysis https://psnet.ahrq.gov … /issue/building-learning-organization https://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849324/psn-pdf
     May 24, 2023 - Learning from errors and resilience. May 24, 2023 Arnal-Velasco D, Heras-Hernando V. … Learning from errors and resilience. … https://psnet.ahrq.gov/issue/learning-errors-and-resilience The Safety II framework and organizational … The authors suggest learning from errors or what goes right should be reframed simply as learning. … https://psnet.ahrq.gov/issue/learning-excellence-healthcare-new-approach-incident-reporting https://

179. Housestaff and medical student attitudes toward medical errors and adverse events. | PSNet
     psnet.ahrq.gov/issue/housestaff-and-medical-student-attitudes-toward-medical-errors-and-adverse-events
     March 06, 2013 - of safety measures, but noted significant barriers to reporting errors and did not report positive learning … responses may indicate a suboptimal culture of safety that limits the use of patient safety as a learning … authority gradient , and a prior study explores educational strategies for encouraging resident learning … April 6, 2011 Learning from mistakes: factors that influence how students and residents … February 24, 2011 Teaching but not learning: how medical residency programs handle errors

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836860/psn-pdf
     April 06, 2022 - Learning environments, reliability enhancing work practices, employee engagement, and safety climate … Learning environments, reliability enhancing work practices, employee engagement, and safety climate … Ideal clinical learning environments (CLE) support employee engagement, satisfaction, and a culture … The Learning Environment and High Reliability Practices Survey (LEHR) was used to determine the association … Learning environments with higher average LEHR scores were associated with higher employee engagement