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181. Implementation of checklists in health care; learning from high-reliability organisations. | PSNet
     psnet.ahrq.gov/issue/implementation-checklists-health-care-learning-high-reliability-organisations
     May 04, 2010 - Study Implementation of checklists in health care; learning from high-reliability … Implementation of checklists in health care; learning from high-reliability organisations. … Implementation of checklists in health care; learning from high-reliability organisations. … December 19, 2013 Simulated settings; powerful arenas for learning patient safety practices … November 16, 2016 Errors in medicine: punishment versus learning medical adverse events

182. Learning from errors: analysis of medication order voiding in CPOE systems. | PSNet
     psnet.ahrq.gov/issue/learning-errors-analysis-medication-order-voiding-cpoe-systems
     May 29, 2019 - Study Learning from errors: analysis of medication order voiding in CPOE systems. … Learning from errors: analysis of medication order voiding in CPOE systems. … Learning from errors: analysis of medication order voiding in CPOE systems.

183. Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. | PSNet
     psnet.ahrq.gov/issue/association-between-implementing-comprehensive-learning-collaborative-strategies-statewide
     September 02, 2020 - Study Association between implementing comprehensive learning collaborative strategies … Association between implementing comprehensive learning collaborative strategies in a statewide collaborative … Association between implementing comprehensive learning collaborative strategies in a statewide collaborative

184. Self-assessment and learning motivation in the second victim phenomenon. | PSNet
     psnet.ahrq.gov/issue/self-assessment-and-learning-motivation-second-victim-phenomenon
     February 15, 2023 - Study Self-assessment and learning motivation in the second victim phenomenon. … Self-assessment and learning motivation in the second victim phenomenon. … Self-assessment and learning motivation in the second victim phenomenon.

185. Opioid prescribing decreases after learning of a patient's fatal overdose. | PSNet
     psnet.ahrq.gov/issue/opioid-prescribing-decreases-after-learning-patients-fatal-overdose
     January 18, 2023 - Study Emerging Classic Opioid prescribing decreases after learning … Opioid prescribing decreases after learning of a patient's fatal overdose. … Opioid prescribing decreases after learning of a patient's fatal overdose.

186. Learning from incidents in health care: critique from a Safety-II perspective. | PSNet
     psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective
     August 19, 2020 - Commentary Learning from incidents in health care: critique from a Safety-II perspective … Citation Text: Learning from incidents in health care: critique from a Safety-II perspective. … Linkedin Copy URL Cite Citation Citation Text: Learning

187. 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.

188. Principles of automation for patient safety in intensive care: learning from aviation. | PSNet
     psnet.ahrq.gov/issue/principles-automation-patient-safety-intensive-care-learning-aviation
     April 20, 2022 - Commentary Principles of automation for patient safety in intensive care: learning … Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. … Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation.

189. The FIRST curriculum: cultivating speaking up behaviors in the Clinical Learning Environment. | PSNet
     psnet.ahrq.gov/issue/first-curriculum-cultivating-speaking-behaviors-clinical-learning-environment
     May 25, 2022 - Commentary The FIRST curriculum: cultivating speaking up behaviors in the Clinical Learning … The FIRST Curriculum: Cultivating Speaking Up Behaviors in the Clinical Learning Environment. … The FIRST Curriculum: Cultivating Speaking Up Behaviors in the Clinical Learning Environment.

190. Quality and safety: learning from the past and (re)imagining the future. | PSNet
     psnet.ahrq.gov/issue/quality-and-safety-learning-past-and-reimagining-future
     June 15, 2022 - Commentary Quality and safety: learning from the past and (re)imagining the future … Quality and safety: learning from the past and (re)imagining the future. … Quality and safety: learning from the past and (re)imagining the future.

191. Accelerating what works: using qualitative research methods in developing a change package for a learning collaborative. | PSNet
     psnet.ahrq.gov/issue/accelerating-what-works-using-qualitative-research-methods-developing-change-package-learning
     November 25, 2009 - Accelerating what works: using qualitative research methods in developing a change package for a learning … Accelerating what works: using qualitative research methods in developing a change package for a learning … Accelerating what works: using qualitative research methods in developing a change package for a learning … April 4, 2018 Enabling a learning healthcare system with automated computer protocols … January 8, 2020 An organizational learning framework for patient safety.

192. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. | PSNet
     psnet.ahrq.gov/issue/engineering-learning-healthcare-system-look-future-workshop-summary
     June 15, 2011 - Book/Report Engineering a Learning Healthcare System: A Look at the Future: Workshop … Citation Text: Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. … June 15, 2011 Best Care at Lower Cost: The Path to Continuously Learning Health Care … October 24, 2018 An organizational learning framework for patient safety. … October 6, 2011 Teaching but not learning: how medical residency programs handle errors

193. Bad stars or guiding lights? Learning from disasters to improve patient safety. | PSNet
     psnet.ahrq.gov/issue/bad-stars-or-guiding-lights-learning-disasters-improve-patient-safety
     June 08, 2011 - Learning from disasters to improve patient safety. … Learning from disasters to improve patient safety. … Learning from disasters to improve patient safety. … February 13, 2013 The Gift of Failure: New Approaches to Analyzing and Learning from … July 31, 2012 Learning from disasters to improve patient safety: applying the generic

194. Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. | PSNet
     psnet.ahrq.gov/issue/learning-near-misses-quick-fixes-closing-swiss-cheese-holes
     April 11, 2012 - Study Learning from near misses: from quick fixes to closing off the Swiss-cheese … Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. … Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. … April 19, 2023 On the ball: leadership for patient safety and learning in critical care … July 2, 2014 Early warnings, weak signals and learning from healthcare disasters.

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865927/psn-pdf
     May 22, 2024 - Organizational learning starting points and presuppositions: a case study from a hospital’s surgical … Organizational learning starting points and presuppositions: a case study from a hospital’s surgical … https://psnet.ahrq.gov/issue/organizational-learning-starting-points-and-presuppositions-case-study- … specific problem) and organizational learning encompassed more formal and intentional practices. … https://psnet.ahrq.gov/curated-library/organizational-learning https://psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866557/psn-pdf
     August 21, 2024 - Minimization of occurrence of retained surgical items using machine learning and deep learning techniques … Minimization of occurrence of retained surgical items using machine learning and deep learning techniques … This review examined the use of machine learning (ML) and deep learning (DL) tools to support RSI prevention … https://psnet.ahrq.gov/issue/minimization-occurrence-retained-surgical-items-using-machine-learning-and-deep-learning … https://psnet.ahrq.gov/issue/minimization-occurrence-retained-surgical-items-using-machine-learning-and-deep-learning

197. 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

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867655/psn-pdf
     February 26, 2025 - Learning Health Systems for Patient Safety. PSNet [internet]. 2025. … Learning systems focus on fostering continuous learning across healthcare organizations and facilitating … Shared learning and improvements in patient safety happen when learning health systems with a strong … The role of a learning health system is to foster this analysis and shared learning. … Health technology, quality and safety in a learning health system.

199. 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

200. A Safer Place for Patients: Learning to Improve Patient Safety. | PSNet
     psnet.ahrq.gov/issue/safer-place-patients-learning-improve-patient-safety-0
     June 22, 2016 - Book/Report A Safer Place for Patients: Learning to Improve Patient Safety. … Citation Text: A Safer Place for Patients: Learning to Improve Patient Safety. … Cite Citation Citation Text: A Safer Place for Patients: Learning … December 6, 2011 A Safer Place for Patients: Learning to Improve Patient Safety. … September 29, 2017 Learning from Bristol: The Report of the Public Inquiry into Children's