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2401. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38215/psn-pdf
      November 14, 2011 - Learning from other organizations' safety errors. November 14, 2011 Conway JB. … Learning from other organizations' safety errors. Healthcare Executive. 2008;23(6):64, 66-67. … https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors This brief … https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors

2402. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39493/psn-pdf
      May 12, 2010 - Learning from accidents—what more do we need to know? … Learning from accidents – What more do we need to know? … https://psnet.ahrq.gov/issue/learning-accidents-what-more-do-we-need-know Analyzing research on accident … https://psnet.ahrq.gov/issue/learning-accidents-what-more-do-we-need-know

2403. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36597/psn-pdf
      June 24, 2015 - Patient safety: learning from the aviation industry. June 24, 2015 Kosnik LK, Brown J, Maund T. … Patient safety: learning from the aviation industry. Nurs Manage. 2007;38(1):25-30; quiz 31. … https://psnet.ahrq.gov/issue/patient-safety-learning-aviation-industry The authors explain the value … https://psnet.ahrq.gov/issue/patient-safety-learning-aviation-industry https://psnet.ahrq.gov//#crewresourcemanagement

2404. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39693/psn-pdf
      July 21, 2010 - Learning accountability for patient outcomes. July 21, 2010 Pronovost P. … Learning accountability for patient outcomes. JAMA. 2010;304(2):204-5. doi:10.1001/jama.2010.979. … https://psnet.ahrq.gov/issue/learning-accountability-patient-outcomes This commentary discusses efforts … https://psnet.ahrq.gov/issue/learning-accountability-patient-outcomes https://psnet.ahrq.gov/issue/improving-patient-safety-intensive-care-units-michigan

2405. Never Events--Framework 2010-11. | PSNet
      psnet.ahrq.gov/issue/never-events-framework-200910
      January 31, 2018 - London, UK: National Reporting and Learning Service; 2010. … London, UK: National Reporting and Learning Service; 2010. … London, UK: National Reporting and Learning Service; 2010. … August 5, 2020 Learning From Mistakes. … November 25, 2009 NHS ‘Learning from Deaths’ reports: a qualitative and quantitative

2406. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38040/psn-pdf
      August 09, 2017 - Safety cultural preconditions for organizational learning in high-risk organizations. … Safety Cultural Preconditions for Organizational Learning in High-Risk Organizations. … https://psnet.ahrq.gov/issue/safety-cultural-preconditions-organizational-learning-high-risk-organizations … https://psnet.ahrq.gov/issue/safety-cultural-preconditions-organizational-learning-high-risk-organizations

2407. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38859/psn-pdf
      August 12, 2009 - On the ball: leadership for patient safety and learning in critical care. … On the ball: leadership for patient safety and learning in critical care. … https://psnet.ahrq.gov/issue/ball-leadership-patient-safety-and-learning-critical-care This study analyzed … https://psnet.ahrq.gov/issue/ball-leadership-patient-safety-and-learning-critical-care

2408. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46781/psn-pdf
      August 20, 2018 - Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy … Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy … https://psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study … https://psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk … https://psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk

2409. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40852/psn-pdf
      January 19, 2012 - Understanding how rapid response systems may improve safety for the acutely ill patient: learning from … Understanding how rapid response systems may improve safety for the acutely ill patient: learning from … psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill- patient-learning … psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill-patient-learning … psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill-patient-learning

2410. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41986/psn-pdf
      January 23, 2013 - Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. … Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. … https://psnet.ahrq.gov/issue/slow-progress-meeting-hospital-safety-standards-learning-leapfrog-groups … https://psnet.ahrq.gov/issue/slow-progress-meeting-hospital-safety-standards-learning-leapfrog-groups-efforts … https://psnet.ahrq.gov/issue/slow-progress-meeting-hospital-safety-standards-learning-leapfrog-groups-efforts

2411. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35624/psn-pdf
      August 05, 2009 - 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. … https://psnet.ahrq.gov/issue/residents-responses-medical-error-coping-learning-and-change The authors … https://psnet.ahrq.gov/issue/residents-responses-medical-error-coping-learning-and-change

2412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36094/psn-pdf
      February 12, 2014 - Learning from Disasters: A Management Approach. Third ed. February 12, 2014 Toft B, Reynolds S. … https://psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed This book provides a discussion … In the third edition of the text, the authors explore reasons why improvements in learning haven't taken … https://psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed

2413. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35693/psn-pdf
      May 03, 2017 - Learning and sharing safety lessons to improve patient care. May 3, 2017 Woodward S. … Learning and sharing safety lessons to improve patient care. Nursing Standard. 2016;20(18). … https://psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care The author describes … https://psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care https://psnet.ahrq.gov

2414. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39994/psn-pdf
      November 10, 2010 - Building safer systems through critical occurrence reviews: nine years of learning. … Building safer systems through critical occurrence reviews: nine years of learning. … https://psnet.ahrq.gov/issue/building-safer-systems-through-critical-occurrence-reviews-nine-years-learning … https://psnet.ahrq.gov/issue/building-safer-systems-through-critical-occurrence-reviews-nine-years-learning

2415. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40983/psn-pdf
      December 07, 2011 - Implementation of checklists in health care; learning from high-reliability organisations. … Implementation of checklists in health care; learning from high-reliability organisations. … https://psnet.ahrq.gov/issue/implementation-checklists-health-care-learning-high-reliability-organisations … https://psnet.ahrq.gov/issue/implementation-checklists-health-care-learning-high-reliability-organisations

2416. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39705/psn-pdf
      August 03, 2010 - Medical error and decision making: learning from the past and present in intensive care. … Medical error and decision making: Learning from the past and present in intensive care. … https://psnet.ahrq.gov/issue/medical-error-and-decision-making-learning-past-and-present-intensive-care … https://psnet.ahrq.gov/issue/medical-error-and-decision-making-learning-past-and-present-intensive-care

2417. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38979/psn-pdf
      October 14, 2009 - Active learning: when is more better? The case of resident physicians' medical errors. … https://psnet.ahrq.gov/issue/active-learning-when-more-better-case-resident-physicians-medical-errors … Establishing an active learning climate, in which resident physicians are encouraged to ask questions … https://psnet.ahrq.gov/issue/active-learning-when-more-better-case-resident-physicians-medical-errors

2418. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39509/psn-pdf
      August 08, 2010 - Learning from disasters to improve patient safety. … Learning from disasters to improve patient safety. … https://psnet.ahrq.gov/issue/bad-stars-or-guiding-lights-learning-disasters-improve-patient-safety This … https://psnet.ahrq.gov/issue/bad-stars-or-guiding-lights-learning-disasters-improve-patient-safety

2419. What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety | PSNet
      psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
      March 01, 2017 - Establishing a strong culture of safety and learning requires deep engagement with the unique overall … Leaders can help promote a learning-oriented culture by providing coaching to clinicians. … Psychological safety and learning behavior in work teams. Adm Sci Q. 1999;44:350-383. … The Fifth Discipline: The Art and Practice of the Learning Organization. … Framing for learning: lessons in successful technology implementation.

2420. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40517/psn-pdf
      June 08, 2011 - Learning safe prescribing during post-take ward rounds. … Learning safe prescribing during post-take ward rounds. … https://psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward-rounds This article describes … https://psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward-rounds https://psnet.ahrq.gov