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281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60648/psn-pdf
     July 01, 2020 - Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives … Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives … https://psnet.ahrq.gov/issue/chronicle-pandemic-foretold-learning-covid-19-failure-next-outbreak-arrives … financial and prioritization missteps that have contributed to the spread of COVID-19 and recommend learning … https://psnet.ahrq.gov/issue/chronicle-pandemic-foretold-learning-covid-19-failure-next-outbreak-arrives

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867590/psn-pdf
     January 22, 2025 - Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. … Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. … https://psnet.ahrq.gov/issue/evaluation-measure-dx-resource-accelerate-diagnostic-safety-learning-and … https://psnet.ahrq.gov/issue/evaluation-measure-dx-resource-accelerate-diagnostic-safety-learning-and-improvement … https://psnet.ahrq.gov/issue/evaluation-measure-dx-resource-accelerate-diagnostic-safety-learning-and-improvement

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50943/psn-pdf
     February 26, 2020 - Learning from complaints in healthcare: a realist review of academic literature, policy evidence and … Learning from complaints in healthcare: a realist review of academic literature, policy evidence and … https://psnet.ahrq.gov/issue/learning-complaints-healthcare-realist-review-academic-literature-policy … and report complaints data, novel policy strategies, and analysis strategies to generate actionable learning … https://psnet.ahrq.gov/issue/learning-complaints-healthcare-realist-review-academic-literature-policy-evidence-and-front

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60912/psn-pdf
     September 16, 2020 - Sensemaking and learning during the Covid-19 pandemic: a complex adaptive systems perspective on policy … Sensemaking and learning during the Covid-19 pandemic: a complex adaptive systems perspective on policy … https://psnet.ahrq.gov/issue/sensemaking-and-learning-during-covid-19-pandemic-complex-adaptive- systems-perspective-policy … challenges of policymaking in complex crises, such as the COVID-19 pandemic, and presents a roadmap for learning … https://psnet.ahrq.gov/issue/sensemaking-and-learning-during-covid-19-pandemic-complex-adaptive-systems-perspective-policy

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47657/psn-pdf
     April 24, 2019 - Long-term effects of an e-learning course on patient safety: a controlled longitudinal study with medical … Long-term effects of an e-learning course on patient safety: A controlled longitudinal study with medical … https://psnet.ahrq.gov/issue/long-term-effects-e-learning-course-patient-safety-controlled-longitudinal … In this study, researchers found that exposing medical students to an e-learning course on patient safety … https://psnet.ahrq.gov/issue/long-term-effects-e-learning-course-patient-safety-controlled-longitudinal-study-medical

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838069/psn-pdf
     September 14, 2022 - Experience of learning from everyday work in daily safety huddles: a multi-method study. … Experience of learning from everyday work in daily safety huddles—a multi- method study. … https://psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study … This mixed-methods study found that patient safety huddles including a focus on learning from what works … https://psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/839812/psn-pdf
     November 09, 2022 - Measuring psychological safety and local learning to enable high reliability organisational change. … Measuring psychological safety and local learning to enable high reliability organisational change. … https://psnet.ahrq.gov/issue/measuring-psychological-safety-and-local-learning-enable-high-reliability … developed two scales (trust in team members and trust in leadership) and one composite measure (local learning … https://psnet.ahrq.gov/issue/measuring-psychological-safety-and-local-learning-enable-high-reliability-organisational

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50700/psn-pdf
     January 01, 2020 - Developing health care organizations that pursue learning and exploration of diagnostic excellence: … Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: … https://psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration- diagnostic-excellence … culture of safety, evidence generation and translation, measurement improvement, and use of errors as a learning … https://psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration-diagnostic-excellence

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866622/psn-pdf
     August 28, 2024 - We use the word “learning” frequently to emphasize our intent. … From learning will come improving, but we don't focus on the improvement; we focus on the learning. … and squeezing out as much learning as possible. … If so, we'll do a learning team about catheter insertion. … There are other sorts of Safety-II tools besides learning teams.

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37610/psn-pdf
     June 16, 2011 - Is yours a learning organization? June 16, 2011 Garvin DA, Edmondson A, Gino F. … Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16, 134. … https://psnet.ahrq.gov/issue/yours-learning-organization Key tenets of improving patient safety at the … where leadership behavior supports learning and creates a supportive learning environment, and where … concrete processes are in place to facilitate learning and encourage creativity among employees. 

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34665/psn-pdf
     December 24, 2008 - Organizational learning: health care leaders need to design structures and processes that enhance collective … learning. … Organizational learning in health care. Health Forum J. 2001;44(2):32-35. … https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and- … processes-enhance This commentary discusses the context surrounding organizational learning.

292. 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 - We use the word “learning” frequently to emphasize our intent. … From learning will come improving, but we don't focus on the improvement; we focus on the learning. … and squeezing out as much learning as possible. … If so, we'll do a learning team about catheter insertion. … The Practice of Learning Teams: Learning and Improving Safety, Quality and Operational Excellence.

293. Application of Safety-II Principles | PSNet
     psnet.ahrq.gov/perspective/application-safety-ii-principles
     August 28, 2024 - The Practice of Learning Teams: Learning and Improving Safety, Quality and Operational Excellence. … We use the word “learning” frequently to emphasize our intent. … From learning will come improving, but we don't focus on the improvement; we focus on the learning. … and squeezing out as much learning as possible. … If so, we'll do a learning team about catheter insertion.

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60898/psn-pdf
     September 09, 2020 - Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system … Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system … https://psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program- learning-health-system … https://psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program-learning-health-system … https://psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program-learning-health-system

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837031/psn-pdf
     May 04, 2022 - Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an … Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an … https://psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning- systems-hospitals … Comprehensive implementation of reporting and learning systems (RLS, also known as incident reporting … https://psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-systems-hospitals

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844047/psn-pdf
     February 08, 2023 - Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing … Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing … https://psnet.ahrq.gov/issue/using-trainee-failures-enhance-learning-qualitative-study-pediatric-hospitalists … - allowing As part of clinical learning, residents and trainees are sometimes allowed to make supervised … https://psnet.ahrq.gov/issue/using-trainee-failures-enhance-learning-qualitative-study-pediatric-hospitalists-allowing

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866646/psn-pdf
     September 04, 2024 - Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. … Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. … https://psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts- medical-mishaps … https://psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts-medical-mishaps … https://psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts-medical-mishaps

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867440/psn-pdf
     January 08, 2025 - How can specialist investigation agencies inform system- wide learning for patient safety? … How can specialist investigation agencies inform system-wide learning for patient safety? … https://psnet.ahrq.gov/issue/how-can-specialist-investigation-agencies-inform-system-wide-learning- … https://psnet.ahrq.gov/issue/how-can-specialist-investigation-agencies-inform-system-wide-learning-patient-safety … https://psnet.ahrq.gov/issue/how-can-specialist-investigation-agencies-inform-system-wide-learning-patient-safety

299. Building Capacity for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/building-capacity-patient-safety
     July 31, 2023 - The Patient Safety Learning System In a learning system , organizations use patient data, experience … Learning across organizations that encourage sharing, learning, and improvement is a foundation for the … of a learning system. … , and share findings and lessons learned with other learning systems. … In terms of intraorganizational learning, or learning within a single facility or organization, there

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854374/psn-pdf
     October 11, 2023 - Learning from latent safety threats identified during simulation to improve patient safety. … Learning from latent safety threats identified during simulation to improve patient safety. … https://psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient … https://psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety … https://psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety