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301. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73485/psn-pdf
     July 14, 2021 - The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment … The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment … https://psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning … https://psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment … https://psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment

302. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852456/psn-pdf
     August 16, 2023 - /psnet.ahrq.gov/issue/residents-responsibility-and-error-how-residents-learn-navigate-intersection Learning … Residents described learning to differentiate errors from complications, how the work environment and … residents-responsibility-and-error-how-residents-learn-navigate-intersection https://psnet.ahrq.gov/issue/learning-errors-and-resilience … https://psnet.ahrq.gov/issue/learning-errors-and-resilience https://psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837508/psn-pdf
     June 22, 2022 - Creating a learning health system for improving diagnostic safety: pragmatic insights from US health … Creating a learning health system for improving diagnostic safety: pragmatic insights from US health … https://psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic- … https://psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic-insights-us-health-care … https://psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic-insights-us-health-care

304. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? | PSNet
     psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-neglected
     February 14, 2024 - December 21, 2017 Comparison of the accuracy of human readers versus machine-learning … March 23, 2022 Implementing the clinical occurrence reporting and learning system: a … double-loop learning incident reporting system in long-term care. … March 24, 2021 Organisational reporting and learning systems: innovating inside and outside … May 25, 2013 The development of the National Reporting and Learning System in England

305. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60526/psn-pdf
     May 27, 2020 - A qualitative content analysis of retained surgical items: learning from root cause analysis investigations … A qualitative content analysis of retained surgical items: learning from root cause analysis investigations … https://psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause … https://psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis … https://psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72575/psn-pdf
     January 01, 2021 - Missing the near miss: recognizing valuable learning opportunities in radiation oncology. … Missing the near miss: recognizing valuable learning opportunities in radiation oncology. … https://psnet.ahrq.gov/issue/missing-near-miss-recognizing-valuable-learning-opportunities-radiation- … https://psnet.ahrq.gov/issue/missing-near-miss-recognizing-valuable-learning-opportunities-radiation-oncology … https://psnet.ahrq.gov/issue/missing-near-miss-recognizing-valuable-learning-opportunities-radiation-oncology

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48080/psn-pdf
     June 12, 2019 - Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK … Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK … https://psnet.ahrq.gov/issue/understanding-healthcare-workplace-learning-culture-through-safety-and- … https://psnet.ahrq.gov/issue/understanding-healthcare-workplace-learning-culture-through-safety-and-dignity-narratives-uk … https://psnet.ahrq.gov/issue/understanding-healthcare-workplace-learning-culture-through-safety-and-dignity-narratives-uk

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/857452/psn-pdf
     December 06, 2023 - Improving patient safety governance and systems through learning from successes and failures: qualitative … Improving patient safety governance and systems through learning from successes and failures: qualitative … https://psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning- successes-and-failures … https://psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning-successes-and-failures … https://psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning-successes-and-failures

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847715/psn-pdf
     April 19, 2023 - Integrating implementation science in a quality and patient safety improvement learning collaborative … Integrating implementation science in a quality and patient safety improvement learning collaborative … ://psnet.ahrq.gov/issue/integrating-implementation-science-quality-and-patient-safety-improvement- learning … https://psnet.ahrq.gov/issue/integrating-implementation-science-quality-and-patient-safety-improvement-learning … https://psnet.ahrq.gov/issue/integrating-implementation-science-quality-and-patient-safety-improvement-learning

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50795/psn-pdf
     January 15, 2020 - Diagnostic error in the emergency department: learning from national patient safety incident report … Diagnostic error in the emergency department: learning from national patient safety incident report … https://psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety- … https://psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report … https://psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848036/psn-pdf
     April 26, 2023 - Using a learning system approach to improve safety for prone-position ventilation patients. … Using a learning system approach to improve safety for prone- position ventilation patients. … https://psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation … https://psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients … https://psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837143/psn-pdf
     January 01, 2023 - factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning … factors influencing implementation of a new national patient safety policy in England: lessons from ‘Learning … understanding-factors-influencing-implementation-new-national-patient-safety- policy-england Autopsies following unexpected deaths can provide valuable insights and learning … In 2017, the National Health Service (NHS) implemented “Learning from Deaths” (LfD) to report, learn … https://psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct https://psnet.ahrq.gov/issue/nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis-first-year

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837210/psn-pdf
     May 25, 2022 - A learning health system agenda for organizational approaches to enhancing occupational well-being among … A learning health system agenda for organizational approaches to enhancing occupational well-being among … https://psnet.ahrq.gov/issue/learning-health-system-agenda-organizational-approaches-enhancing- occupational-well-being … https://psnet.ahrq.gov/issue/learning-health-system-agenda-organizational-approaches-enhancing-occupational-well-being … https://psnet.ahrq.gov/issue/learning-health-system-agenda-organizational-approaches-enhancing-occupational-well-being

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847720/psn-pdf
     April 19, 2023 - In situ simulation-based team training and its significance for transfer of learning to clinical practice … In situ simulation-based team training and its significance for transfer of learning to clinical practice … https://psnet.ahrq.gov/issue/situ-simulation-based-team-training-and-its-significance-transfer-learning … https://psnet.ahrq.gov/issue/situ-simulation-based-team-training-and-its-significance-transfer-learning-clinical-practice … https://psnet.ahrq.gov/issue/situ-simulation-based-team-training-and-its-significance-transfer-learning-clinical-practice

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73633/psn-pdf
     August 25, 2021 - Learning from patient safety incidents involving acutely sick adults in hospital assessment units in … Learning from patient safety incidents involving acutely sick adults in hospital assessment units in … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-involving-acutely-sick-adults-hospital … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-involving-acutely-sick-adults-hospital-assessment-units … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-involving-acutely-sick-adults-hospital-assessment-units

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73182/psn-pdf
     April 28, 2021 - Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care … Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care … https://psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons … https://psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons-patient-care … https://psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons-patient-care

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47806/psn-pdf
     January 01, 2021 - analysis through postimplementation evaluation can lead to solutions grounded in actual practice and learning … This commentary discusses the Agency for Healthcare Research and Quality patient safety learning laboratories … challenges-and-opportunities-improving-patient-safety-through-human-factors-and-systems https://psnet.ahrq.gov/issue/best-care-lower-cost-path-continuously-learning-health-care-america … https://psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects https://psnet.ahrq.gov … /issue/overview-patient-safety-learning-laboratory-projects

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73350/psn-pdf
     June 02, 2021 - Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. … Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. … https://psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury … https://psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence … https://psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42964/psn-pdf
     May 10, 2014 - What is learning? … What Is Learning? … https://psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and … https://psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters … https://psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37259/psn-pdf
     March 23, 2011 - Using a survey of incident reporting and learning practices to improve organisational learning at a … Using a survey of incident reporting and learning practices to improve organisational learning at a … - learning-cancer This study describes a survey tool for measuring organizational learning and provides … https://psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer … https://psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer