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3021. 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

3022. 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

3023. 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

3024. 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

3025. 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

3026. 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

3027. 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

3028. 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

3029. 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

3030. 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

3031. 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

3032. 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

3033. 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

3034. 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

3035. 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

3036. 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

3037. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42258/psn-pdf
      May 08, 2013 - An innovative tool for experiential learning of nursing quality and safety competencies. … An Innovative Tool for Experiential Learning of Nursing Quality and Safety Competencies. … https://psnet.ahrq.gov/issue/innovative-tool-experiential-learning-nursing-quality-and-safety-competencies … https://psnet.ahrq.gov/issue/innovative-tool-experiential-learning-nursing-quality-and-safety-competencies

3038. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45558/psn-pdf
      May 10, 2017 - Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. … https://psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare Patients continue … care delivery, provides suggestions to prevent similar incidents, and highlights opportunities for learning … https://psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare https://psnet.ahrq.gov

3039. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39033/psn-pdf
      October 21, 2009 - Enhancing medication use safety: benefits of learning from your peers. … Enhancing medication use safety: benefits of learning from your peers. … https://psnet.ahrq.gov/issue/enhancing-medication-use-safety-benefits-learning-your-peers Use of the … https://psnet.ahrq.gov/issue/enhancing-medication-use-safety-benefits-learning-your-peers https://psnet.ahrq.gov

3040. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42290/psn-pdf
      May 22, 2013 - Safety in Numbers: Evidence-based Development of a Medicine Management Learning Tool. … nbsp; https://psnet.ahrq.gov/issue/safety-numbers-evidence-based-development-medicine-management- learning-tool … https://psnet.ahrq.gov/issue/safety-numbers-evidence-based-development-medicine-management-learning-tool … https://psnet.ahrq.gov/issue/safety-numbers-evidence-based-development-medicine-management-learning-tool