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psnet.ahrq.gov/node/40335/psn-pdf
December 18, 2014 - Assessing teamwork and communication in the authentic
patient care learning environment. … Assessing teamwork and communication in the authentic patient care learning
environment. … https://psnet.ahrq.gov/issue/assessing-teamwork-and-communication-authentic-patient-care-learning-
environment … https://psnet.ahrq.gov/issue/assessing-teamwork-and-communication-authentic-patient-care-learning-environment … https://psnet.ahrq.gov/issue/assessing-teamwork-and-communication-authentic-patient-care-learning-environment
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psnet.ahrq.gov/node/34958/psn-pdf
June 14, 2011 - Patient safety in an interprofessional learning
environment. … Patient safety in an interprofessional learning environment. Med Educ.
2005;39(5):512-3. … https://psnet.ahrq.gov/issue/patient-safety-interprofessional-learning-environment
The authors discuss … a patient safety–focused, shared learning program developed by the medical and
health faculty at the … https://psnet.ahrq.gov/issue/patient-safety-interprofessional-learning-environment
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/39929/psn-pdf
July 31, 2012 - The Gift of Failure: New Approaches to Analyzing and
Learning from Events and Near-Misses. … Sci. 2011;49(1):1-106
https://psnet.ahrq.gov/issue/gift-failure-new-approaches-analyzing-and-learning-events-and-near-misses … concepts by event analysis pioneer Bernhard Wilpert can be developed
to present undesirable events as learning … https://psnet.ahrq.gov/issue/gift-failure-new-approaches-analyzing-and-learning-events-and-near-misses … https://psnet.ahrq.gov/issue/whats-past-prologue-organizational-learning-serious-patient-injury
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psnet.ahrq.gov/node/41185/psn-pdf
March 24, 2012 - 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. … https://psnet.ahrq.gov/issue/learning-near-misses-quick-fixes-closing-swiss-cheese-holes
This study … https://psnet.ahrq.gov/issue/learning-near-misses-quick-fixes-closing-swiss-cheese-holes
https://psnet.ahrq.gov … /issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
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psnet.ahrq.gov/node/40684/psn-pdf
August 10, 2011 - Accountability, organisational learning and risks to
patient safety in England: conflict or compromise … Accountability, organisational learning and risks to patient safety in England: Conflict
or compromise … https://psnet.ahrq.gov/issue/accountability-organisational-learning-and-risks-patient-safety-england-conflict … https://psnet.ahrq.gov/issue/accountability-organisational-learning-and-risks-patient-safety-england-conflict-or … https://psnet.ahrq.gov/issue/accountability-organisational-learning-and-risks-patient-safety-england-conflict-or
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psnet.ahrq.gov/node/38484/psn-pdf
March 18, 2009 - Knowledge-based errors in anesthesia: a paired,
controlled trial of learning and retention. … Knowledge-based errors in anesthesia: a paired,
controlled trial of learning and retention. … https://psnet.ahrq.gov/issue/knowledge-based-errors-anesthesia-paired-controlled-trial-learning-and- … https://psnet.ahrq.gov/issue/knowledge-based-errors-anesthesia-paired-controlled-trial-learning-and-retention … https://psnet.ahrq.gov/issue/knowledge-based-errors-anesthesia-paired-controlled-trial-learning-and-retention
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psnet.ahrq.gov/node/47915/psn-pdf
April 03, 2019 - Adversarial attacks on medical machine learning. … Adversarial attacks on medical machine learning. … https://psnet.ahrq.gov/issue/adversarial-attacks-medical-machine-learning
This review article delineates … The authors suggest that regulatory review of devices that employ machine learning
include an assessment … https://psnet.ahrq.gov/issue/adversarial-attacks-medical-machine-learning
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/41143/psn-pdf
March 08, 2017 - 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 … psnet.ahrq.gov/issue/accelerating-what-works-using-qualitative-research-methods-developing-
change-package-learning … psnet.ahrq.gov/issue/accelerating-what-works-using-qualitative-research-methods-developing-change-package-learning … psnet.ahrq.gov/issue/accelerating-what-works-using-qualitative-research-methods-developing-change-package-learning
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psnet.ahrq.gov/node/38695/psn-pdf
June 10, 2009 - Medical students benefit from learning about patient
safety in an interprofessional team. … Medical students benefit from learning about patient safety in an
interprofessional team. … https://psnet.ahrq.gov/issue/medical-students-benefit-learning-about-patient-safety-interprofessional-team … patient safety event increased their knowledge of
safety principles and also added value above that of learning … https://psnet.ahrq.gov/issue/medical-students-benefit-learning-about-patient-safety-interprofessional-team
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psnet.ahrq.gov/node/41061/psn-pdf
September 26, 2016 - Learning from accident and error: avoiding the hazards of
workload, stress, and routine interruptions … Learning from accident and error: avoiding the hazards of workload, stress, and
routine interruptions … https://psnet.ahrq.gov/issue/learning-accident-and-error-avoiding-hazards-workload-stress-and-routine … https://psnet.ahrq.gov/issue/learning-accident-and-error-avoiding-hazards-workload-stress-and-routine-interruptions … https://psnet.ahrq.gov/issue/learning-accident-and-error-avoiding-hazards-workload-stress-and-routine-interruptions
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psnet.ahrq.gov/node/37816/psn-pdf
April 27, 2010 - In situ simulation: a method of experiential learning to
promote safety and team behavior. … In situ simulation: a method of experiential learning to promote safety
and team behavior. … https://psnet.ahrq.gov/issue/situ-simulation-method-experiential-learning-promote-safety-and-team-
behavior … https://psnet.ahrq.gov/issue/situ-simulation-method-experiential-learning-promote-safety-and-team-behavior … https://psnet.ahrq.gov/issue/situ-simulation-method-experiential-learning-promote-safety-and-team-behavior
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psnet.ahrq.gov/node/43327/psn-pdf
July 09, 2014 - Interprofessional learning for medication safety. … Interprofessional learning for medication safety. … https://psnet.ahrq.gov/issue/interprofessional-learning-medication-safety
This commentary describes … development of a training program that engaged pharmacy, nursing, and
medical students in interprofessional learning … https://psnet.ahrq.gov/issue/interprofessional-learning-medication-safety
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/37619/psn-pdf
March 19, 2008 - Learning from error: identifying contributory causes of
medication errors in an Australian hospital. … Learning from error: identifying contributory causes of medication
errors in an Australian hospital. … https://psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian … https://psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital … https://psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
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psnet.ahrq.gov/node/41261/psn-pdf
May 04, 2012 - Case-based learning for patient safety: the Lessons
Learnt program for UK junior doctors. … Case-based learning for patient safety: the Lessons Learnt program for
UK junior doctors. … https://psnet.ahrq.gov/issue/case-based-learning-patient-safety-lessons-learnt-program-uk-junior-doctors … This commentary details how a medical program implemented case-based learning (CBL) seminars and
examines … https://psnet.ahrq.gov/issue/case-based-learning-patient-safety-lessons-learnt-program-uk-junior-doctors
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psnet.ahrq.gov/node/37071/psn-pdf
September 30, 2011 - Improving patient safety in radiotherapy by learning from
near misses, incidents and errors. … Improving patient safety in radiotherapy by learning from near misses, incidents and errors. … https://psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and … https://psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors … https://psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors
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psnet.ahrq.gov/node/43477/psn-pdf
May 19, 2015 - Adverse events in healthcare: learning from mistakes. … Adverse events in healthcare: learning from mistakes. … https://psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes
This review discusses chart … lack of a standard method to collect and analyze data can hinder
progress in determining trends and learning … https://psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/36341/psn-pdf
March 09, 2009 - The reporting of patient safety incidents—first
experiences with the chiropractic reporting and learning … The reporting of patient safety incidents—first experiences with the chiropractic reporting
and learning … psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-
learning … psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning … psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning
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psnet.ahrq.gov/node/34719/psn-pdf
December 23, 2008 - Learning from samples of one or fewer.
December 23, 2008
March JG, Sproull LS, Tamuz M. … https://psnet.ahrq.gov/issue/learning-samples-one-or-fewer
Organizations learn from experience. … However, learning from rare events is challenging because
experience is limited. … The authors review two strategies for learning from rare events: one that focuses
on experiencing the … https://psnet.ahrq.gov/issue/learning-samples-one-or-fewer
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psnet.ahrq.gov/node/41934/psn-pdf
May 24, 2016 - Work Design Drivers of Organizational Learning about
Operational Failures: A Laboratory Experiment on … https://psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures- … https://psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment … https://psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment … https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
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psnet.ahrq.gov/node/41380/psn-pdf
June 20, 2012 - A novel tool for organisational learning and its impact on
safety culture in a hospital dispensary. … A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. … https://psnet.ahrq.gov/issue/novel-tool-organisational-learning-and-its-impact-safety-culture-hospital … https://psnet.ahrq.gov/issue/novel-tool-organisational-learning-and-its-impact-safety-culture-hospital-dispensary … https://psnet.ahrq.gov/issue/novel-tool-organisational-learning-and-its-impact-safety-culture-hospital-dispensary