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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    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
  4. Psn-Pdf (pdf file)

    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
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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
  14. Psn-Pdf (pdf file)

    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
  15. Psn-Pdf (pdf file)

    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
  16. Psn-Pdf (pdf file)

    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
  17. Psn-Pdf (pdf file)

    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
  18. Psn-Pdf (pdf file)

    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
  19. Psn-Pdf (pdf file)

    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
  20. Psn-Pdf (pdf file)

    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

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