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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/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/35717/psn-pdf
July 15, 2010 - General practitioners' attitudes toward reporting and
learning from adverse events: results from a survey … General practitioners' attitudes toward reporting and learning from
adverse events: results from a survey … https://psnet.ahrq.gov/issue/general-practitioners-attitudes-toward-reporting-and-learning-adverse-events … https://psnet.ahrq.gov/issue/general-practitioners-attitudes-toward-reporting-and-learning-adverse-events-results-survey … https://psnet.ahrq.gov/issue/general-practitioners-attitudes-toward-reporting-and-learning-adverse-events-results-survey
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psnet.ahrq.gov/node/41970/psn-pdf
July 02, 2014 - Transformative learning in a professional development
course aimed at addressing disruptive physician … Transformative learning in a professional development course
aimed at addressing disruptive physician … https://psnet.ahrq.gov/issue/transformative-learning-professional-development-course-aimed-addressing … https://psnet.ahrq.gov/issue/transformative-learning-professional-development-course-aimed-addressing-disruptive-physician … https://psnet.ahrq.gov/issue/transformative-learning-professional-development-course-aimed-addressing-disruptive-physician
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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/35219/psn-pdf
June 12, 2013 - Learning how to learn: compliance with patient safety
alerts in the NHS. … https://psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs
This chapter analyzes … https://psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs
https://psnet.ahrq.gov … /issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical
https … ://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical
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psnet.ahrq.gov/node/36946/psn-pdf
September 09, 2011 - The Patient Safety Leadership Academy at the University
of Pennsylvania: the first cohort's learning … The Patient Safety Leadership Academy at the University of
Pennsylvania: the first cohort's learning … https://psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-
learning-experience … https://psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience … https://psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
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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/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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psnet.ahrq.gov/node/41421/psn-pdf
November 26, 2014 - "Learning by Doing"—resident perspectives on
developing competency in high-quality discharge care. … "Learning by doing"--resident perspectives on developing
competency in high-quality discharge care. … https://psnet.ahrq.gov/issue/learning-doing-resident-perspectives-developing-competency-high-quality- … https://psnet.ahrq.gov/issue/learning-doing-resident-perspectives-developing-competency-high-quality-discharge-care … https://psnet.ahrq.gov/issue/learning-doing-resident-perspectives-developing-competency-high-quality-discharge-care
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psnet.ahrq.gov/node/39978/psn-pdf
November 03, 2010 - Creating an improvement culture for enhanced patient
safety: service improvement learning in pre-registration … Creating an improvement culture for enhanced patient safety:
service improvement learning in pre-registration … https://psnet.ahrq.gov/issue/creating-improvement-culture-enhanced-patient-safety-service-improvement-
learning-pre … https://psnet.ahrq.gov/issue/creating-improvement-culture-enhanced-patient-safety-service-improvement-learning-pre … https://psnet.ahrq.gov/issue/creating-improvement-culture-enhanced-patient-safety-service-improvement-learning-pre
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psnet.ahrq.gov/node/45998/psn-pdf
April 19, 2017 - Learning and mindfulness: improving perioperative
patient safety. … Learning and mindfulness: improving perioperative patient safety. … https://psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patient-safety
The surgical … This commentary discusses how organizational learning and
mindfulness can help perioperative staff manage … https://psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patient-safety
https://
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psnet.ahrq.gov/node/45913/psn-pdf
March 01, 2017 - Simulation, mastery learning and healthcare.
March 1, 2017
Dunn W, Dong Y, Zendejas B, et al. … Simulation, Mastery Learning and Healthcare. … https://psnet.ahrq.gov/issue/simulation-mastery-learning-and-healthcare
Simulation has been adopted … This commentary reviews mastery
learning theory at the individual and system levels and suggests that … https://psnet.ahrq.gov/issue/simulation-mastery-learning-and-healthcare
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/node/41692/psn-pdf
September 19, 2012 - Quality-related event learning in community pharmacies:
manual versus computerized reporting processes … Quality-related event learning in community pharmacies: Manual
versus computerized reporting processes … https://psnet.ahrq.gov/issue/quality-related-event-learning-community-pharmacies-manual-versus-
computerized-reporting … https://psnet.ahrq.gov/issue/quality-related-event-learning-community-pharmacies-manual-versus-computerized-reporting … https://psnet.ahrq.gov/issue/quality-related-event-learning-community-pharmacies-manual-versus-computerized-reporting
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psnet.ahrq.gov/node/43677/psn-pdf
November 19, 2014 - Reporting and Learning Systems for Medication Errors:
The Role of Pharmacovigilance Centres. … https://psnet.ahrq.gov/issue/reporting-and-learning-systems-medication-errors-role-pharmacovigilance- … medication errors, this report
provides information about incident reporting of medication errors and learning … https://psnet.ahrq.gov/issue/reporting-and-learning-systems-medication-errors-role-pharmacovigilance-centres … https://psnet.ahrq.gov/issue/reporting-and-learning-systems-medication-errors-role-pharmacovigilance-centres
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psnet.ahrq.gov/node/44889/psn-pdf
April 13, 2017 - An organizational learning framework for patient safety.
April 13, 2017
Edwards MT. … An Organizational Learning Framework for Patient Safety. … https://psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
Organizations are encouraged … https://psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
https://psnet.ahrq.gov/ … issue/strategies-learning-failure
https://psnet.ahrq.gov/issue/quest-eliminate-intrathecal-vincristine-errors
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psnet.ahrq.gov/node/36229/psn-pdf
October 19, 2010 - Learning from mistakes in New Zealand hospitals: what
else do we need besides "no-fault"? … Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? … https://psnet.ahrq.gov/issue/learning-mistakes-new-zealand-hospitals-what-else-do-we-need-besides-no- … https://psnet.ahrq.gov/issue/learning-mistakes-new-zealand-hospitals-what-else-do-we-need-besides-no-fault … https://psnet.ahrq.gov/issue/learning-mistakes-new-zealand-hospitals-what-else-do-we-need-besides-no-fault
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psnet.ahrq.gov/node/43431/psn-pdf
August 27, 2014 - After Mid Staffordshire: from acknowledgement, through
learning, to improvement. … After Mid Staffordshire: from acknowledgement, through learning, to
improvement. … https://psnet.ahrq.gov/issue/after-mid-staffordshire-acknowledgement-through-learning-improvement
This … https://psnet.ahrq.gov/issue/after-mid-staffordshire-acknowledgement-through-learning-improvement
https … report-mid-staffordshire-nhs-foundation-trust-public-inquiry
https://psnet.ahrq.gov/issue/early-warnings-weak-signals-and-learning-healthcare-disasters
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psnet.ahrq.gov/node/39623/psn-pdf
June 23, 2010 - Safety learning system development--incident reporting
component for family practice. … Safety learning system development--incident reporting component
for family practice. … https://psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family- … https://psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family-practice … https://psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family-practice