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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/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/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/35980/psn-pdf
January 01, 2019 - The development of the National Reporting and Learning
System in England and Wales, 2001-2005. … The development of the National Reporting and Learning System in England and
Wales, 2001–2005. … https://psnet.ahrq.gov/issue/development-national-reporting-and-learning-system-england-and-wales-2001 … https://psnet.ahrq.gov/issue/development-national-reporting-and-learning-system-england-and-wales-2001 … -2005
https://psnet.ahrq.gov/issue/development-national-reporting-and-learning-system-england-and-wales
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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/34669/psn-pdf
June 26, 2015 - Learning from mistakes is easier said than done: group
and organizational influences on the detection … Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences
on the Detection … https://psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences- … organization must design and nurture work
environments that encourage error reporting and fostering learning … https://psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
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psnet.ahrq.gov/node/39802/psn-pdf
November 16, 2010 - "Water cooler" learning: knowledge sharing at the clinical
"backstage" and its contribution to patient … "Water cooler" learning: knowledge sharing at the clinical "backstage" and its
contribution to patient … https://psnet.ahrq.gov/issue/water-cooler-learning-knowledge-sharing-clinical-backstage-and-its-
contribution-patient … the forefront, leaving many “water cooler” conversations as a lost
opportunity for organizational learning … https://psnet.ahrq.gov/issue/water-cooler-learning-knowledge-sharing-clinical-backstage-and-its-contribution-patient
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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/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/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/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/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/33755/psn-pdf
September 01, 2013 - Establishing a strong culture of safety and learning requires deep engagement with the unique overall … Leaders can help promote a learning-oriented culture by providing coaching to
clinicians. … Psychological safety and learning behavior in work teams. Adm Sci Q. 1999;44:350-383. … The Fifth Discipline: The Art and Practice of the Learning Organization. … Framing for learning: lessons in successful technology implementation.
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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/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
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psnet.ahrq.gov/node/37996/psn-pdf
August 20, 2008 - "Every error counts": a web-based incident reporting and
learning system for general practice. … "Every error counts": a web-based incident reporting and learning
system for general practice. … https://psnet.ahrq.gov/issue/every-error-counts-web-based-incident-reporting-and-learning-system-general … https://psnet.ahrq.gov/issue/every-error-counts-web-based-incident-reporting-and-learning-system-general-practice … https://psnet.ahrq.gov/issue/every-error-counts-web-based-incident-reporting-and-learning-system-general-practice
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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/34599/psn-pdf
January 30, 2008 - Organizational Learning from Experience in High-Hazard
Industries: Problem Investigations as Off-line … Working
Paper 4359-02
https://psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem … This paper
confronts two central issues for organizational learning from the prism of the chemical and … https://psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line … https://psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
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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/47842/psn-pdf
April 10, 2019 - Learning From Invited Reviews. … https://psnet.ahrq.gov/issue/learning-invited-reviews
Physical demands and technical complexities can … their peers during practice to facilitate awareness of problems, motivate improvement, and enable
learning … https://psnet.ahrq.gov/issue/learning-invited-reviews
https://psnet.ahrq.gov/issue/surgeon-fatigue-prospective-analysis-incidence-risk-and-intervals-predicted-fatigue-related … improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear
https://psnet.ahrq.gov/issue/learning-not-blaming