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461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36386/psn-pdf
     July 14, 2010 - Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and … Learning From Different Lenses: Reports of Medical Errors in Primary Care by Clinicians, Staff, and … https://psnet.ahrq.gov/issue/learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff … https://psnet.ahrq.gov/issue/learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff-and-patients … https://psnet.ahrq.gov/issue/learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff-and-patients

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37666/psn-pdf
     April 02, 2008 - Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning … Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning … /psnet.ahrq.gov/issue/safety-anaesthesia-study-12606-reported-incidents-uk-national-reporting-and- learning-system … ://psnet.ahrq.gov/issue/safety-anaesthesia-study-12606-reported-incidents-uk-national-reporting-and-learning-system … ://psnet.ahrq.gov/issue/safety-anaesthesia-study-12606-reported-incidents-uk-national-reporting-and-learning-system

463. (Mis)understanding safety culture and its relationship to safety management. | PSNet
     psnet.ahrq.gov/issue/misunderstanding-safety-culture-and-its-relationship-safety-management
     May 10, 2014 - A review of the safety literature to define learning from incidents, accidents and disasters. … April 21, 2021 Enabling a learning healthcare system with automated computer protocols … February 8, 2023 Positive approaches to safety: learning from what we do well. … February 18, 2017 Learning from failure: the need for independent safety investigation … October 7, 2015 A collaborative learning network approach to improvement: the CUSP learning

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39493/psn-pdf
     May 12, 2010 - Learning from accidents—what more do we need to know? … Learning from accidents – What more do we need to know? … https://psnet.ahrq.gov/issue/learning-accidents-what-more-do-we-need-know Analyzing research on accident … https://psnet.ahrq.gov/issue/learning-accidents-what-more-do-we-need-know

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38215/psn-pdf
     November 14, 2011 - Learning from other organizations' safety errors. November 14, 2011 Conway JB. … Learning from other organizations' safety errors. Healthcare Executive. 2008;23(6):64, 66-67. … https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors This brief … https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38111/psn-pdf
     January 15, 2009 - Learning from adverse events and near misses. January 15, 2009 Greenberg CC. … Learning from adverse events and near misses. J Gastrointest Surg. 2009;13(1):3-5. … https://psnet.ahrq.gov/issue/learning-adverse-events-and-near-misses This commentary explains how identifying … https://psnet.ahrq.gov/issue/learning-adverse-events-and-near-misses https://psnet.ahrq.gov//#latenterror

467. 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

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36597/psn-pdf
     June 24, 2015 - Patient safety: learning from the aviation industry. June 24, 2015 Kosnik LK, Brown J, Maund T. … Patient safety: learning from the aviation industry. Nurs Manage. 2007;38(1):25-30; quiz 31. … https://psnet.ahrq.gov/issue/patient-safety-learning-aviation-industry The authors explain the value … https://psnet.ahrq.gov/issue/patient-safety-learning-aviation-industry https://psnet.ahrq.gov//#crewresourcemanagement

469. 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

470. 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

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35229/psn-pdf
     January 02, 2017 - Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation. … Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. … https://psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning- implementation … https://psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation … https://psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation

472. 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

473. 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

474. 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

475. 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

476. 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

477. 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

478. 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

479. 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

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39985/psn-pdf
     November 10, 2010 - Establishing a global learning community for incident- reporting systems. … Establishing a global learning community for incident-reporting systems. … https://psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems Voluntary … Patient Safety, drew together an international group of error reporting experts in order to develop a learning … https://psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems https: