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4741. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37432/psn-pdf
      November 29, 2009 - The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary … https://psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate-patient … https://psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate-patient-safety … https://psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate-patient-safety

4742. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38147/psn-pdf
      October 15, 2008 - Learning not to take it seriously: junior doctors' accounts of error. … Learning not to take it seriously: junior doctors' accounts of error. … https://psnet.ahrq.gov/issue/learning-not-take-it-seriously-junior-doctors-accounts-error Physicians … https://psnet.ahrq.gov/issue/learning-not-take-it-seriously-junior-doctors-accounts-error https://psnet.ahrq.gov

4743. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38501/psn-pdf
      June 12, 2009 - Learning from defects to enhance morbidity and mortality conferences. … Learning from defects to enhance morbidity and mortality conferences. … https://psnet.ahrq.gov/issue/learning-defects-enhance-morbidity-and-mortality-conferences This article … https://psnet.ahrq.gov/issue/learning-defects-enhance-morbidity-and-mortality-conferences https://psnet.ahrq.gov

4744. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36503/psn-pdf
      January 07, 2011 - Learning from litigation. The role of claims analysis in patient safety. … Learning from litigation. The role of claims analysis in patient safety. … https://psnet.ahrq.gov/issue/learning-litigation-role-claims-analysis-patient-safety The authors from … https://psnet.ahrq.gov/issue/learning-litigation-role-claims-analysis-patient-safety https://psnet.ahrq.gov

4745. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45153/psn-pdf
      May 18, 2016 - Structuring feedback and debriefing to achieve mastery learning goals. … Structuring feedback and debriefing to achieve mastery learning goals. … https://psnet.ahrq.gov/issue/structuring-feedback-and-debriefing-achieve-mastery-learning-goals This … support resuscitation https://psnet.ahrq.gov/issue/structuring-feedback-and-debriefing-achieve-mastery-learning-goals

4746. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40852/psn-pdf
      January 19, 2012 - Understanding how rapid response systems may improve safety for the acutely ill patient: learning from … Understanding how rapid response systems may improve safety for the acutely ill patient: learning from … psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill- patient-learning … psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill-patient-learning … psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill-patient-learning

4747. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41986/psn-pdf
      January 23, 2013 - Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. … Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. … https://psnet.ahrq.gov/issue/slow-progress-meeting-hospital-safety-standards-learning-leapfrog-groups … https://psnet.ahrq.gov/issue/slow-progress-meeting-hospital-safety-standards-learning-leapfrog-groups-efforts … https://psnet.ahrq.gov/issue/slow-progress-meeting-hospital-safety-standards-learning-leapfrog-groups-efforts

4748. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46781/psn-pdf
      August 20, 2018 - Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy … Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy … https://psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study … https://psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk … https://psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk

4749. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41612/psn-pdf
      August 22, 2012 - Team safety and innovation by learning from errors in long-term care settings. … Team safety and innovation by learning from errors in long-term care settings. … https://psnet.ahrq.gov/issue/team-safety-and-innovation-learning-errors-long-term-care-settings This … https://psnet.ahrq.gov/issue/team-safety-and-innovation-learning-errors-long-term-care-settings https

4750. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44529/psn-pdf
      September 30, 2015 - Learning from no-fault treatment injury claims to improve the safety of older patients. … Learning from no-fault treatment injury claims to improve the safety of older patients. … https://psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients … https://psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients

4751. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44219/psn-pdf
      February 02, 2016 - The husband's story: from tragedy to learning and action. February 2, 2016 Bromiley M. … The husband's story: from tragedy to learning and action. BMJ Qual Saf. 2015;24(7):425-427. … https://psnet.ahrq.gov/issue/husbands-story-tragedy-learning-and-action This commentary explores insights … https://psnet.ahrq.gov/issue/husbands-story-tragedy-learning-and-action https://psnet.ahrq.gov/primer

4752. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43252/psn-pdf
      August 24, 2016 - published evidence, staff knowledge, and other data to enable safety improvement and organizational learning … psnet.ahrq.gov/issue/managing-risks-organizational-accidents https://psnet.ahrq.gov/issue/water-cooler-learning-knowledge-sharing-clinical-backstage-and-its-contribution-patient … https://psnet.ahrq.gov/issue/water-cooler-learning-knowledge-sharing-clinical-backstage-and-its-contribution-patient … https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance

4753. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40503/psn-pdf
      June 08, 2011 - The science of safety improvement: learning while doing. June 8, 2011 Clancy CM, Berwick DM. … The science of safety improvement: learning while doing. … https://psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing Accompanying a consensus … https://psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing https://psnet.ahrq.gov/issue

4754. Governing the quality and safety of healthcare: a conceptual framework. | PSNet
      psnet.ahrq.gov/issue/governing-quality-and-safety-healthcare-conceptual-framework
      September 03, 2011 - July 10, 2017 Learning from diagnostic errors to improve patient safety when GPs work … on Safety Interview In Conversation with Lucy Savitz about Learning … 24, 2018 Using a network organisational architecture to support the development of Learning … October 10, 2018 IDEA4PS: the development of a research-oriented learning healthcare … August 8, 2018 A learning health care system using computer-aided diagnosis.

4755. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43826/psn-pdf
      June 01, 2015 - Radiation Oncology Incident Learning System. … https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system Reporting of near misses and … adverse events can provide a foundation for learning from error. … https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system https://psnet.ahrq.gov/issue

4756. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42555/psn-pdf
      January 15, 2014 - patient-safety-committing-learn-and-acting-improve This special issue highlights research exploring educational, learning … Article topics include action learning and simulation as patient safety education methods and developing … patient-safety-nursing-education-contexts-tensions-and-feeling-safe-learn https://psnet.ahrq.gov/issue/learning-action-developing-safety-improvement-capabilities-through-action-learning

4757. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43011/psn-pdf
      May 20, 2014 - Early warnings, weak signals and learning from healthcare disasters. May 20, 2014 Macrae C. … Early warnings, weak signals and learning from healthcare disasters. … https://psnet.ahrq.gov/issue/early-warnings-weak-signals-and-learning-healthcare-disasters This commentary … https://psnet.ahrq.gov/issue/early-warnings-weak-signals-and-learning-healthcare-disasters https://psnet.ahrq.gov

4758. Never Events--Framework 2010-11. | PSNet
      psnet.ahrq.gov/issue/never-events-framework-200910
      January 31, 2018 - London, UK: National Reporting and Learning Service; 2010. … London, UK: National Reporting and Learning Service; 2010. … London, UK: National Reporting and Learning Service; 2010. … August 5, 2020 Learning From Mistakes. … November 25, 2009 NHS ‘Learning from Deaths’ reports: a qualitative and quantitative

4759. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44300/psn-pdf
      July 29, 2015 - Learning From Serious Failings in Care: Main Report. … https://psnet.ahrq.gov/issue/learning-serious-failings-care-main-report Substantive reports of failures … https://psnet.ahrq.gov/issue/learning-serious-failings-care-main-report https://psnet.ahrq.gov/issue/ … report-mid-staffordshire-nhs-foundation-trust-public-inquiry https://psnet.ahrq.gov/issue/after-mid-staffordshire-acknowledgement-through-learning-improvement

4760. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43096/psn-pdf
      August 22, 2016 - Rapid learning of adverse medical event disclosure and apology. … Rapid Learning of Adverse Medical Event Disclosure and Apology. … https://psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology Obstetricians … https://psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology https://psnet.ahrq.gov