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4801. 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

4802. 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

4803. 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

4804. 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

4805. 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

4806. 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

4807. 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.

4808. 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

4809. 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

4810. 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

4811. 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

4812. 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

4813. 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

4814. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46763/psn-pdf
      January 27, 2019 - Human-simulation-based learning to prevent medication error: a systematic review. … Human-simulation-based learning to prevent medication error: A systematic review. … https://psnet.ahrq.gov/issue/human-simulation-based-learning-prevent-medication-error-systematic-review … https://psnet.ahrq.gov/issue/human-simulation-based-learning-prevent-medication-error-systematic-review

4815. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45970/psn-pdf
      March 22, 2017 - A learning health care system using computer-aided diagnosis. March 22, 2017 Cahan A, Cimino JJ. … A Learning Health Care System Using Computer-Aided Diagnosis. … https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis Although advanced … https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis https://psnet.ahrq.gov

4816. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40219/psn-pdf
      December 29, 2014 - Cardiac surgery errors: results from the UK National Reporting and Learning System. … Cardiac surgery errors: results from the UK National Reporting and Learning System. … https://psnet.ahrq.gov/issue/cardiac-surgery-errors-results-uk-national-reporting-and-learning-system … https://psnet.ahrq.gov/issue/cardiac-surgery-errors-results-uk-national-reporting-and-learning-system

4817. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45302/psn-pdf
      November 28, 2016 - Patients and families as teachers: a mixed methods assessment of a collaborative learning model for … Patients and families as teachers: a mixed methods assessment of a collaborative learning model for … https://psnet.ahrq.gov/issue/patients-and-families-teachers-mixed-methods-assessment-collaborative- learning-model-medical … https://psnet.ahrq.gov/issue/patients-and-families-teachers-mixed-methods-assessment-collaborative-learning-model-medical … https://psnet.ahrq.gov/issue/patients-and-families-teachers-mixed-methods-assessment-collaborative-learning-model-medical

4818. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38976/psn-pdf
      October 07, 2009 - Radiology errors: are we learning from our mistakes? … Radiology errors: are we learning from our mistakes? … https://psnet.ahrq.gov/issue/radiology-errors-are-we-learning-our-mistakes This survey study found that … https://psnet.ahrq.gov/issue/radiology-errors-are-we-learning-our-mistakes https://psnet.ahrq.gov/issue

4819. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46534/psn-pdf
      January 31, 2018 - Safety considerations in learning new procedures: a survey of surgeons. … Safety considerations in learning new procedures: a survey of surgeons. … https://psnet.ahrq.gov/issue/safety-considerations-learning-new-procedures-survey-surgeons This survey … https://psnet.ahrq.gov/issue/safety-considerations-learning-new-procedures-survey-surgeons https://psnet.ahrq.gov

4820. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60265/psn-pdf
      January 01, 2019 - Quality Improvement and Patient Safety Competencies Across the Learning Continuum. … https://psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-competencies-across-learning- continuum … https://psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-competencies-across-learning-continuum … https://psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-competencies-across-learning-continuum