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9981. 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

9982. 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

9983. 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

9984. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34735/psn-pdf
      June 16, 2014 - An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS … https://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs- chaired-chief-medical … understanding error by addressing a key set of goals to create unified reporting mechanisms, support an open learning … 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

9985. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44616/psn-pdf
      November 04, 2015 - Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning … Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning … psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and- institutional-learning … psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning … psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning

9986. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43764/psn-pdf
      July 03, 2016 - Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. … Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. … //psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching- and-learning … https://psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching-and-learning … https://psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching-and-learning

9987. 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

9988. 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

9989. 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

9990. 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

9991. 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

9992. 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

9993. 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

9994. 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

9995. 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

9996. (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

9997. 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

9998. 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

9999. 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

10000. 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