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461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43477/psn-pdf
     May 19, 2015 - Adverse events in healthcare: learning from mistakes. … Adverse events in healthcare: learning from mistakes. … https://psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes This review discusses chart … lack of a standard method to collect and analyze data can hinder progress in determining trends and learning … https://psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes https://psnet.ahrq.gov/issue

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36341/psn-pdf
     March 09, 2009 - The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning … The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning … psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and- learning … psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning … psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning

463. Psn-Pdf (pdf file)
     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

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34719/psn-pdf
     December 23, 2008 - Learning from samples of one or fewer. December 23, 2008 March JG, Sproull LS, Tamuz M. … https://psnet.ahrq.gov/issue/learning-samples-one-or-fewer Organizations learn from experience. … However, learning from rare events is challenging because experience is limited. … The authors review two strategies for learning from rare events: one that focuses on experiencing the … https://psnet.ahrq.gov/issue/learning-samples-one-or-fewer

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41934/psn-pdf
     May 24, 2016 - Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on … https://psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures- … https://psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment … https://psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment … https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41380/psn-pdf
     June 20, 2012 - A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. … A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. … https://psnet.ahrq.gov/issue/novel-tool-organisational-learning-and-its-impact-safety-culture-hospital … https://psnet.ahrq.gov/issue/novel-tool-organisational-learning-and-its-impact-safety-culture-hospital-dispensary … https://psnet.ahrq.gov/issue/novel-tool-organisational-learning-and-its-impact-safety-culture-hospital-dispensary

467. Psn-Pdf (pdf file)
     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

468. Psn-Pdf (pdf file)
     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

469. Psn-Pdf (pdf file)
     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

470. Psn-Pdf (pdf file)
     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

471. Psn-Pdf (pdf file)
     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

472. Psn-Pdf (pdf file)
     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

473. Psn-Pdf (pdf file)
     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.

474. Psn-Pdf (pdf file)
     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

475. Psn-Pdf (pdf file)
     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

476. Psn-Pdf (pdf file)
     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

477. Psn-Pdf (pdf file)
     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://

478. Psn-Pdf (pdf file)
     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

479. Psn-Pdf (pdf file)
     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

480. Psn-Pdf (pdf file)
     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