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9981. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46398/psn-pdf
      June 25, 2018 - Challenges in health care simulation: are we learning anything new? … Challenges in Health Care Simulation: Are We Learning Anything New? … https://psnet.ahrq.gov/issue/challenges-health-care-simulation-are-we-learning-anything-new Simulation … The authors encourage research that could help to formalize the evidence base of this promising learning … https://psnet.ahrq.gov/issue/challenges-health-care-simulation-are-we-learning-anything-new https://psnet.ahrq.gov

9982. 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.

9983. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40508/psn-pdf
      June 08, 2011 - Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning … Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning … /psnet.ahrq.gov/issue/hassle-dispensary-pilot-study-proactive-risk-monitoring-tool-organisational- learning-based … ://psnet.ahrq.gov/issue/hassle-dispensary-pilot-study-proactive-risk-monitoring-tool-organisational-learning-based … ://psnet.ahrq.gov/issue/hassle-dispensary-pilot-study-proactive-risk-monitoring-tool-organisational-learning-based

9984. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44418/psn-pdf
      September 23, 2015 - Learning from patient safety incidents in incident review meetings: organisational factors and indicators … Learning from patient safety incidents in incident review meetings: Organisational factors and indicators … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and

9985. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47397/psn-pdf
      January 09, 2019 - Using patient safety reporting systems to understand the clinical learning environment: a content analysis … Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis … https://psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning- environment-content … https://psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning-environment-content … https://psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning-environment-content

9986. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46393/psn-pdf
      September 06, 2017 - The role of South--North partnerships in promoting shared learning and knowledge transfer. … The role of South-North partnerships in promoting shared learning and knowledge transfer. … https://psnet.ahrq.gov/issue/role-south-north-partnerships-promoting-shared-learning-and-knowledge- … https://psnet.ahrq.gov/issue/role-south-north-partnerships-promoting-shared-learning-and-knowledge-transfer … https://psnet.ahrq.gov/issue/role-south-north-partnerships-promoting-shared-learning-and-knowledge-transfer

9987. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44555/psn-pdf
      October 07, 2015 - Learning without borders: a review of the implementation of medical error reporting in Médecins Sans … Learning without Borders: A Review of the Implementation of Medical Error Reporting in Médecins Sans … https://psnet.ahrq.gov/issue/learning-without-borders-review-implementation-medical-error-reporting- … https://psnet.ahrq.gov/issue/learning-without-borders-review-implementation-medical-error-reporting-medecins-sans … https://psnet.ahrq.gov/issue/learning-without-borders-review-implementation-medical-error-reporting-medecins-sans

9988. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43962/psn-pdf
      December 04, 2015 - Undergraduate baccalaureate nursing students' self- reported confidence in learning about patient safety … Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety … https://psnet.ahrq.gov/issue/undergraduate-baccalaureate-nursing-students-self-reported-confidence- learning-about-patient … https://psnet.ahrq.gov/issue/undergraduate-baccalaureate-nursing-students-self-reported-confidence-learning-about-patient … https://psnet.ahrq.gov/issue/undergraduate-baccalaureate-nursing-students-self-reported-confidence-learning-about-patient

9989. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46658/psn-pdf
      April 18, 2018 - Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices … Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices … https://psnet.ahrq.gov/issue/safer-healthcare-home-detecting-correcting-and-learning-incidents-involving … https://psnet.ahrq.gov/issue/safer-healthcare-home-detecting-correcting-and-learning-incidents-involving-infusion-devices … https://psnet.ahrq.gov/issue/safer-healthcare-home-detecting-correcting-and-learning-incidents-involving-infusion-devices

9990. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45997/psn-pdf
      April 19, 2017 - Learning through experience: influence of formal and informal training on medical error disclosure skills … Learning through experience: influence of formal and informal training on medical error disclosure skills … https://psnet.ahrq.gov/issue/learning-through-experience-influence-formal-and-informal-training-medical … https://psnet.ahrq.gov/issue/learning-through-experience-influence-formal-and-informal-training-medical-error-disclosure … https://psnet.ahrq.gov/issue/learning-through-experience-influence-formal-and-informal-training-medical-error-disclosure

9991. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43667/psn-pdf
      November 12, 2014 - Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. … Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. … https://psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using … https://psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis … https://psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis

9992. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44864/psn-pdf
      March 23, 2016 - Caught in the middle: a resident perspective on influences from the learning environment that perpetuate … Caught in the Middle: A Resident Perspective on Influences From the Learning Environment That Perpetuate … https://psnet.ahrq.gov/issue/caught-middle-resident-perspective-influences-learning-environment- perpetuate-mistreatment … https://psnet.ahrq.gov/issue/caught-middle-resident-perspective-influences-learning-environment-perpetuate-mistreatment … https://psnet.ahrq.gov/issue/caught-middle-resident-perspective-influences-learning-environment-perpetuate-mistreatment

9993. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47380/psn-pdf
      September 05, 2018 - Operating management system for high reliability: leadership, accountability, learning and innovation … Operating management system for high reliability: Leadership, accountability, learning and innovation … https://psnet.ahrq.gov/issue/operating-management-system-high-reliability-leadership-accountability- learning-and … https://psnet.ahrq.gov/issue/operating-management-system-high-reliability-leadership-accountability-learning-and … https://psnet.ahrq.gov/issue/operating-management-system-high-reliability-leadership-accountability-learning-and

9994. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45645/psn-pdf
      November 16, 2016 - Simulated settings; powerful arenas for learning patient safety practices and facilitating transference … Simulated settings; powerful arenas for learning patient safety practices and facilitating transference … https://psnet.ahrq.gov/issue/simulated-settings-powerful-arenas-learning-patient-safety-practices-and … https://psnet.ahrq.gov/issue/simulated-settings-powerful-arenas-learning-patient-safety-practices-and-facilitating … https://psnet.ahrq.gov/issue/simulated-settings-powerful-arenas-learning-patient-safety-practices-and-facilitating

9995. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47421/psn-pdf
      October 17, 2018 - The relationship between the learning and patient safety climates of clinical departments and residents … The Relationship Between the Learning and Patient Safety Climates of Clinical Departments and Residents … https://psnet.ahrq.gov/issue/relationship-between-learning-and-patient-safety-climates-clinical- departments-and-residents … https://psnet.ahrq.gov/issue/relationship-between-learning-and-patient-safety-climates-clinical-departments-and-residents … https://psnet.ahrq.gov/issue/relationship-between-learning-and-patient-safety-climates-clinical-departments-and-residents

9996. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47636/psn-pdf
      December 12, 2018 - Learning from tragedy: the Julia Berg story. December 12, 2018 Graber ML, Berg D, Jerde W, et al. … Learning from tragedy: the Julia Berg story. … https://psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story This commentary provides a clinical review … https://psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story https://psnet.ahrq.gov/issue/clinical-diagnoses-and-autopsy-findings-discrepancies-critically-ill-patients … bias-eye-beholder-vignette-study-assess-recognition-cognitive-biases-clinical-case-workups https://psnet.ahrq.gov/issue/learning-patients-experiences-related-diagnostic-errors-essential-progress-patient-safety

9997. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45850/psn-pdf
      July 02, 2017 - Learning from the design, development and implementation of the Medication Safety Thermometer. … Learning from the design, development and implementation of the Medication Safety Thermometer. … https://psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety- thermometer … https://psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety-thermometer … https://psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety-thermometer

9998. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39590/psn-pdf
      June 09, 2010 - Learning from the best. June 9, 2010 Grantham D. Learning from the best. … https://psnet.ahrq.gov/issue/learning-best This news article highlights an award-winning addiction treatment … https://psnet.ahrq.gov/issue/learning-best

9999. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35242/psn-pdf
      February 24, 2011 - Learning from patient-reported incidents. … Learning from patient-reported incidents. J Gen Intern Med. 2005;20(9):830-6. … https://psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient … https://psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported … https://psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported

10000. Psn-Pdf (pdf file)
       psnet.ahrq.gov/node/44483/psn-pdf
       September 09, 2015 - Learning Not Blaming. September 9, 2015 Department of Health and Social Care. … https://psnet.ahrq.gov/issue/learning-not-blaming The National Health Service (NHS) has a history of … recommendations in the three reports included the need to support open discussions about what went wrong, learning … https://psnet.ahrq.gov/issue/learning-not-blaming https://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical