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PSNet: Patient Safety Network
Newspaper/Magazine Article

Becoming a high-reliability organization through shared learning of safety events

Klenklen J. Patient Saf Qual HCare. December 19, 2019.

High reliability organizations consistently examine what goes wrong and remain aware that failure can happen at any time. This article discusses a learning model built upon event definition, rapid contributing factor identification, system-focused communication, and standardized learning to facilitate organizational learning from sentinel events.