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psnet.ahrq.gov/issue/role-apology-laws-medical-malpractice
July 29, 2020 - June 17, 2020
When bad things happen: training medical students to anticipate the aftermath
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psnet.ahrq.gov/issue/they-are-terrified-fearing-coronavirus-people-potentially-fatal-conditions-avoid-emergency
May 27, 2020 - March 25, 2020
Surgical errors happen, but are learners trained to recover from them?
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psnet.ahrq.gov/issue/fewer-better-auditory-alarms-will-improve-patient-safety
August 11, 2021 - February 14, 2024
Surgical safety does not happen by accident: learning from perioperative
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psnet.ahrq.gov/issue/no-bad-apples
May 15, 2019 - December 14, 2012
Program encourages reporting accidents waiting to happen: the Good
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psnet.ahrq.gov/issue/two-steps-forward-and-one-step-back-patient-safety
June 10, 2018 - August 8, 2018
Fatal PCA adverse events continue to happen...better patient monitoring
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psnet.ahrq.gov/issue/making-hospitals-safe-people-diabetes
November 14, 2018 - 31, 2023
Hospitals look to computers to predict patient emergencies before they happen
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psnet.ahrq.gov/issue/smart-pumps-advanced-capabilities-and-continuous-quality-improvement
December 10, 2014 - Dealing with medical errors when they happen--instead of in court--can benefit doctors and patients,
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psnet.ahrq.gov/issue/hospital-takes-page-toyota
April 03, 2005 - June 17, 2014
Could it happen here?
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psnet.ahrq.gov/issue/administering-saline-flush-site-unseen-can-lead-wrong-route-error
June 10, 2018 - Related Resources From the Same Author(s)
Fatal PCA adverse events continue to happen
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psnet.ahrq.gov/issue/nearly-90-major-medical-mistakes-logged-utah-hospitals-2008
July 02, 2009 - September 27, 2016
Program encourages reporting accidents waiting to happen: the Good
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psnet.ahrq.gov/issue/make-hospitals-less-deadly-dose-data
August 13, 2014 - Dealing with medical errors when they happen--instead of in court--can benefit doctors and patients,
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psnet.ahrq.gov/issue/quality-improvement-series
July 05, 2013 - February 8, 2023
Bad things can happen: are medical students aware of patient centered
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psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
May 31, 2023 - You have this great EHR, you should be harnessing it for safety, but these transcription errors still happen
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psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system
April 01, 2015 - Web-based reporting system to monitor types of medication errors and near misses , determine when they happen
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psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - There was a sudden shift that had to happen during the pandemic. … there's naturally some overlap in these
areas, and when something like COVID-19 occurs, errors do happen … how healthcare spaces need to be designed to support the
teamwork and communication that needs to happen
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psnet.ahrq.gov/issue/recognizing-excellence-diagnosis
November 03, 2023 - Multi-use Website
Recognizing Excellence in Diagnosis.
Citation Text:
Recognizing Excellence in Diagnosis. The Leapfrog Group.
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psnet.ahrq.gov/issue/costs-and-benefits-early-alert-surveillance-system-hospital-inpatients
January 24, 2024 - Citation
Related Resources From the Same Author(s)
Surgical safety does not happen
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psnet.ahrq.gov/node/50613/psn-pdf
October 30, 2019 - RW: How did that happen? … Assuming this cannot happen overnight, but
over the course of a decade or two that it often takes to … A bunch of
things happen; then on the billing side, another process generates an itemized bill someone … While that does happen, it's exceedingly rare. Maternal mortality in general is exceeding
rare.
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psnet.ahrq.gov/node/33654/psn-pdf
August 01, 2007 - the CEO of this institution and said, well, at least it's nice to know that
things like that don't happen … How did that happen?
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psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
February 26, 2025 - It has moved to include supporting physicians when mistakes happen but way beyond that.