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psnet.ahrq.gov/issue/frequency-risk-factors-potentially-increase-harm-medications-older-adults-receiving-primary
May 18, 2022 - May 11, 2022
Bad things can happen: are medical students aware of patient centered care
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psnet.ahrq.gov/issue/residency-program-fills-medication-safety-void
May 04, 2022 - February 14, 2024
Surgical safety does not happen by accident: learning from perioperative
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psnet.ahrq.gov/issue/restorative-just-culture-exploration-enabling-conditions-successful-implementation
February 08, 2023 - McDonald, MD, JD
April 1, 2019
When mistakes happen.
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psnet.ahrq.gov/issue/hidden-curricula-medical-education-scoping-review
January 13, 2021 - February 15, 2023
Bad things can happen: are medical students aware of patient centered
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psnet.ahrq.gov/issue/same-behavior-different-provider-american-medical-students-attitudes-toward-reporting-risky
May 12, 2021 - January 22, 2016
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Related Resources
Bad things can happen
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psnet.ahrq.gov/issue/how-surgical-trainees-handle-catastrophic-errors-qualitative-study
March 19, 2019 - June 28, 2023
Surgical errors happen, but are learners trained to recover from them?
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psnet.ahrq.gov/node/33849/psn-pdf
January 01, 2018 - We are testifying to things
that didn't actually happen, physical exam findings that we didn't do, or
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psnet.ahrq.gov/issue/disclosing-harmful-mammography-errors-patients
November 03, 2015 - Disclosing errors to patients does not happen consistently, as physicians in patient-care–oriented specialties
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psnet.ahrq.gov/issue/suicide-attempts-and-completions-medical-surgical-and-intensive-care-units
June 21, 2017 - psychiatric units, but a prior Joint Commission sentinel event alert suggested that nearly 15% of attempts happen
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psnet.ahrq.gov/issue/seeking-answers-hearing-silence
October 09, 2024 - Commentary
Seeking answers, hearing silence.
Citation Text:
Hemmelgarn C. Seeking Answers, Hearing Silence. Health Aff (Millwood). 2018;37(8):1332-1334. doi:10.1377/hlthaff.2017.1535.
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psnet.ahrq.gov/issue/medication-errors-affecting-pediatric-patients-unique-challenges-special-population
January 20, 2016 - June 28, 2023
Prescribing errors in children: why they happen and how to prevent them
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psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding-investigation-va-hospital
August 05, 2009 - July 31, 2012
Program encourages reporting accidents waiting to happen: the Good Catch
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psnet.ahrq.gov/issue/washington-hospital-center-safety-program-seeks-catch-near-misses
November 29, 2016 - October 4, 2011
Program encourages reporting accidents waiting to happen: the Good Catch
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psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-reduction
May 07, 2014 - June 27, 2018
Fatal PCA adverse events continue to happen...better patient monitoring
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psnet.ahrq.gov/issue/clinical-reminder-about-safe-use-insulin-vials
June 10, 2018 - June 10, 2018
Fatal PCA adverse events continue to happen...better patient monitoring
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psnet.ahrq.gov/issue/scanning-out-medication-errors-ohio-valley-hospitals-automated-iv-system-provides-real-time
December 21, 2016 - Dealing with medical errors when they happen--instead of in court--can benefit doctors and patients,
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psnet.ahrq.gov/issue/seven-leadership-leverage-points-organization-level-improvement-health-care
November 18, 2011 - June 17, 2014
Could it happen here?
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psnet.ahrq.gov/issue/survey-results-community-liaison-programs-decrease-hospital-readmissions
June 10, 2018 - June 10, 2018
Fatal PCA adverse events continue to happen...better patient monitoring
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psnet.ahrq.gov/issue/medical-errors-and-patient-safety-curriculum-guide-teaching-medical-students-and-family
September 16, 2015 - May 17, 2023
Bad things can happen: are medical students aware of patient centered care
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psnet.ahrq.gov/issue/evolution-apology
September 29, 2010 - Download Citation
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When incidents happen