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21. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60844/psn-pdf
    August 26, 2020 - Surgical errors happen, but are learners trained to recover from them? … Surgical errors happen, but are learners trained to recover from them? … https://psnet.ahrq.gov/issue/surgical-errors-happen-are-learners-trained-recover-them-survey-north- … https://psnet.ahrq.gov/issue/surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical … https://psnet.ahrq.gov/issue/surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60877/psn-pdf
    September 02, 2020 - When bad things happen: training medical students to anticipate the aftermath of medical errors. … When bad things happen: training medical students to anticipate the aftermath of medical errors. … https://psnet.ahrq.gov/issue/when-bad-things-happen-training-medical-students-anticipate-aftermath- … https://psnet.ahrq.gov/issue/when-bad-things-happen-training-medical-students-anticipate-aftermath-medical-errors … https://psnet.ahrq.gov/issue/when-bad-things-happen-training-medical-students-anticipate-aftermath-medical-errors

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/843080/psn-pdf
    January 25, 2023 - Bad things can happen: are medical students aware of patient centered care and safety? … Bad things can happen: are medical students aware of patient centered care and safety? … https://psnet.ahrq.gov/issue/bad-things-can-happen-are-medical-students-aware-patient-centered-care- … https://psnet.ahrq.gov/issue/bad-things-can-happen-are-medical-students-aware-patient-centered-care-and-safety … https://psnet.ahrq.gov/issue/bad-things-can-happen-are-medical-students-aware-patient-centered-care-and-safety

24. Topic (pdf file)
    www.ahrq.gov/sites/default/files/publications/files/sustainability-guideapa.pdf
    January 01, 2009 - Who Should Make This Happen? When Will This Happen? … What Other Information Do I Need To Make This Happen? … Who Should Make This Happen? When Will This Happen? … What Other Information Do I Need To Make This Happen? … Who Should Make This Happen? When Will This Happen?

25. Topic (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guideapa.pdf
    January 01, 2009 - Who Should Make This Happen? When Will This Happen? … What Other Information Do I Need To Make This Happen? … Who Should Make This Happen? When Will This Happen? … What Other Information Do I Need To Make This Happen? … Who Should Make This Happen? When Will This Happen?

26. Implementation Guide for the CANDOR Process: Appendix D | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
    February 01, 2017 - Steps How will this happen? … [Be specific and include important steps to make the idea/activity happen.] … Who will make this happen? [Be specific for each task.] … What other information do I need to make this happen?

27. Learn From Defects - Implementation Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/defects.html
    May 01, 2017 - the types of systems that contributed to the defect (an event or situation that you do not want to happen … Why did it happen?

28. What Happened? | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cusp/videos/05g-what-happened/index.html
    June 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

29. Learn From Defects | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.html
    March 01, 2017 - the types of systems that contributed to the defect (an event or situation that you do not want to happen … Why did it happen?

30. Learn From Defects - Implementation Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/learn.html
    April 01, 2017 - the types of systems that contributed to the defect (an event or situation that you do not want to happen … Why did it happen?

31. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/850356/psn-pdf
    June 14, 2023 - Prescribing errors in children: why they happen and how to prevent them. … Prescribing errors in children: why they happen and how to prevent them. … https://psnet.ahrq.gov/issue/prescribing-errors-children-why-they-happen-and-how-prevent-them Children … https://psnet.ahrq.gov/issue/prescribing-errors-children-why-they-happen-and-how-prevent-them https:/

32. Appendix B. Forms and Training Materials (Appendix Contents) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb.html
    December 01, 2017 - Fall Interventions Monitor Staff Materials Pre and Posttests for Inservice #1, Why Falls Happen … and Posttests for Inservice #2, How to Reduce Falls Pre and Posttests for Inservice #1, Why Falls Happen … for Inservice #2, How to Reduce Falls, Spanish Appendix B17: Handout for Inservice #1, Why Falls Happen … Inservice #2, How to Reduce Falls in Nursing Facilities Appendix B19: Handout for Inservice #1, Why Falls Happen

33. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36149/psn-pdf
    September 29, 2010 - When incidents happen. September 29, 2010 Newfield JS. When Incidents Happen. … https://psnet.ahrq.gov/issue/when-incidents-happen The author discusses post-incident documentation  … https://psnet.ahrq.gov/issue/when-incidents-happen

34. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39923/psn-pdf
    September 03, 2014 - It could happen to you. September 3, 2014 Lippman H, Davenport J. Sued for misdiagnosis? … It could happen to you. J Fam Pract. 2010;59(9):498-508. … https://psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you This article explains how to avoid … https://psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you https://psnet.ahrq.gov/primer/diagnostic-errors

35. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45874/psn-pdf
    February 22, 2017 - Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation … Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Evaluation … https://psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach- process-evaluation-and … https://psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and … https://psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and

36. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38215/psn-pdf
    November 14, 2011 - Could it happen here? Learning from other organizations' safety errors. … Could it happen here? Learning from other organizations' safety errors. … https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors This brief … https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors

37. Prescribing errors in children: why they happen and how to prevent them. | PSNet
    psnet.ahrq.gov/issue/prescribing-errors-children-why-they-happen-and-how-prevent-them
    December 13, 2017 - Newspaper/Magazine Article Prescribing errors in children: why they happen and how … Prescribing errors in children: why they happen and how to prevent them. … Prescribing errors in children: why they happen and how to prevent them.

38. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47678/psn-pdf
    December 19, 2018 - When mistakes happen. December 19, 2018 Beck DL. ASH Clinical News. December 1, 2018. … https://psnet.ahrq.gov/issue/when-mistakes-happen This article provides an overview of efforts to understand … https://psnet.ahrq.gov/issue/when-mistakes-happen https://psnet.ahrq.gov/primer/patient-safety-101 https

39. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44132/psn-pdf
    May 13, 2015 - Adverse outcomes: why bad things happen to good people. May 13, 2015 Sonnenberg A. … Adverse outcomes: why bad things happen to good people. … https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people This commentary provides … https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people https://psnet.ahrq.gov

40. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47914/psn-pdf
    May 22, 2019 - Hospitals look to computers to predict patient emergencies before they happen. … https://psnet.ahrq.gov/issue/hospitals-look-computers-predict-patient-emergencies-they-happen Nuisance … https://psnet.ahrq.gov/issue/hospitals-look-computers-predict-patient-emergencies-they-happen https:/