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psnet.ahrq.gov/issue/200-epidural-blunders-admitted-after-three-women-die
March 18, 2020 - How could it have happened?
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psnet.ahrq.gov/issue/things-you-should-know-entering-hospital
October 11, 2017 - September 20, 2023
What Happened to Patient Safety.
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
March 27, 2024 - Had that not happened, what do you think the history of that intellectual and policy argument would have … DB : I don't think anything would have happened for many years thereafter. … RW : Some have made the argument that it might have happened a bit more slowly, but it would have happened … because of the value pressures and it might have happened more organically, for better or worse. … The wide use of patient portals would never have happened without Meaningful Use requirements because
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psnet.ahrq.gov/node/33857/psn-pdf
July 01, 2012 - Had that not happened, what do you think the history of that intellectual and policy argument would have … DB: I don't think anything would have happened for many years thereafter. … RW: Some have made the argument that it might have happened a bit more slowly, but it would have
happened … because of the value pressures and it might have happened more organically, for better or
worse. … The wide use of patient portals would never have happened without
Meaningful Use requirements because
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psnet.ahrq.gov/issue/patients-should-know-whos-operating-surgeons-say
May 15, 2024 - October 9, 2024
Inside the preventable deaths that happened within a prominent transplant
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psnet.ahrq.gov/issue/fading-art-physical-exam
July 10, 2024 - August 28, 2019
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
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psnet.ahrq.gov/issue/canadian-incident-analysis-framework
December 04, 2016 - gather insights from staff, patients, and family members regarding what caused the failure and why it happened
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psnet.ahrq.gov/issue/when-heart-attack-goes-undiagnosed
November 08, 2023 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/far-more-could-be-done-stop-deadly-bacteria-c-diff
November 08, 2023 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story
October 28, 2020 - piece includes the perspectives of the patient's family and from the organization regarding what happened
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psnet.ahrq.gov/issue/saving-moms
April 26, 2023 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/snowball-blizzard-physicians-notes-uncertainty-medicine
March 20, 2019 - Debriefing for Clinical Learning
November 18, 2021
Deny, Dismiss, Dehumanise: What Happened
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psnet.ahrq.gov/issue/faced-drug-shortfall-doctors-scramble-treat-children-cancer
October 30, 2019 - How could it have happened?
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psnet.ahrq.gov/issue/coming-clean-medical-mistakes
February 20, 2019 - Here's how it happened.
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psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines
April 29, 2020 - July 10, 2024
Inside the preventable deaths that happened within a prominent transplant
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psnet.ahrq.gov/issue/uncovering-shocking-dangers-misdiagnosis
May 13, 2020 - March 13, 2024
What Happened to Patient Safety.
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psnet.ahrq.gov/issue/joshuas-story
February 26, 2014 - The father's quest to understand what happened led to a comprehensive inquiry that revealed regulatory
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psnet.ahrq.gov/issue/texas-health-presbyterian-hospital-ebola-crisis-perfect-storm-human-errors-system-failures
February 23, 2018 - This analysis of the incident breaks down what happened and explores how attention to mindfulness
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psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-childrens-heart-surgery-bristol-royal-infirmary-1984
October 20, 2021 - Their objectives included understanding what happened in Bristol, assessing the quality of care and system
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psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error
December 19, 2018 - Recommended best practices for error disclosure include being honest about what happened, explicitly