U.S. flag

An official website of the Department of Health & Human Services

AHRQ: Agency for Healthcare Research and Quality

Search AHRQ

For an exact phrase match, enclose search terms in double quotes.

Go to Advanced Search
Go to Basic Search

Results

Total Results: 1,790 records

Showing results for "happened".

  1. In Conversation with...Albert Wu, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
    February 26, 2025 - So there's no way of knowing what has happened. … And this happened after a lengthy root cause analysis, which took perhaps 100 hours to perform. … And at every meeting, the board should also track what had happened to the previous quarter's or previous … year's root cause analyses and recommendations, and again, if possible, what has happened to that kind

  2. In Conversation with…Robert M. Wachter, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
    October 01, 2008 - That was appropriate when the adverse events just happened and they cost institutions more money to take … So if the hospital is going to be tagged with an adverse event that happened at another place, that's … advance directives and other elements of complex care that take time, where the metric of whether it happened … Under the old payment system, when the adverse event happened, the hospital would get paid an extra 50% … And I think that's happened.

  3. Doctors wrestle with A.I. in patient care, citing lax oversight. | PSNet

    psnet.ahrq.gov/issue/doctors-wrestle-ai-patient-care-citing-lax-oversight
    August 09, 2023 - How could it have happened?

  4. Phony diagnoses hide high rates of drugging at nursing homes. | PSNet

    psnet.ahrq.gov/issue/phony-diagnoses-hide-high-rates-drugging-nursing-homes
    December 22, 2021 - How could it have happened?

  5. Antifatness in the surgical setting. | PSNet

    psnet.ahrq.gov/issue/antifatness-surgical-setting
    October 12, 2022 - Equity in Patient Safety March 27, 2024 Inside the preventable deaths that happened

  6. Unwell Women: Misdiagnosis and Myth in a Man-Made World. | PSNet

    psnet.ahrq.gov/issue/unwell-women-misdiagnosis-and-myth-man-made-world
    March 20, 2019 - It happened to me, as a pregnant OB-GYN.

  7. The wrong foot, and other tales of surgical error. | PSNet

    psnet.ahrq.gov/issue/wrong-foot-and-other-tales-surgical-error
    January 18, 2023 - How could it have happened?

  8. Nurses seek to reduce long hours and fatigue. | PSNet

    psnet.ahrq.gov/issue/nurses-seek-reduce-long-hours-and-fatigue
    March 08, 2019 - It happened to me, as a pregnant OB-GYN.

  9. Doctors were alarmed: would I have my children have surgery here? | PSNet

    psnet.ahrq.gov/issue/doctors-were-alarmed-would-i-have-my-children-have-surgery-here
    February 19, 2020 - How could it have happened?

  10. The pain was unbearable. So why did doctors turn her away? | PSNet

    psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away
    November 25, 2020 - Here's how it happened.

  11. Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks. | PSNet

    psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors-may-slip-through
    June 24, 2020 - It happened to me, as a pregnant OB-GYN.

  12. The APSF: 20-year anniversary of the first patient safety organization: past, present & future. | PSNet

    psnet.ahrq.gov/issue/apsf-20-year-anniversary-first-patient-safety-organization-past-present-future
    October 26, 2022 - Here's how it happened.

  13. The glaring loophole in U.S. virus response: human error. | PSNet

    psnet.ahrq.gov/issue/glaring-loophole-us-virus-response-human-error
    March 18, 2020 - View More Related Resources Inside the preventable deaths that happened

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33877/psn-pdf
    April 01, 2019 - They were allowed to call a hotline number and report issues that had happened. … That is how physicians became engaged in notifying the organization about things that had happened. … about 16% of them will say anything empathically, anything along the lines of "I'm so sorry this has happened … You don't know the facts yet, but you do know something terrible has happened to her."

  15. Nursing homes cited 1,000 times for medication errors. | PSNet

    psnet.ahrq.gov/issue/nursing-homes-cited-1000-times-medication-errors
    May 18, 2005 - It happened to me, as a pregnant OB-GYN.

  16. Death of a boy prompts new medical efforts nationwide. | PSNet

    psnet.ahrq.gov/issue/death-boy-prompts-new-medical-efforts-nationwide
    March 22, 2014 - How could it have happened?

  17. Simulation in Healthcare. | PSNet

    psnet.ahrq.gov/issue/simulation-healthcare
    November 23, 2014 - March 27, 2005 The Emperor’s New Clothes: Or Whatever Happened To “Human Error”?

  18. Minnesota hospitals are testing ways to reduce return trips. | PSNet

    psnet.ahrq.gov/issue/minnesota-hospitals-are-testing-ways-reduce-return-trips
    January 18, 2012 - Here's how it happened.

  19. Working Knowledge: How Organizations Manage What They Know. | PSNet

    psnet.ahrq.gov/issue/working-knowledge-how-organizations-manage-what-they-know
    May 24, 2016 - March 10, 2021 Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.

  20. Healthcare industry representatives: maximizing benefits and reducing risks. | PSNet

    psnet.ahrq.gov/issue/healthcare-industry-representatives-maximizing-benefits-and-reducing-risks
    March 18, 2010 - September 20, 2023 Inside the preventable deaths that happened within a prominent transplant
SHARE:
Facebook Twitter Print Facebook Share

Similar Terms:

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

You selected to view results for the following site:

View results from all sites