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psnet.ahrq.gov/issue/reducing-diagnostic-error-measurement-considerations
September 06, 2011 - June 2, 2020
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
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psnet.ahrq.gov/issue/patient-safety-supplement
November 01, 2012 - April 30, 2008
The Emperor’s New Clothes: Or Whatever Happened To “Human Error”?
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psnet.ahrq.gov/issue/hospitals-look-improve-informed-consent-process
November 10, 2010 - June 28, 2023
Inside the preventable deaths that happened within a prominent transplant
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psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes
August 24, 2016 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/doctors-diagnosing-gets-technological-boost
May 18, 2005 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/man-wants-heal-health-care
January 18, 2006 - Here's how it happened.
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psnet.ahrq.gov/issue/why-false-positives-merit-concern-too
February 19, 2010 - How could it have happened?
October 30, 2019
My human doctor.
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psnet.ahrq.gov/node/33670/psn-pdf
July 01, 2008 - 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
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psnet.ahrq.gov/issue/every-error-treasure-improving-medication-use-nonpunitive-reporting-system
August 17, 2016 - describe the implementation of a nonpunitive reporting system at their hospital and the improvements that happened
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psnet.ahrq.gov/issue/these-patients-had-lobby-correct-diabetes-diagnoses-was-their-race-reason
July 10, 2024 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/patient-safety-context-perinatal-neonatal-and-pediatric-care
April 01, 2024 - October 15, 2008
The Emperor’s New Clothes: Or Whatever Happened To “Human Error”?
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psnet.ahrq.gov/issue/strengthening-open-disclosure-maternity-services-english-nhs-discern-realist-evaluation-study
April 12, 2023 - Following adverse events, many patients and families welcome disclosure from their providers about what happened
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psnet.ahrq.gov/issue/safety-ii-behavior-pediatric-intensive-care-unit
January 12, 2022 - frequently referred to as Safety-I , involved responding to adverse events and near misses after they happened
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psnet.ahrq.gov/issue/ers-are-swamped-seriously-ill-patients-although-many-dont-have-covid
November 01, 2023 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/when-theres-no-one-whom-error-can-be-disclosed-how-should-error-be-handled
March 19, 2018 - the author argues that the clinician and organization still have the responsibility to document what happened
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psnet.ahrq.gov/issue/he-thought-what-he-was-doing-was-good-people-why-it-so-difficult-prevent-unnecessary-medical
September 02, 2020 - View More
Related Resources
Inside the preventable deaths that happened
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psnet.ahrq.gov/issue/educational-agenda-diagnostic-error-reduction
February 27, 2019 - January 23, 2017
What happened to my patient?
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psnet.ahrq.gov/issue/prescription-disaster-americas-broken-pharmacy-system-revolt-over-burnout-and-errors
May 17, 2023 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/checklists-safety-my-culture-and-me
June 19, 2019 - September 30, 2014
“I had no idea this happened”: electronic feedback on clinical reasoning
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psnet.ahrq.gov/issue/widows-mission-change-nc-dental-sedation-rules
March 10, 2021 - Here's how it happened.