-
psnet.ahrq.gov/issue/does-malpractice-liability-make-healthcare-safer-aligning-law-and-policy-evidence
August 26, 2020 - June 2, 2021
View More
Related Resources
Medication mix-up: what happened
-
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.
-
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
-
psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er
March 15, 2022 - Patient Safety Initiatives
July 10, 2024
Inside the preventable deaths that happened
-
psnet.ahrq.gov/issue/discontinuity-and-disaster-gaps-and-negotiation-culpability-medication-delivery
June 24, 2020 - Patient Safety Initiatives
July 10, 2024
Inside the preventable deaths that happened
-
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.
-
psnet.ahrq.gov/issue/premature-closure-not-so-fast
September 28, 2022 - February 27, 2019
What happened to my patient?
-
psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety
May 01, 2019 - Summary
July 23, 2024
Events that inspired change: the importance of sharing what happened
-
psnet.ahrq.gov/issue/made-whole-efficacy-legal-redress-black-women-who-have-suffered-injuries-medical-bias
February 23, 2022 - May 17, 2023
Medication mix-up: what happened at Vanderbilt and how it impacts health
-
psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors
June 26, 2019 - It happened to me, as a pregnant OB-GYN.
-
psnet.ahrq.gov/issue/medical-errors-kill-thousands-people-each-year-are-hospitals-getting-any-safer
June 17, 2020 - It happened to me, as a pregnant OB-GYN.
-
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
-
psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
December 08, 2024 - How could it have happened?
-
psnet.ahrq.gov/issue/abandon-term-second-victim
October 09, 2024 - May 22, 2019
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
-
psnet.ahrq.gov/node/33686/psn-pdf
August 01, 2009 - Similar to
what happened in Boston, a bunch of people stood up and said, "Well, we've tried everything … Why do you think the problem
happened? What can we do to help?" … proves to be a difficult problem, are part of the constant experimentation to discover why the
problem happened … How could that have happened?" … don't avoid meeting the patient's needs but call attention to the
problem so we can understand why it happened
-
psnet.ahrq.gov/issue/when-surgeon-too-old-operate
February 12, 2016 - How could it have happened?
-
psnet.ahrq.gov/issue/girl-dies-during-restraint-hospital-already-criticized-problems
March 16, 2011 - October 25, 2023
Inside the preventable deaths that happened within a prominent transplant
-
psnet.ahrq.gov/issue/whistle-blowing-nurse-acquitted-texas
May 28, 2008 - How could it have happened?
-
psnet.ahrq.gov/issue/infection-unnoticed-turns-unstoppable
November 07, 2012 - How could it have happened?
-
psnet.ahrq.gov/issue/mistaking-error
July 06, 2011 - December 22, 2008
The Emperor’s New Clothes: Or Whatever Happened To “Human Error”?