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psnet.ahrq.gov/issue/fatal-mistakes
October 19, 2016 - September 4, 2019
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
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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
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psnet.ahrq.gov/issue/escape-fire-designs-future-health-care
May 26, 2010 - May 21, 2019
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
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psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
December 08, 2024 - How could it have happened?
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psnet.ahrq.gov/issue/abandon-term-second-victim
October 09, 2024 - May 22, 2019
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
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psnet.ahrq.gov/issue/machine-learning-medicine
March 13, 2024 - March 11, 2011
What happened to my patient?
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psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
February 26, 2025 - 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."
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psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regarding-disclosure-medical-errors
March 21, 2017 - Patients wanted disclosure of all harmful errors, why the errors happened, and how recurrences would
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psnet.ahrq.gov/node/33688/psn-pdf
October 01, 2009 - A couple of things happened in the summer of 2003
that caused us to focus on King/Drew. … RW: You mentioned that there was a second thing that happened? … Then, not only is the problem what actually happened, but the problem is that you tried to
cover it … mistake
was made, patients may have died, and the key thing is to be honest about it, explain how it happened … RW: If a hospital that had the same deficiencies and the same Joint Commissioner or state reports
happened
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psnet.ahrq.gov/issue/wide-heart-monitor-use-tied-missed-alarms
July 19, 2023 - May 25, 2016
WebM&M Cases
What Happened on Telemetry?
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psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance
September 20, 2023 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable-health-crisis
August 16, 2023 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many-safety-violations
June 28, 2023 - Related Resources From the Same Author(s)
Inside the preventable deaths that happened
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psnet.ahrq.gov/issue/millions-people-used-tainted-breathing-machines-fda-failed-use-its-power-protect-them
June 28, 2023 - Related Resources From the Same Author(s)
Inside the preventable deaths that happened
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psnet.ahrq.gov/issue/deficient-care-patient-who-died-suicide-and-facility-leaders-response-charlie-norwood-va
November 29, 2023 - Claims that the facility purposely sought to hide information that the suicide happened were unsubstantiated
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
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.
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psnet.ahrq.gov/issue/demanding-medical-excellence-doctors-and-accountability-information-age
May 13, 2020 - December 9, 2020
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
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psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us-health-care
February 15, 2023 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/physician-liability-age-data-reliance-and-errors
March 18, 2020 - March 18, 2020
Medication mix-up: what happened at Vanderbilt and how it impacts health
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psnet.ahrq.gov/issue/how-columbia-ignored-women-undermined-prosecutors-and-protected-predator-more-20-years
May 31, 2023 - August 16, 2023
Inside the preventable deaths that happened within a prominent transplant