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psnet.ahrq.gov/issue/patient-safety-listen-whistleblowers
May 22, 2019 - September 20, 2023
Events that inspired change: the importance of sharing what happened
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psnet.ahrq.gov/issue/racial-ethnic-and-payer-disparities-adverse-safety-events-are-there-differences-across
December 01, 2019 - May 17, 2023
Events that inspired change: the importance of sharing what happened to
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psnet.ahrq.gov/issue/denied-abortion-doomed-pregnancy-she-tells-texas-court-there-was-no-mercy
April 01, 2020 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im-neurologist
April 27, 2022 - It happened to me, as a pregnant OB-GYN.
April 26, 2023
The prisoner.
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - When a person asks, “What happened?” they are initiating the process of debriefing. … What happened last night?
Nurse JA is the clinical nurse supervisor on a trauma unit. … psnet.ahrq.gov/primer/root-cause-analysis
has a list of personnel who were present and wants to find out what happened … , why it happened, and how
to prevent a similar event from happening ever again.
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - When a person asks, “What happened?” they are initiating the process of debriefing. … What happened last night? Nurse JA is the clinical nurse supervisor on a trauma unit. … JA has a list of personnel who were present and wants to find out what happened, why it happened, and
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psnet.ahrq.gov/node/33648/psn-pdf
March 01, 2007 - After we signed the legal papers, I called Rick Kidwell, the lawyer at Hopkins, and said, "What
happened … They're great things that happened. That
makes me really happy.
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psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
October 02, 2024 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/language-discordance-and-patient-care-babel
October 30, 2024 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety
March 29, 2007 - October 18, 2017
The Emperor’s New Clothes: Or Whatever Happened To “Human Error”?
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psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help
July 20, 2016 - How could it have happened?
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psnet.ahrq.gov/issue/when-healthcare-hurts
January 15, 2014 - August 1, 2012
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
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psnet.ahrq.gov/issue/robotic-assisted-surgery-focus-training-and-credentialing
January 07, 2015 - View More
Related Resources
Inside the preventable deaths that happened
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psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety
June 09, 2011 - How could it have happened?
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psnet.ahrq.gov/issue/unprotected-broken-promises-georgias-senior-care-industry
December 04, 2016 - How could it have happened?
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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - you wouldn't want to do the whole aviation style, let's get the black box and find out exactly what happened … Because otherwise, you'll never really find out what happened and any resulting root cause analysis will … We know that it's very difficult to track down what's happened if weeks to months have gone by. … , and if you can identify them 6 months later, they're probably not going to remember a lot of what happened … They just want to let somebody know that something important happened, and if somebody in a position
-
psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - you wouldn't want to do the whole aviation style, let's get the black box and find out exactly what happened … Because otherwise, you'll never really find out what happened and any resulting root cause analysis will … We know that it's very difficult to track down what's happened if weeks to months have gone by. … , and if you can identify them 6 months later, they're probably not going to remember a lot of what happened … They just want to let somebody know that something important happened, and if somebody in a position
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psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
September 06, 2023 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/role-racism-core-patient-safety-issue
March 18, 2020 - It happened to me, as a pregnant OB-GYN.
April 26, 2023
Saving Moms.
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psnet.ahrq.gov/issue/ageing-surgeon-qualitative-study-expert-opinions-assuring-performance-and-supporting-safe
May 05, 2021 - View More
Related Resources
Inside the preventable deaths that happened