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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/partnering-improve-quality-and-safety-framework-working-patient-and-family-advisors
July 01, 2015 - June 12, 2019
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
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psnet.ahrq.gov/issue/after-roe-challenges-provision-lifesaving-care
September 23, 2015 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/disclosure-through-our-eyes
July 02, 2009 - June 26, 2019
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
October 24, 2021 - We thought for sure that many errors that might have happened in the past wouldn't happen. … conversation between the pharmacist and the patient, a lot of errors that we saw in the past would not have happened … If you go to our website, it's very easy—just tell us what happened. … When I need reports regarding how many of this happened, they do that for me.
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psnet.ahrq.gov/issue/associations-between-hospitalist-shift-busyness-diagnostic-confidence-and-resource
September 16, 2020 - October 13, 2018
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“I had no idea this happened
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psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
September 23, 2020 - The process begins with a preliminary investigation into what happened and who was involved, followed
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psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
February 26, 2025 - The way I would look at it is to try to understand what happened, why did it happen, and what do you … JB : W cubed: What happened? Why did it happen? … management have the courage to look a reporter in the eye and say, "First we need to understand what happened
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psnet.ahrq.gov/issue/weekend-versus-weekday-admission-and-mortality-myocardial-infarction
February 18, 2011 - More
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WebM&M Cases
What Happened
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psnet.ahrq.gov/issue/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew-complications
May 02, 2018 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/errors-otolaryngology-revisited
August 11, 2010 - May 17, 2023
Events that inspired change: the importance of sharing what happened to
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psnet.ahrq.gov/issue/do-some-surgical-implants-do-more-harm-good
January 14, 2011 - View More
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Inside the preventable deaths that happened
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psnet.ahrq.gov/issue/teaching-about-diagnostic-errors-through-virtual-patient-cases-pilot-exploration
September 18, 2013 - January 23, 2017
What happened to my patient?
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psnet.ahrq.gov/issue/child-health-pso-10-years-emerging-learning-network
July 28, 2021 - Related Resources
Events that inspired change: the importance of sharing what happened
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psnet.ahrq.gov/issue/girl-who-cried-pain-bias-against-women-treatment-pain
February 08, 2023 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/association-hospitalist-years-experience-mortality-hospitalized-medicare-population
May 11, 2022 - May 27, 2011
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“I had no idea this happened
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psnet.ahrq.gov/issue/clinical-data-sharing-improves-quality-measurement-and-patient-safety
April 21, 2021 - May 17, 2023
Events that inspired change: the importance of sharing what happened to
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psnet.ahrq.gov/issue/quality-framework-remote-antenatal-care-qualitative-study-women-healthcare-professionals-and
October 21, 2020 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/future-artificial-intelligence-applications-cancer-care-global-cross-sectional-survey
April 27, 2022 - May 20, 2020
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
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psnet.ahrq.gov/issue/linking-patient-safety-climate-missed-nursing-care-labor-and-delivery-units-findings-laborrns
January 19, 2022 - It happened to me, as a pregnant OB-GYN.