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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/stigmatizing-language-patient-demographics-and-errors-diagnostic-process
April 12, 2023 - April 24, 2018
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“I had no idea this happened
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psnet.ahrq.gov/issue/identifying-and-classifying-diagnostic-errors-acute-care-across-hospitals-early-lessons
April 12, 2023 - May 19, 2021
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“I had no idea this happened
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psnet.ahrq.gov/issue/morbidity-and-mortality-caused-noncompliance-california-hospital-licensure-immediate
May 19, 2021 - January 9, 2024
Inside the preventable deaths that happened within a prominent transplant
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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.
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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/investigating-mediating-effect-patient-self-efficacy-relationship-between-patient-safety
September 08, 2021 - September 14, 2022
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What Happened to
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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/impact-patient-safety-bundle-and-team-based-training-obstetric-hypertensive-emergencies
July 21, 2021 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/examination-leapfrog-safety-measures-and-magnet-designation
January 27, 2021 - May 17, 2023
Events that inspired change: the importance of sharing what happened to
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psnet.ahrq.gov/issue/diagnostic-disparities-and-strategies-enhancing-diagnostic-equity-hospital-medicine
April 12, 2023 - October 13, 2018
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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/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/attitudes-and-practices-related-clinical-alarms
April 18, 2018 - January 18, 2012
WebM&M Cases
What Happened on Telemetry
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psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril
March 13, 2013 - June 5, 2019
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
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psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse
September 04, 2016 - March 1, 2023
Medication mix-up: what happened at Vanderbilt and how it impacts health
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psnet.ahrq.gov/issue/paediatric-international-patient-safety-and-quality-community
September 30, 2015 - October 6, 2021
The Emperor’s New Clothes: Or Whatever Happened To “Human Error”?
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psnet.ahrq.gov/issue/root-cause-analysis-action-building-foundations
August 19, 2020 - November 13, 2019
Inside the preventable deaths that happened within a prominent transplant … It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - Finally, look at how often (and under
what circumstances) this or something similar has happened, either … It is about telling stories of what happened.