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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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/resources/infotransMOSOPS.pdf
January 01, 2010 - (NOTE: This question asks about things that happened in
the past – should use past tense, not present … accurate,
complete, and timely information with:
(NOTE: This question also asks about things that happened
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www.ahrq.gov/sops/international/medical-office/translators.html
January 01, 2010 - ( Note: This question asks about things that happened in the past—should use past tense, not present … accurate, complete, and timely information with: ( Note: This question also asks about things that happened
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
January 01, 2024 - and embarrassed that the patient remembered waking up during the operation but could not explain what happened … Details of what is recalled should be elicited and compared with what happened during the operation. … It is therefore very important to review the anesthetic record to understand what happened.
19
19 … It will be obvious if the patient truly remembers things that happened during the procedure.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
April 01, 2025 - The Learning From Defects process is structured around four basic questions:
· What happened? … First, what happened?
Slide 31
Case Example: What Happened? … The most straightforward approach was to simply watch the SSI rates and see what happened over time.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
April 01, 2025 - The Learning From Defects process is structured around four basic questions:
· What happened? … First, what happened?
Slide 31
Case Example: What Happened? … The most straightforward approach was to simply watch the SSI rates and see what happened over time.
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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/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
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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/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/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/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/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/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/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/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/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable-health-crisis
August 16, 2023 - It happened to me, as a pregnant OB-GYN.
-
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/many-people-color-worry-good-health-care-tied-their-appearance
September 20, 2023 - It happened to me, as a pregnant OB-GYN.
-
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.