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psnet.ahrq.gov/issue/do-cell-phones-belong-operating-room
September 01, 2016 - Newspaper/Magazine Article
Do cell phones belong in the operating room?
Citation Text:
Do cell phones belong in the operating room? Luthra S. Kaiser Health News. July 14, 2015.
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psnet.ahrq.gov/issue/doctor-administered-fatal-dose-calcium-baby-inquest-told
March 06, 2005 - Newspaper/Magazine Article
Doctor administered fatal dose of calcium to baby, inquest told.
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Doctor administered fatal dose of calcium to baby, inquest told. Morris S.
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psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-i
July 27, 2022 - Newspaper/Magazine Article
High-reliability organizations (HROs): what they know that we don't (Part I).
Citation Text:
High-reliability organizations (HROs): what they know that we don't (Part I). ISMP Medication Safety Alert! Acute care edition. July 14, 2005.
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psnet.ahrq.gov/issue/think-you-cant-make-medication-errors
March 01, 2023 - Newspaper/Magazine Article
Think you can't make medication errors?
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Think you can't make medication errors? Kromis L. Outpatient Surgery Magazine. March 2013.
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psnet.ahrq.gov/issue/operating-room-fire-hospital-burns-patient-prompts-changes
September 21, 2022 - Newspaper/Magazine Article
Operating-room fire at hospital burns patient, prompts changes.
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Operating-room fire at hospital burns patient, prompts changes. Natt TM Jr. The Pilot. August 9, 2013.
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psnet.ahrq.gov/issue/safety-leadership-managing-paradox
November 02, 2011 - Commentary
Safety leadership: managing the paradox.
Citation Text:
Safety leadership: managing the paradox. Carrillo RA. Professional Safety. July 2005;31-34.
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psnet.ahrq.gov/issue/minimizing-medical-mistakes-mothers-mission-reduce-hospital-errors
November 21, 2016 - Audiovisual
Minimizing medical mistakes: mother's mission to reduce hospital errors.
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Minimizing medical mistakes: mother's mission to reduce hospital errors. Takahara D. KDVR. May 19, 2015.
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psnet.ahrq.gov/issue/fatal-gas-line-mix-how-avoid-making-gastly-mistake
April 29, 2018 - Newspaper/Magazine Article
Fatal gas line mix-up: How to avoid making this "gastly" mistake.
Citation Text:
Fatal gas line mix-up: How to avoid making this "gastly" mistake. ISMP Medication Safety Alert! Acute care edition. December 16, 2004
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psnet.ahrq.gov/issue/physician-i-almost-killed-patient-because-advance-directive
June 04, 2014 - Newspaper/Magazine Article
Physician: 'I almost killed a patient' because of an advance directive.
Citation Text:
Physician: 'I almost killed a patient' because of an advance directive. Betbeze P. HealthLeaders Media. May 2, 2014.
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psnet.ahrq.gov/issue/seven-potentially-deadly-prescribing-errors
June 12, 2013 - Newspaper/Magazine Article
Seven (potentially) deadly prescribing errors.
Citation Text:
Seven (potentially) deadly prescribing errors. Graham LR, Scudder L, Stokowski L. Medscape. October 22, 2015.
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integrationacademy.ahrq.gov/news-and-events/calendar/event/22931
September 11, 2024 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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Integrating Behavioral Health & Primary Care
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digital.ahrq.gov/ahrq-funded-projects/decision-support-tool-discontinuation-disease-modifying-therapies-multiple
July 31, 2025 - A Decision Support Tool for the Discontinuation of Disease Modifying Therapies in Multiple Sclerosis
Project Description
A point-of-care decision support tool for discontinuing disease-modifying therapies in those with multiple sclerosis has the potential to reduce the risk inc…
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psnet.ahrq.gov/issue/cedars-sinai-doctors-cling-pen-and-paper-transition-electronic-medical-records-proves
June 15, 2005 - Newspaper/Magazine Article
Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult.
Citation Text:
Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult. Connolly C. Washington Post. March…
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesArora2010.pdf
June 01, 2007 - Project ECHO: Extension for Community Healthcare Outcomes Through Telemedicine
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psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham-4th-january-2001
September 10, 2014 - Book/Report
External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.
Citation Text:
External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. Toft B. London, UK; Crown C…
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psnet.ahrq.gov/issue/sentinel-event
May 30, 2012 - Multi-use Website
Classic
Sentinel Event.
Citation Text:
Sentinel Event. The Joint Commission.
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psnet.ahrq.gov/issue/avoiding-errors-associated-insulin-therapy
April 06, 2022 - Commentary
Avoiding errors associated with insulin therapy.
Citation Text:
Avoiding errors associated with insulin therapy. Cohen H. Medscape CME/CE. May 14, 2009.
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psnet.ahrq.gov/issue/most-dangerous-time-hospital-it-may-be-when-you-leave
March 08, 2017 - Newspaper/Magazine Article
Most dangerous time at the hospital? It may be when you leave.
Citation Text:
Most dangerous time at the hospital? It may be when you leave. Khullar D. New York Times. March 17, 2016.
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psnet.ahrq.gov/issue/health-life-keys-safer-hospitals
August 04, 2021 - Newspaper/Magazine Article
Health for life. Keys to safer hospitals.
Citation Text:
Berwick DM. Health for life. 6 keys to safer hospitals. Newsweek. 2005;146(24):76-8.
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psnet.ahrq.gov/issue/looking-future-patient-safety
February 13, 2018 - Newspaper/Magazine Article
Looking to the future of patient safety.
Citation Text:
Looking to the future of patient safety. Carr S. Patient Saf Qual Healthc. July/August 2014;11:30-35.
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