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psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
September 01, 2007 - SPOTLIGHT CASE
Out of Sight, Out of Mind: Out-of-Office Test Result Management
Citation Text:
Poon EG. Out of Sight, Out of Mind: Out-of-Office Test Result Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/node/842919/psn-pdf
February 01, 2023 - Hospital-Acquired Diabetic Ketoacidosis.
February 1, 2023
Zuidema D, Bagley B, Tan CL. Hospital-Acquired Diabetic Ketoacidosis. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
The Cases
Case #1: A 46-year-old Hindi-speaking resident of a skilled nursing facility (SNF) …
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psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
February 01, 2023 - SPOTLIGHT CASE
When the Lytes Go Out: A Case of Inpatient Cardiac Arrest
Citation Text:
Stripe B, Zuidema D. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.…
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psnet.ahrq.gov/Information/Editor
May 23, 2025 - Browse Author Resources
Meet PSNet's Editorial Team The PSNet editorial team is committed to producing the highest quality patient safety content. The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that PSNet content is accurate, reliable, and…
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - ABCDEF Bundle + Data Literacy Training, Performance Measurement Tracking, and Performance Feedback
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February 28, 2024
Innovation
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - Project BOOST Increases Patient Understanding of Treatment and Follow-up Care
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May 26, 2021
Innovation
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-33
June 16, 2019 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:18-21.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-13
January 17, 2018 - Commentary
ISMP medication error report analysis.
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ISMP medication error report analysis. Cohen MR; Smetzer JL.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-21
January 17, 2018 - Commentary
ISMP medication error report analysis.
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ISMP medication error report analysis. Cohen MR; Smetzer JL.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-0
June 16, 2019 - Commentary
ISMP medication error report analysis.
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ISMP medication error report analysis. Cohen MR.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-19
June 16, 2019 - Commentary
ISMP medication error report analysis.
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ISMP medication error report analysis. Cohen MR. Hosp Pharm. 2007;42(11):982-985.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-1
June 16, 2019 - Commentary
ISMP medication error report analysis.
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ISMP medication error report analysis. Cohen MR.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-4
October 25, 2023 - Commentary
ISMP medication error report analysis.
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ISMP medication error report analysis. Cohen M.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-36
December 30, 2014 - Commentary
ISMP medication error report analysis.
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ISMP medication error report analysis. Cohen MR. Hosp Pharm. 2009;44:463-464.
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psnet.ahrq.gov/issue/drug-healthcare-and-patient-safety
June 06, 2012 - Newsletter/Journal
Drug, Healthcare and Patient Safety.
Citation Text:
Drug, Healthcare and Patient Safety. Aparasu R, ed. Princeton, NJ: Dove Press. ISSN: 1179-1365.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-25
December 30, 2014 - Commentary
ISMP medication error report analysis.
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ISMP medication error report analysis. Cohen MR, Smetzer JL. Hosp Pharm. 2008;43:353-356.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-23
June 16, 2019 - Commentary
ISMP medication error report analysis.
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ISMP medication error report analysis. Cohen MR, Smetzer JL. Hosp Pharm. 2008;43:168-171.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-20
January 17, 2018 - Commentary
ISMP medication error report analysis.
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ISMP medication error report analysis. Cohen MR; Smetzer JL.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-22
June 16, 2019 - Commentary
ISMP medication error report analysis.
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ISMP medication error report analysis. Cohen MR; Smetzer JL. Hosp Pharm. 2008;43(2):81-84.
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psnet.ahrq.gov/issue/safe-use-initiative
April 08, 2020 - Multi-use Website
Safe Use Initiative.
Citation Text:
Safe Use Initiative. Food and Drug Administration
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