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AHRQ Patient Safety Network

AHRQ Patient Safety Network (PSNet) is a web-based resource funded by the US Agency for Healthcare Research and Quality and developed and edited by a team at the University of California, San Francisco. The site offers weekly updates of patient safety literature, news, tools, and meetings ("What's New"), and a vast set of carefully annotated links to important research and other information on patient safety ("The Collection"). Supported by a robust patient safety taxonomy and web architecture, AHRQ PSNet provides powerful searching and browsing capability, as well as the ability for diverse users to customize the site around their interests (My PSNet).

The site also includes a growing collection of Primers, which present concise summaries of major topics and concepts in patient safety. PSNet is also tightly coupled with AHRQ WebM&M, the popular monthly journal that features user-submitted cases of medical errors, expert commentaries, and perspectives on patient safety.

Together the two sites receive approximately 1 million visits a year.

Dr. Shojania (Director of CQuIPS) helped develop the site when he worked at UCSF and continues to serve as a member of the editorial team.

  1. Identification and characterization of adverse drug events in primary care.

    Trinkley KE, Weed HG, Beatty SJ, Porter K, Nahata MC. Am J Med Qual. 2017;32:518-525.
  2. Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience.

    Gitelis ME, Kaczynski A, Shear T, et al. Am J Surg. 2017;214:7-13.
  3. Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program.

    Liu JB, Berian JR, Ban KA, et al. Ann Surg. 2017;266:411-420.
  4. Reporting of perioperative adverse events by pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase the rate of reporting.

    Williams GD, Muffly MK, Mendoza JM, Wixson N, Leong K, Claure RE. Anesth Analg. 2017 Jul 1; [Epub ahead of print].
  5. Care transitions know-how not just for clinicians.

    Ready T. HealthLeaders Media. September 26, 2017.
  6. Recognition and prevention of nosocomial malnutrition: a review and a call to action!

    Kirkland LL, Shaughnessy E. Am J Med. 2017 Aug 31; [Epub ahead of print].
  7. A communication training program to encourage speaking-up behavior in surgical oncology.

    D'Agostino TA, Bialer PA, Walters CB, Killen AR, Sigurdsson HO, Parker PA. AORN J. 2017;106:295-305.
  8. Diagnostic Excellence.

    MedU and the Society to Improve Diagnosis in Medicine.
  9. Team-based care: the changing face of cardiothoracic surgery.

    Crawford TC, Conte JV, Sanchez JA. Surg Clin North Am. 2017;97:801-810.
  10. Center for Health Care Human Factors.

    Armstrong Institute for Patient Safety and Quality.
  11. The weekend effect in hospitalized patients: a meta-analysis.

    Pauls LA, Johnson-Paben R, McGready J, Murphy JD, Pronovost PJ, Wu CL. J Hosp Med. 2017;12:760-766.
  12. Wide variation and overprescription of opioids after elective surgery.

    Thiels CA, Anderson SS, Ubl DS, et al. Ann Surg. 2017;266:564-573.
  13. Creating a Culture of Safety and Quality Through Antibiotic Stewardship: A Practical Workshop.

    National Quality Forum. November 15, 2017; Washington, DC.
  14. An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients.

    Bhise V, Sittig DF, Vaghani V, Wei L, Baldwin J, Singh H. BMJ Qual Saf. 2017 Sep 21; [Epub ahead of print].
  15. What can physicians do to help curb the opioid crisis?

    Bendix J. Med Econ. September 25, 2017.
  16. Intervening in interruptions: what exactly is the risk we are trying to manage?

    Gao J, Rae AJ, Dekker SWA. J Patient Saf. 2017 Sep 25; [Epub ahead of print].
  17. Simulation training in obstetrics.

    Gavin NR, Satin AJ. Clin Obstet Gynecol. 2017 Sep 22; [Epub ahead of print].
  18. Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations.

    Mira JJ, Lorenzo S, Carrillo I, et al; Research Group Second and Third Victims. Int J Qual Health Care. 2017;29:450-460.
  19. Americans' Experiences With Medical Errors and Views on Patient Safety.

    Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute; 2017.
  20. Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety.

    Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017.
  21. Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs.

    Mello MM, Kachalia A, Roche S, et al. Health Aff (Millwood). 2017;36:1795-1803.