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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. Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system.

    Sardaneh AA, Burke R, Ritchie A, McLachlan AJ, Lehnbom EC. Int J Med Inform. 2017;101:41-49.
  2. The relationship between patient safety climate and occupational safety climate in healthcare—a multi-level investigation.

    Pousette A, Larsman P, Eklöf M, Törner M. J Safety Res. 2017;61:187-198.
  3. Missed diagnosis of cardiovascular disease in outpatient general medicine: insights from malpractice claims data.

    Quinn GR, Ranum D, Song E, et al. Jt Comm J Qual Patient Saf. 2017 Jun 26; [Epub ahead of print].
  4. Challenging authority during an emergency—the effect of a teaching intervention.

    Friedman Z, Perelman V, McLuckie D, et al. Crit Care Med. 2017;45:e814-e820. 
  5. Identifying high-alert medications in a university hospital by applying data from the medication error reporting system.

    Tyynismaa L, Honkala A, Airaksinen M, Shermock K, Lehtonen L. J Patient Saf. 2017 Jun 1; [Epub ahead of print].
  6. Diagnostic stewardship—leveraging the laboratory to improve antimicrobial use.

    Morgan DJ, Malani P, Diekema DJ. JAMA. 2017 Jul 31; [Epub ahead of print].
  7. Impact of a restraint management bundle on restraint use in an intensive care unit.

    Hall DK, Zimbro KS, Maduro RS, Petrovitch D, Ver Schneider P, Morgan M. J Nurs Care Qual. 2017 Jun 27; [Epub ahead of print].
  8. Deployment of a second victim peer support program: a replication study.

    Merandi J, Liao N, Lewe D, et al. Pediatr Qual Saf. 2017 Jun 21; [Epub ahead of print].
  9. Perception of safety of surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death rate in South Carolina.

    Molina G, Berry WR, Lipsitz SR, et al. Ann Surg. 2017 Jun 27; [Epub ahead of print].
  10. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions.

    Car LT, Papachristou N, Urch C, et al. J Glob Health. 2017;7:011001.
  11. Using simulation to improve systems-based practices.

    Gardner AK, Johnston M, Korndorffer JR Jr, Haque I, Paige JT. Jt Comm J Qual Patient Saf. 2017 Jul 19; [Epub ahead of print].
  12. High reliability leadership: a conceptual framework.

    Martínez-Córcoles M. J Contingencies Crisis Manage. 2017 Jul 4; [Epub ahead of print].
  13. Opioid Stewardship Across the Care Continuum.

    Armstrong Institute for Patient Safety and Quality. September 25, 2017; The Johns Hopkins Hospital, Baltimore, MD.
  14. In treating sepsis, questions about timing and mandates.

    Abbasi J. JAMA. 2017;318:506-508.
  15. Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors.

    Hickman TT, Quist AJL, Salazar A, et al. BMJ Qual Saf. 2017 Jul 28; [Epub ahead of print].
  16. Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health.

    Han B, Compton WM, Blanco C, Crane E, Lee J, Jones CM. Ann Intern Med. 2017 Aug 1; [Epub ahead of print].
  17. Health Literacy Tools for Providers of Medication Therapy Management.

    Rockville, MD: Agency for Healthcare Research and Quality.
  18. Time for transparent standards in quality reporting by health care organizations.

    Pronovost PJ, Wu AW, Austin JM. JAMA. 2017 Aug 7; [Epub ahead of print].
  19. Intraoperative surgical performance measurement and outcomes: choose your tools carefully.

    Aggarwal R. JAMA Surg. 2017 Aug 9; [Epub ahead of print].
  20. Optimal Resources for Surgical Quality and Safety.

    Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242.