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. Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices.

    Armstrong GE, Dietrich M, Norman L, Barnsteiner J, Mion L. J Nurs Care Qual. 2017;32:226-233.
  2. The impact of critical event checklists on medical management and teamwork during simulated crises in a surgical daycare facility.

    Everett TC, Morgan PJ, Brydges R, et al. Anaesthesia. 2017;72:350-358.
  3. Microanalysis of video from the operating room: an underused approach to patient safety research.

    Bezemer J, Cope A, Korkiakangas T, et al. BMJ Qual Saf. 2017;26:583-587.
  4. Rude providers jeopardize patient safety. So stop it.

    Thew J. HealthLeaders Media. June 14, 2017.
  5. Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care.

    Aiken LH, Sloane D, Griffiths P, et al; RN4CAST Consortium. BMJ Qual Saf. 2017;26:559-568.
  6. Common predictors of nurse-reported quality of care and patient safety.

    Stimpfel AW, Djukic M, Brewer CS, Kovner CT. Health Care Manage Rev. 2017 Mar 3; [Epub ahead of print].
  7. The 2016 John M. Eisenberg Patient Safety and Quality Awards.

    Jt Comm J Qual Patient Saf. 2017;43:315-337.
  8. Death due to pharmacy compounding error reinforces need for safety focus.

    ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4.
  9. Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care.

    Sharma M, Krishnamurthy M, Snyder R, Mauro J. Clin Pract. 2017;7:953.
  10. Clinical outcomes associated with medication regimen complexity in older people: a systematic review.

    Wimmer BC, Cross AJ, Jokanovic N, et al. J Am Geriatr Soc. 2017;65:747-753.
  11. Evaluating serial strategies for preventing wrong-patient orders in the NICU.

    Adelman JS, Aschner JL, Schechter CB, et al. Pediatrics. 2017;139:e20162863.
  12. What we know about designing an effective improvement intervention (but too often fail to put into practice).

    Marshall M, de Silva D, Cruickshank L, Shand J, Wei L, Anderson J. BMJ Qual Saf. 2017;26:578-582.
  13. The second victim: a review.

    Coughlan B, Powell D, Higgins MF. Eur J Obstet Gynecol Reprod Biol. 2017;213:11-16.
  14. Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organizational culture.

    Davies J, Pucher PH, Ibrahim H, Stubbs B. J Surg Res. 2017;212:222-228.
  15. Changing the narratives for patient safety.

    Pronovost PJ, Sutcliffe KM, Basu L, Dixon-Woods M. Bull World Health Organ. 2017;95:478-480.
  16. Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies.

    Sears NA, Blais R, Spinks M, Paré M, Baker GR. BMC Health Serv Res. 2017;17:400.
  17. Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation.

    van Pelt M, Weinger MB. Anesth Analg. 2017 Jun 9; [Epub ahead of print].
  18. A piece of my mind. Speak up.

    Merrill DG. JAMA. 2017;317:2373-2374.
  19. Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis.

    Luxenberg A, Chan B, Khanna R, Sarkar U. JAMA Intern Med. 2017 Jun 19; [Epub ahead of print].
  20. IHI/NPSF Webcast: The Business Case for Patient Safety.

    IHI/NPSF Patient Safety Coalition, Healthcare Financial Management Association. July 25, 2017; 1:00–2:00 PM (Eastern).