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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. Exploring how nursing schools handle student errors and near misses.

    Disch J, Barnsteiner J, Connor S, Brogren F. Am J Nurs. 2017;117:24-31.
  2. The clinical and medicolegal implications of radiology results communication.

    Aryal B, Khorsand DA, Dubinsky TJ. Curr Probl Diagn Radiol. 2017 Oct 12; [Epub ahead of print].
  3. The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio.

    Weiner SG, Baker O, Poon SJ, et al. Ann Emerg Med. 2017;70:799-808.e1.
  4. Wrong-site surgery.

    Engelhardt KE, Barnard C, Bilimoria KY. JAMA. 2017;318:2033-2034.
  5. Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era.

    Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Improvement; 2017.
  6. Association of overlapping surgery with increased risk for complications following hip surgery.

    Ravi B, Pincus D, Wasserstein D, et al. JAMA Intern Med. 2017 Dec 4; [Epub ahead of print].
  7. Economic evaluation of pharmacist-led medication reviews in residential aged care facilities.

    Hasan SS, Thiruchelvam K, Kow CS, Ghori MU, Babar ZU. Expert Rev Pharmacoecon Outcomes Res. 2017;17:431-439.
  8. Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures.

    Wong LR, Flynn-Evans E, Ruskin KJ. Anesth Analg. 2017 Oct 17; [Epub ahead of print].
  9. Seen through the patients' eyes: safety of chronic illness care.

    Desmedt M, Petrovic M, Bergs J, et al. Int J Qual Health Care. 2017 Oct 25; [Epub ahead of print].
  10. Simulation-based education to ensure provider competency within the healthcare system.

    Griswold S, Fralliccardi A, Boulet J, et al. Acad Emerg Med. 2017 Sep 30; [Epub ahead of print].
  11. Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents.

    Conn RL, McVea S, Carrington A, Dornan T. PLoS One. 2017;12:e0186210.
  12. Towards a more patient-centered approach to medication safety.

    Lee JL, Dy SM, Gurses AP, et al. J Patient Exper. 2017 Sept 19; [Epub ahead of print].
  13. Organisational paradoxes in speaking up for safety: implications for the interprofessional field.

    Rowland P. J Interprof Care. 2017;31:553-556.
  14. Gender, power and leadership: the effect of a superior's gender on respiratory therapists' ability to challenge leadership during a life-threatening emergency.

    Pattni N, Bould MD, Hayter MA, et al. Br J Anaesth. 2017;119:697-702.
  15. Burnout syndrome among healthcare professionals.

    Bridgeman PJ, Bridgeman MB, Barone J. Am J Health Syst Pharm. 2017 Nov 28; [Epub ahead of print].
  16. Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary care.

    Grant S, Guthrie B. BMJ Qual Saf. 2017 Nov 9; [Epub ahead of print].
  17. Twelve tips for embedding human factors and ergonomics principles in healthcare education.

    Vosper H, Hignett S, Bowie P. Med Teach. 2017 Nov 10; [Epub ahead of print].
  18. Diagnostic errors by medical students: results of a prospective qualitative study.

    Braun LT, Zwaan L, Kiesewetter J, Fischer MR, Schmidmaier R. BMC Med Educ. 2017;17:191.
  19. Patient safety culture in care homes for older people: a scoping review.

    Gartshore E, Waring J, Timmons S. BMC Health Serv Res. 2017;17:752.
  20. New solutions to reduce wrong route medication errors.

    Litman RS, Smith VI, Mainland P. Paediatr Anaesth. 2017 Nov 17; [Epub ahead of print].