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Promoting Patient Safety.
AHRQ’s Patient Safety Network (PSNet) features a collection of the latest news and resources on patient safety, innovations and toolkits, opportunities for free CME and trainings. The platform provides powerful searching and browsing capability, as well as the ability for users to customize the site around their interests (My Profile).
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The PSNet Collection
May 15, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety.
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Training and Education
WebM&M Case Studies & Spotlight Cases
WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME. Commentaries are written by patient safety experts and published monthly. Contribute by Submitting a Case anonymously.
A 77-year-old man was admitted for coronary artery bypass graft surgery with aortic valve replacement. The operation went... Read More
This pair of cases highlight the immediate and long-term consequences of delayed recognition of compartment syndrome,... Read More
A 26-year-old man presented to the emergency department (ED) with abdominal pain, displaying tachycardia and extreme agitation. Despite... Read More
An elderly patient residing in a group care home, requiring assistance with all activities and having a... Read More
An 82-year-old woman presented to the emergency department for evaluation of “altered mental status” after falling down 5 step-stairs at home. She had... Read More
A 61-year-old patient presented to the emergency department (ED) complaining of weakness with findings of shuffling gait, slurred speech,... Read More
Upcoming Events
The Patient Safety Innovations Exchange highlights important innovations that can lead to improvements in patient safety.
Toolkits provide practical applications of PSNet research and concepts for front line providers to use in their day to day work.
Latest PSNet Libraries
This curated library highlights the prevalence and consequences of diagnostic errors in healthcare settings. It includes articles ... Read More
Organizational learning is an environmental state that ensures lessons from lived experience within a work environment are ... Read More
Value as an element of patient safety is emerging as an approach to prioritize and evaluate improvement actions. This library ... Read More
This curated library highlights concepts associated with the patient as a partner for safety at the team ... Read More
