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Promoting Patient Safety.

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AHRQ’s Patient Safety Network (PSNet) features a collection of the latest news and resources on patient safety, innovations and toolkits, opportunities for CE without a fee 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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March 5, 2025 Weekly Issue

PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety.

Study
Boisvert S, Nelson M, Ross J. J Patient Saf. 2025;21:111-117.
Most medication safety research occurs in the inpatient setting, with less focus on ambulatory care. In this analysis of closed malpractice claims, anti-infectants, narcotics, and anticoagulants were identified in nearly half of the claims. Clinical judgment and communication were the most common contributing factors.
Study
Hose B-Z, Handley JL, Biro J, et al. BMJ Qual Saf. 2025;34:130-132.
Information on the prevalence of errors in artificial intelligence applications and their impact on the healthcare system provides important guidance on development, implementation, and use. This article describes the development of a classification system for two popular uses of AI in health care: patient-facing large language models (LLM) and ambient digital scribes (ADS). Errors were prevalent in both...
Study
Awtry J, Skinner S, Polazzi S, et al. JAMA Surg. 2025;Epub Jan 15.
Stress among surgeons is common and may be associated with surgical errors. This study tracked surgeons' stress using body-worn sensors during the first 5 minutes of surgery to explore the association between stress and postoperative complications. Interestingly, increased stress during the first 5 minutes of surgery was associated with reduced major surgical complications. There was no association with...
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Training and Education

Update Date: February 26, 2025

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 CE. Commentaries are written by patient safety experts and published monthly. Contribute by Submitting a Case anonymously.

Have you encountered medical errors or patient safety issues?
Have you encountered medical errors or patient safety issues? Submit your case below to help the medical community and to prevent similar errors in the future.

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Innovations

The Patient Safety Innovations Exchange highlights important innovations that can lead to improvements in patient safety.

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Toolkits

Toolkits provide practical applications of PSNet research and concepts for front line providers to use in their day to day work.

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Create your own library to save and manage content on any topic of interest. You can start by searching for articles or by creating your library right here.
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