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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. Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies.

    Kabadi SJ, Krishnaraj A. J Am Coll Radiol. 2017;14:459-466.
  2. Association between state medical malpractice environment and postoperative outcomes in the United States.

    Minami CA, Sheils CR, Pavey E, et al. J Am Coll Surg. 2017;224:310-318.e2.
  3. State sepsis mandates—a new era for regulation of hospital quality.

    Hershey TB, Kahn JM. N Engl J Med. 2017;376:2311-2313.
  4. We are going to name names and call you out! Improving the team in the academic operating room environment.

    Bodor R, Nguyen BJ, Broder K. Ann Plast Surg. 2017;78(suppl 4):S222-S224.
  5. Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records.

    Walker AS, Mason A, Quan TP, et al. Lancet. 2017 May 9; [Epub ahead of print].
  6. A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study.

    Gilmartin-Thomas JF, Smith F, Wolfe R, Jani Y. Int J Nurs Stud. 2017;72:15-23.
  7. Improving patient safety in handover from intensive care unit to general ward: a systematic review.

    Wibrandt I, Lippert A. J Patient Saf. 2017 Apr 27; [Epub ahead of print].
  8. Exploring the experience of nurse practitioners who have committed medical errors: a phenomenological approach.

    Delacroix R. J Am Assoc Nurse Pract. 2017 Apr 27; [Epub ahead of print].
  9. High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation.

    Dufay É, Doerper S, Michel B, et al. Saf Health. 2017;3:6.
  10. Flying lessons for clinicians: developing system 2 practice.

    Gregoire JN, Alfes CM, Reimer AP, Terhaar MF. Air Med J. 2017;36:135-137.
  11. Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports.

    Riblet N, Shiner B, Watts BV, Mills P, Rusch B, Hemphill RR. J Nerv Ment Dis. 2017;205:436-442.
  12. Mobilising or standing still? A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from 2009 to 2016.

    Mitchell B, Cristancho S, Nyhof BB, Lingard LA. BMJ Qual Saf. 2017 Jun 3; [Epub ahead of print].
  13. Enhanced time out: an improved communication process.

    Nelson PE. AORN J. 2017;105:564-570.
  14. Patient engagement with surgical site infection prevention: an expert panel perspective.

    Tartari E, Weterings V, Gastmeier P, et al. Antimicrob Resist Infect Control. 2017;6:45.
  15. The impact of a diagnostic decision support system on the consultation: perceptions of GPs and patients.

    Porat T, Delaney B, Kostopoulou O. BMC Med Inform Decis Mak. 2017;17:79.
  16. Identifying and analyzing diagnostic paths: a new approach for studying diagnostic practices.

    Rao G, Epner P, Bauer V, Solomonides A, Newman-Toker DE. Diagnosis. 2017;4:67-72.
  17. Implementation of a modified bedside handoff for a postpartum unit.

    Wollenhaup CA, Stevenson EL, Thompson J, Gordon HA, Nunn G. J Nurs Adm. 2017;47:320-326.
  18. Interventions to improve oral chemotherapy safety and quality: a systematic review.

    Zerillo JA, Goldenberg BA, Kotecha RR, Tewari AK, Jacobson JO, Krzyzanowska MK. JAMA Oncol. 2017 Jun 1; [Epub ahead of print].
  19. Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences.

    Woodruff E. Baltimore Sun. June 9, 2017.
  20. AHRQ Safety Program for Improving Surgical Care and Recovery.

    Rockville, MD: Agency for Healthcare Research and Quality.