Sorry, you need to enable JavaScript to visit this website.
Skip to main content

Promoting Patient Safety.

Search Tips

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).

Browse the Collection Learn More About Patient Safety Browse by Clinical Areas

Popular Searches

September 11, 2024 Weekly Issue

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

Review
Craske ME, Hardeman W, Steel N, et al. BMJ Qual Saf. 2024;Epub Jul 16.
At several points during a hospital stay, a patient may receive a medication review with a pharmacist to reduce the risk of medication errors. This review characterizes themes and components of pharmacist-led medication reviews associated with positive patient outcomes. Patient involvement in goal setting was identified as a successful component that would benefit from additional research.
Commentary
Hager P, Jungmann F, Holland R, et al. Nat Med. 2024;Epub Jul 4.
Researchers, clinicians, and other stakeholders are hopeful that integration of artificial intelligence and large language models (LLMs) can improve patient safety and reduce clinician burden. This study used 2,400 real patient cases to test several LLM's ability to correctly diagnose common abdominal complaints. Each LLM performed significantly worse than physicians, did not follow treatment or...
Study
Rizk E, Kaur N, Duong PY, et al. Am J Health Syst Pharm. 2024;Epub Jul 1.
Overprescribing of opioids for acute pain (such as post-surgical pain) can increase the risk for long-term opioid dependence. This study evaluated whether implementation of an EHR alert reduced opioid overprescribing, defined as opioid prescribing exceeding current recommendations. Among a cohort of patients discharged after surgical procedures commonly associated with overprescribing (laparoscopic...
Sign up for PSNet Issues today!

Training and Education

Update Date: August 28, 2024

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.

Spotlight Case
CE/MOC
New
Justin L. Devera, MD, David K. Barnes, MD, FACEP, and William R. Lewis, MD | August 28, 2024

A 54-year-old man with a history of tobacco use presented to the emergency department (ED) with acute chest pain. He was initially stable upon arrival, though with... Read More

Take the Quiz
Commentary by Robert M. Szabo, MD, MPH, FAOA | August 28, 2024

A woman underwent surgery for carpal tunnel syndrome without complications and was discharged with instructions to avoid soaking her hand in water (to reduce... Read More

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.

Upcoming Events

International Meeting/Conference

Health Service Journal. September 16-17, 2024. Manchester Central Convention Complex, Manchester UK.

Improvement Resources
Bulb
Innovations

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

Toolkit
Toolkits

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

Create Your Own Library

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.