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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 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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February 21, 2024 Weekly Issue

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

Study
Iancu A, Leb I, Prokosch H-U, et al. Int J Med Inform. 2023;180:105241.
Pediatric medication management, in particular, requires precise dosing based on a wide range of variables including age, weight, and metabolism. This review sought to evaluate existing machine learning algorithms for medication dosing to determine which algorithms may perform best for children. Algorithms based on regression methods or decision trees performed best, but, because only 1 of the 36 studies...
Study
Bernstein SL, Picciolo M, Grills E, et al. Jt Comm J Qual Patient Saf. 2023;Epub Dec 13.
Severe maternal morbidity continues to be a patient safety challenge. In this study, obstetric nurses and physicians describe unique system factors that affect obstetric nurses when their patients experience clinical deterioration in rural hospitals. Lack of resources included physical necessities such as a blood bank as well as human resources in the form of staff practicing "at the top of their game"....
Review
Rossi S, Hayter M, Zuco A, et al. Nurs Open. 2023;11:e2043.
Nurses play a significant role during transitions of care, such as discharge from inpatient care to the home. Findings from this systematic review of 15 studies confirm the role of nurses in ensuring high-quality care and patient safety in pediatric inpatient care. The review identified five essential elements that could be used in a checklist to ensure safe discharge to home – emergency management,...
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Training and Education

Update Date: January 31, 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.

Jazmin A. Wander, MD and David K. Barnes, MD, FACEP. | January 31, 2024

A woman presented to the emergency department (ED) for evaluation of a laceration to the palmer aspect of her left thumb. The treating clinician... Read More

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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.