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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 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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The PSNet Collection
January 15, 2025 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 CE. Commentaries are written by patient safety experts and published monthly. Contribute by Submitting a Case anonymously.
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
A 55-year-old woman with a history of panic attacks, obesity, and untreated hypertension, experienced syncope after... Read More
A patient in his mid-30s presented to the emergency department (ED) with three weeks of intermittent left... Read More
An older man underwent L4-5 decompressive lumbar laminectomy and discectomy, which was... Read More
Infant feeding presents an opportunity for hospital and community staff to review safety processes around... Read More
After drowning in a pool, a 19-month-old child arrived at the ED in respiratory distress, requiring intubation and mechanical ventilation. The patient’s SpO2 did... 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
In recognition of National Pharmacist Day 2025, PSNet has created this Curated Library to provide healthcare ... Read More
This curated library highlights concepts associated with the patient as a partner for safety at the team ... Read More
Watch PSNet's videos below to learn about new features we're implementing across the site and how to use them to enhance your PSNet ... Read More
The medication-use process is highly complex with many steps and risk points for error, and those errors are a key target for ... Read More
