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The PSNet Collection: All Content

The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.

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Displaying 1 - 3 of 3 Results
Perspective on Safety March 1, 2008
… as they undergo potentially morbid procedures. … C. Christopher Smith, MD … Associate Director, Internal Medicine Residency … School … Grace C. Huang, MD … Director of Assessment, Carl J. Shapiro Institute for Education and Research at Harvard …
Prior to the introduction of the Medical Procedure Service (MPS) in 2002, medical procedures at our institution (Beth Israel Deaconess Medical Center) were performed and taught using the time-honored apprenticeship model of "see one, do one, teach one." Residents were expected to independently perform and teach most medical procedures (central venous line placement, thoracentesis, paracentesis, and lumbar punctures). Procedural instruction was limited and poorly standardized; furthermore, trainee performance was infrequently supervised or assessed.
Dr. Rosen is Medical Director of the Inpatient Specialty Program (ISP) Hospitalist service at Cedars-Sinai Medical Center. He also assists with the operation of Cedars-Sinai's innovative Procedure Center, which provides numerous procedural services for inpatients and outpatients. This Center and Dr. Rosen's work have been featured in articles in the Wall Street Journal and elsewhere. In this conversation, we explore the value of a dedicated procedure center and the emergence of specialized physicians to staff them ("proceduralists") and the challenges inherent in teaching novices how to perform risky procedures without harming patient safety.