The PSNet Collection

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.

Medication errors: an overview for clinicians.

Save to Library

Wittich CM, Burkle CM, Lanier WL. Mayo Clin Proc. 2014;89:1116-25.

Medication safety is an ongoing challenge as adverse drug events continue to contribute to patient harm and death. This review explores medication errors, including common causes, incidence rates, factors that can increase risk, and methods to prevent them.

Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events.

Save to Library

Wittich CM, Reed DA, Drefahl MM, et al. Acad Med. 2011;86:737-41.

This study found that residents’ reflections on improvement opportunities were stable over their 3-year training period, lower for systems reflections than for personal ones, and associated with the preventability of adverse events.

Measuring faculty reflection on adverse patient events: development and initial validation of a case-based learning system.

Save to Library

Wittich CM, Lopez-Jimenez F, Decker LK, et al. J Gen Intern Med. 2011;26:293-8.

Reflection, or thinking about thinking, is often used as a technique to encourage learning from adverse events. This study describes the development and pilot testing of a case-based system to encourage and measure reflection among faculty physicians at an academic medical center.

A systems approach to morbidity and mortality conference.

Save to Library

Szostek JH, Wieland ML, Loertscher LL, et al. Am J Med. 2010;123:663-668.

… Am. J. Med. … Am J Med … Morbidity and Mortality (M&M) conferences are designed to explore systems that … relevant safety issues. In training programs , growth of M&M conferences also serves to teach important principles of …

The PSNet Collection: All Content

Search All Content

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The PSNet Collection: All Content

Search All Content

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site