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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 - 4 of 4 Results
Sparks JL, Crouch DL, Sobba K, et al. JAMA Surg. 2017;152:818-825.
… to adverse events in the operating room. There is a growing recognition that surgeons must learn these … residents participated in an educational intervention (a simulated surgical emergency) that simultaneously targeted … used two different types of simulation —high fidelity (a cadaver) and medium fidelity (an anatomically correct …
WebM&M Case December 1, 2016
An older woman experienced acute kidney injury after being prescribed a nephrotoxic medication (amphotericin) intended for the ICU patient in the next bed. Caring for both patients, the covering resident entered the medication order for the wrong patient despite a policy requiring infectious disease consultation to prescribe IV amphotericin.
Filice GA, Drekonja DM, Thurn JR, et al. Infect Control Hosp Epidemiol. 2015;36:949-56.
Overuse of antibiotics is a major factor in the development of certain types of health care–associated infections. This retrospective study found that unnecessary antibiotic use was often a result of diagnostic error, particularly in patients who were empirically treated for urinary tract infections without clear diagnostic evidence. The results of this study imply that addressing diagnostic uncertainty should be a component of antimicrobial stewardship programs.