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.

A pinpoint beam strays invisibly, harming instead of healing.

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Bogdanich W; Rebelo K.

This article explores inaccuracy of dosage, lack of protocol adherence, and absence of transparency as trends that hinder learning from radiological adverse events.

Radiation offers new cures, and ways to do harm.

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Bogdanich W. New York Times. January 24, 2010:A1.

First in a series on medical radiation, this news feature investigates patient deaths and injuries following mistakes related to radiation treatment. The journalists discuss the number of radiation therapy errors in New York and reveal that state law does not require public reporting of such mistakes.

At VA hospital, a rogue cancer unit.

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Bogdanich W.

Flawed safety standards, including a lack of peer review and oversight, led to a series of errors in a cancer unit at a Philadelphia Veterans Affairs hospital.

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