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.

Search All Content

Clear all filter(s)

Displaying 1 - 20 of 64 Results

Redesigning Event Review with RCA2

Save to Library

Institute for Healthcare Improvement. September 13 - November 7, 2023.

Root cause analysis (RCA) is a widely recognized retrospective strategy for learning from failure that is challenging to implement. This series of webinars will feature an innovative approach to RCA that expands on the concept to facilitate its use in incident investigations. Instructors for the series will include Dr. Terry Fairbanks and Dr. Tejal K. Gandhi.

Finding & Creating Joy in Work.

Save to Library

Institute for Healthcare Improvement. September 13 - November 21, 2023.

Burnout among health care workers negatively affects system improvement. This webinar series will highlight strategies to establish a healthy work environment that strengthens teamwork, staff engagement, and resilience. Instructors include Dr. Donald Berwick and Derek Feeley.

APSF Stoelting Conference.

Save to Library

Anesthesia Patient Safety Foundation. September 6–7, 2023; Red Rock Casino Resort and Spa, Las Vegas, NV.

Anesthesia is a high-risk activity that has achieved safety successes. This hybrid conference will explore topics related to the theme of “Emerging Medical Technologies – A Patient Safety Perspective on Wearables, Big Data and Remote Care.”

CUSP Implementation Training.

Save to Library

Armstrong Institute for Patient Safety and Quality.

The comprehensive unit-based safety program (CUSP) approach emphasizes improving safety culture through a continuous process of reporting and learning from errors, improving teamwork, and engaging staff at all levels in safety efforts. Available on demand and live, this session covers how to utilize CUSP, including understanding and addressing challenges to implementation. The next virtual session will be held July 18, 2023.

ISMP Medication Safety Intensive.

Save to Library

Institute for Safe Medication Practices. June 8-9, 2023.

This virtual workshop will explore tactics to ensure medication safety, including strategic planning, risk assessment, and Just Culture principles.

World Patient Safety, Science & Technology Summit.

Save to Library

Patient Safety Movement Foundation. VEA Newport Beach, Newport Beach, CA, June 1-2, 2023.

Multidisciplinary educational opportunities promote cross-industry learning to improve patient safety. This session will highlight safety culture and patient advocacy as topics.

TeamSTEPPS Master Training Virtual Course.

Save to Library

AHA Team Training. April 20 - June 8 2023.

The TeamSTEPPS program was developed to support effective communication and teamwork in health care. This online series will prepare participants to guide their organizations through implementation of the TeamSTEPPS program. It is designed for individuals that are new to TeamSTEPPS processes.

TeamSTEPPS Master Training Course.

Save to Library

Armstrong Institute for Patient Safety and Quality. June 13 and June 15, 2023.

Team training programs seek to improve communication and coordination among team members to reduce the potential for medical error. This virtual workshop will train participants to design, implement, and evaluate team training programs in their organizations based on the TeamSTEPPS model.

Diagnostic Error in Medicine 16th International Conference.

Save to Library

Society to Improve Diagnosis in Medicine. Cleveland, Ohio, October 8-11, 2023.

Diagnostic error reduction continues to gain momentum in the research and frontline patient safety communities. This in-person conference will focus on the theme, "The Future of Diagnosis: Achieving Excellence and Equity."

Emerging Topics in Quality Improvement.

Save to Library

University of Washington Medicine Center for Scholarship in Patient Care and Quality and Safety and Seattle Children's Hospital.

Patient safety is a dynamic discipline that adjusts regularly to address clinical, organizational and policy changes, and disruptions. This webinar series presents sessions exploring insights on a variety of strategies and experiences to enhance care.

International Society for Quality in Health Care Conference.

Save to Library

International Society for Quality in Health Care, Korean Society for Quality in Health Care, Health Insurance Review and Assessment Service, and the Korea Institute for Healthcare Accreditation, COEX Convention and Exhibition Center, Seoul, Republic of Korea, August 27-30, 2023.

This conference will explore the theme of “'Technology, Culture, and Coproduction: Looking to the Horizon of Quality and Safety” and will provide sessions on patient safety topics such as learning from mistakes, human factors and Safety II.

Healthcare Safety Investigations Conference 2022.

Save to Library

Healthcare Safety Investigation Branch. September 21, 2022.

Incident investigations are important tools for uncovering latent factors that facilitate patient harm. This conference drew from experience in the United Kingdom and Norway to discuss how adverse event examinations can improve care provision and highlighted efforts in the United Kingdom to focus on maternity care safety. A video, PDFs, and relevant links are available.

Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief.

Save to Library

National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2022.

Diagnostic errors remain an ongoing challenge in many medical specialties, including oncology. This workshop reviewed the evidence base examining challenges in cancer diagnosis, discussed suggestions for improvement in the field, and looked toward a safer future for cancer patients.

Healthcare Systems Ergonomics and Patient Safety Triennial Conference.

Save to Library

Delft University of Technology. Faculty Industrial Design Engineering. Delft, The Netherlands, November 2-4, 2022

Learning from the human factors community is a key strategy for system safety improvement. This conference, with the theme of Convergence - Breaking Down Barriers between Disciplines, will present sessions on topics such as patient safety, resilience engineering, and clinical decision making.

SOPS Surveys.

Save to Library

Agency for Healthcare Research and Quality.

Surveys are established mechanisms for organizational assessment of safety culture. This collection of webinars provides an overview of the AHRQ Surveys on Patient Safety Culture™ (SOPS®) and a range of content related to the successful use of the surveys. Topics covered include organizational characteristics required for successful web-based distribution of the survey and best practices for formatting, programming, and administering the surveys in a variety of environments.

The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue.

Save to Library

Lin D, Peden CJ, Langness SM, et al. Anesth Analg. 2020;131:e155-1159.

The anesthesia community has been a leader in patient safety innovation for over four decades. This conference summary highlights presented content related to the conference theme of “preventing, detecting, and mitigating clinical deterioration in the perioperative period.” The results of a human-centered design analysis exploring tactics to reduce failure to rescue were summarized.

Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States.

Save to Library

Institute for Safe Medication Practices and US Food and Drug Administration Division of Drug Information. June 23, 2020.

The COVID-19 pandemic response is creating a need for care delivery adjustments that include changes in pharmacy and medication practices. This webinar discussed process alterations that have the potential to impact safe medication administration and provide context for the changes to help ensure they are effectively implemented.

Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop.

Save to Library

National Academies of Sciences, Engineering, and Medicine. Washington, DC; The National Academies Press: 2020. ISBN 9780309676250.

Patient safety is challenged during public health emergencies. This report examines a 10-year initiative to develop crisis preparedness standards. The material covers how to proactively apply the program’s experience to assess legal and ethical considerations, learn from federal and state initiatives, address challenges and design steps to continue progress.

Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers.

Save to Library

Armstrong Institute for Patient Safety and Quality. April 29, 2020.

As the COVID-19 pandemic evolves, there is increasing emphasis on avoiding missteps and delays in COVID-19 diagnosis. This session discussed diagnostic challenges and insights to drive improvements in COVID-19 identification, testing and diagnosis across the health care system. Moderators included Kathy McDonald and David Newman-Toker.

Principles for Improving Patient Safety Measurement Webinar

Save to Library

Institute for Healthcare Improvement. March 10. 2020.

The measurement of patient safety is a persistent challenge across the health care continuum. This webinar summarizes a set of 8 foundations to guide patient safety measurement improvement that include capitalizing data in real time and engaging patients in the measurement process. Speakers included Dr. Donald Berwick and Helen Haskell.

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

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

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