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 - 20 of 65 Results

Creating Workforce Joy and Wellbeing.

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Institute for Healthcare Improvement. March 6 - May 20, 2024.

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.

Improving Patient Safety with Human Factors Methods.

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Armstrong Institute for Patient Safety and Quality, Baltimore, MD. April 17-18, 2024.

Human factors engineering (HFE) is a primary strategy for advancing safety in health care. This virtual workshop will introduce HFE methods and discuss how they can be used to reduce risk through design improvements in a variety of process and interpersonal situations.

Redesigning Event Review with RCA2.

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Institute for Healthcare Improvement. March 13 - April 23, 2024.

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.

CUSP Implementation Training.

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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 January 16, 2024.

TeamSTEPPS Master Training Course.

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Armstrong Institute for Patient Safety and Quality. January 30 and February 1, 2024.

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.

ISMP Medication Safety Intensive.

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Institute for Safe Medication Practices. November 30-December 1, 2023, 7:30 AM - 4:30 PM (eastern).

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

TeamSTEPPS Master Training Virtual Course.

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AHA Team Training. September 7 - November 2, 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.

After Roe: Challenges in the Provision of Lifesaving Care.

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National Academies of Health.

Delay in access to obstetric care hinders safe treatment for patients experiencing pregnancy complications. This webinar discussed a range of factors affected by abortion restrictions and reviewed options to ensuring safety given legal and other structural impediments. A written brief is forthcoming.

APSF Stoelting Conference.

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Anesthesia Patient Safety Foundation. September 6–7, 2023.

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

World Patient Safety, Science & Technology Summit.

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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 highlighted safety culture and patient advocacy as topics.

Emerging Topics in Quality Improvement.

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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.

The International Forum on Quality and Safety in Healthcare Europe.

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Institute for Healthcare Improvement and British Medical Journal. ExCeL London, London, UK, April 10-12, 2024.

This onsite conference offers an introduction to quality and safety improvement success and challenges drawing from international experiences. Course activities designed for a multidisciplinary audience will cover six streams including patient safety, leadership, and change.

Healthcare Safety Investigations Conference 2022.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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