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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 - 20 of 73 Results
Dietz I, Borasio GD, Molnar C, et al. J Palliat Med. 2013;16(1):74-81.
… Study … Journal of palliative medicine … J Palliat Med … Patients receiving palliative care can be medically complex and often require … far, few studies have examined patient safety risks in palliative care patients. This survey of palliative medicine …
WebM&M Case November 30, 2021
… of the Medicare hospice benefit Define three models of palliative care Identify the benefits and barriers to early palliative care referral and intervention Identify reasons … case came to attention because of a perceived delay in palliative radiation, an “error” in care. The impact of the …
WebM&M Cases
Spotlight Case
WebM&M Case November 1, 2017
… … Recognize errors may be difficult to identify in palliative care. State that medication errors and errors in communication are common in palliative care. Describe key principles regarding the use of opioids in palliative care. Recognize the principle of double effect and …
Gallagher R, Passmore MJ, Baldwin C. Med Hypotheses. 2020;142:109727.
… … The authors of this article suggest that offering palliative care services earlier should be considered a … The patients in two of the cases were never offered palliative care services, and this could be considered a medical error – had they been offered palliative care services, they may have changed their mind …
Pedrosa Carrasco AJ, Bezmenov A, Sibelius U, et al. Am J Hosp Palliat Care. 2022:104990912211400.
… … Patients with medical complexities who are receiving palliative care may be at increased risk for patient safety … were common among patients receiving specialist community palliative care in Germany. Patients reported that physical … perception of safety while receiving specialist community palliative care. Am J Hosp Palliat Care. …
Yardley I, Yardley S, Williams H, et al. Palliat Med. 2018;32(8):1353-1362.
… Study … Palliative medicine … Palliat Med … The frequency and nature of adverse events experienced by patients receiving palliative care remains unknown. In this mixed-methods study, … analyzed patient safety incidents among patients receiving palliative care from a national database in England over a …
Kiesewetter I, Schulz CM, Bausewein C, et al. BMC Palliat Care. 2016;15(1):75.
… Study … BMC palliative care … BMC Palliat Care … Adverse events in palliative care differ from those in other environments. This qualitative interview study of patients who received palliative care identified errors specific to this setting, …
Williams H, Donaldson SL, Noble S, et al. Palliat Med. 2019;33(3):346-356.
… Study … Palliative medicine … Palliat Med … Patients receiving palliative care are often medically complex and may be at … reports regarding patients who received inadequate palliative care during nights and weekends from primary care …
Bittencourt NCC de M, Duarte S da CM, Marcon SS, et al. Healthcare (Basel). 2023;11(14):2030.
… Commentary … Healthcare (Basel) … Adverse events in palliative care can include inappropriate pain management , … falls, and pressure injuries . This paper outlines ways palliative care is not always received timely , the uniqueness of patient safety within palliative care, and how to raise awareness of both of these …
Fredheim OMS, Klingenberg E, Lindahl AK. J Palliat Med. 2024;27(6):742-748.
… Study … J Palliat Med … Patients receiving palliative care differ from other hospitalized patients, as … of identifying adverse events in patients receiving palliative care. Of the 26 cases identified by the GTT, 16 … had poor positive predictive value for adverse events in palliative care. …