Sorry, you need to enable JavaScript to visit this website.
Skip to main content

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

Search Tips
Selection
Format
Download
Filter By Author(s)
Advanced Filtering Mode
Date Ranges
Published Date
Original Publication Date
Original Publication Date
PSNet Publication Date
Additional Filters
Back to all filters
Approach to Improving Safety
Clinical Area
Selection
Format
Download
Displaying 1 - 20 of 59 Results
Lynn RM, Avis JL, Lenton S, et al. Arch Dis Child. 2020;106(2):e8.
… survey of pediatricians about delayed presentations to a healthcare provider among children during the COVID-19 … factor. … Lynn RM, Avis JL, Lenton S, et al. Delayed access to care and late presentations in children during the COVID-19 …
Patient Safety Innovation June 12, 2020
… telemedicine network; develops and disseminates guidelines to foster the use of best practices by obstetric providers … appropriate referrals to the medical center for tertiary care through a 24/7 patient/provider call center. The program has enhanced access to specialty perinatal care, including maternal-fetal …
WebM&M Cases
WebM&M Case February 1, 2018
… The Case … A 72-year-old man was admitted to the hospital after a fall at home resulting in a right … lived alone and had little social support. His primary care physician (PCP) suspected that the patient might have … difficulty climbing the stairs, and he appeared to lack access to food, medications, or transportation to his …
Perspective on Safety September 28, 2022
… Editor’s Note: … Special thanks to Freya Spielberg, MD, MPH, Founder and CEO of Urgent … Center for Policy Studies in Family Medicine and Primary Care, for their thoughtful interviews on the topic of Primary … tests; unnecessary tests or procedures; and lack of access to care. For example, primary care providers can …
Freya Spielberg

Freya Spielberg MD, MPH, is the Founder and CEO of Urgent Wellness LLC, a social enterprise dedicated to improving the health of Individuals living in low-income housing in Washington, DC. Previously, as an Associate Professor at George Washington University, and at the University of Texas Dell Medical School, and School of Public Health, she developed a curriculum in Community Oriented Quality Improvement, to train the next generation of healthcare providers how to integrate population health into primary care to achieve the quintuple aim of better health outcomes, better patient experience, better provider experience, lower health care costs, and decreased health disparities. We spoke with her about her ongoing work in low-income communities to improve access to primary care and its impact on patient safety.

Jack Westfall

Jack Westfall, MD MPH, is a retired professor from the University of Colorado School of Medicine and Former Director of the Robert Graham Center. We spoke with him about the role of primary care in the health and well-being of individuals, the hallmarks of high quality primary care and opportunities of primary care providers to enhance or promote patient safety.

Perspective on Safety July 10, 2024
… think of strategies that can be implemented at the health care organization or health care professional level. However, … United States, insurance status can determine a patient’s access to safe, high-quality health care. The Patient Protection and …
Amy Helwig headshot

Amy Helwig, MD, MS, FAAFP, is the Chief Quality Officer at Commonwealth Care Alliance. We spoke to her about the health plan’s role in monitoring and improving patient safety. 

Perspective on Safety February 1, 2023
… Challenges to Obtaining Needed Patient-Centered and Safe Healthcare for … of people who face unique challenges when receiving care for their health. This broad and diverse population … on tobacco use, nulliparity, and HIV. 7 … Challenges to Access to CareAccess to care continues to be a challenge …
Connor Wesley

Connor Wesley, RN, BSN, is a registered nurse in Tacoma, WA. In addition to his role as the Assistant Nurse Manager of the Emergency Department at MultiCare Allenmore Hospital, Connor lectures locally and nationally on providing healthcare to members of the lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ+) community. We interviewed Connor to discuss patient safety and the LGBTQ+ community.

Perspective on Safety August 30, 2023
… organizations and workers adjusted processes and workflows to accommodate the rise in cases across the country. To ease … elective procedures, reduced in-person treatment across care settings, and reprioritized care to address the … many healthcare facilities shifted policies and restricted access to care units and visitation policies with the …
Patricia McGaffigan

Patricia McGaffigan is the Vice President for Safety Programs at the Institute for Healthcare Improvement and President of the Certification Board for Professionals in Patient Safety. We spoke to Patricia about patient safety trends and how patient safety will move beyond the pandemic.

WebM&M Case November 1, 2011
… treatment, the patient stabilized and was discharged back to her (outpatient) psychiatrist, a resident in the final … later that month and told the resident that her primary care provider had given her sufficient medication refills. … issue—how scheduling systems and processes can impede access to outpatient care. This case clearly illustrates how …
Annual Perspective
Perspective on Safety January 1, 2017
… time of day or day of the week. Researchers have attempted to determine whether these temporal differences in care result in adverse outcomes for patients who are admitted … a week could improve patient outcomes. Reduced or delayed access to specialized diagnostics or therapeutics …
Audiovisual

Boswell B. KCET: April 2023.

… being placed on addressing inequities in maternal health care. This video shares stories of mothers experiencing harm during pregnancy and steps being taken to minimize the impact of implicit biases and lack of access to care to generate improvement. … Boswell B. KCET: …
WebM&M Case March 15, 2023
… an outpatient cardiology clinic. The cardiologist planned to switch the patient from an angiotensin converting enzyme … HFrEF. However, when the patient returned to his primary care clinic for medication review and renewal, the pharmacy … been comfortable making a clinical decision without having access to the patient’s medical records. This lapse resulted …
Patient Safety Primers
Patient Safety Primer December 14, 2022
… clinicians can use telehealth for services all have added to the increased adoption of telehealth. With expanded use, … and the variation in implementation of new models of care into medical practice has resulted in emerging concerns … within the patient’s existing medical home where there is access to the patient’s medical records and the physician can …