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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 - 8 of 8 Results

Integrated Health Services. Geneva, Switzerland: World Health Organization; 2022. ISBN: 9789240055094.

The COVID-19 pandemic created new risks and acerbated existing risks across all areas of health care practice that challenge patient safety. This review examines how COVID impacted diagnostic, treatment, and care procedures in a systemic context.

Skin of Color Society Foundation, NEJM Group, and VisualDx. October 28--December 2, 2020.

Diagnostic decision making can be affected by implicit racial bias. This 4-part series explored tools and techniques to improve diagnosis in patients of color. Topics covered included structural racism, explicit analysis of disease patterns and treatments, cultural competency, and policy improvement.   

Ashworth S. Elemental. September 22, 2020.

The rate of autopsies – the “gold standard” of death investigation – are decreasing worldwide. This commentary highlights the lost opportunities for hospital and clinician learning from mistakes due this decline. The author ties the relevance of the loss to missed opportunities for understanding the effect of COVID-19 on the body to inform diagnostic, treatment and prevention activities.

McFarling UL. Stat. July 21, 2020.

Dermatologists rely on visualization techniques to enhance diagnosis in their practice. This article highlights the unavailability of appropriate tools for assessment of disease on black and brown skin as a problem that reduces the safety and effectiveness of care for this patient population. 
O'Donnell J, Alltucker K. USA Today. 2020;Jun 14.
The COVID-19 pandemic has highlighted a range of weaknesses in the health care system including supply chain gaps, nursing home vulnerabilities and racial inequity. This story examines how racial bias can affect diagnosis, research, and treatment, ultimately resulting in a negative influence on patient safety.

Shaprio J. National Public Radio. April 15, 2020.

Access to care has been strained by the COVID-19 pandemic. This radio segment discusses how implicit biases can affect care of patients with disabilities. It highlights how preconceptions about this patient population could limit their access to treatments should they become ill.

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.