Email Updates
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
Download Citations
Selection
Format
Download
Cancel
Filter By Author(s)
Advanced Filtering Mode
Filter Results By
PSNet Original Content
Date Ranges
Popular Resource Types
Additional Filters
All Resource Types
Approach to Improving Safety
Clinical Area
Error Types
Safety Target
Setting of Care
Target Audience
Origin/Sponsor
Displaying 1 - 2 of 2 Results
Save to Library
Share
WebM&M Case
June 24, 2020
A 55-year old woman became unarousable with low oxygen saturation as a result of multiple intravenous benzodiazepine doses given overnight. The benzodiazepine was ordered following a seizure in the intensive care unit (ICU) and was not revised or discontinued upon transfer to the floor; several doses were given for different indications - anxiety and insomnia.
Save to Library
Share
WebM&M Case
September 1, 2007
Hospitalized for surgery, a woman with a history of seizures was given an overdose of the wrong medicine due to multiple errors, including an inaccurate preadmission medication list, failure to verify medication history, and uncoordinated information systems.
