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Patient Safety Network

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 - 14 of 14 Results
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    • Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them.
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    • Donovan-Smith O. Spokesman-Review. September 11, 2022.

    Electronic health record (EHR) system issues degrade the data sharing and communication needed to inform safe patient care. This newspaper feature discusses problems with the new Veterans Affairs EHR system from the patient and family perspective in the context of diagnostic and treatment delay.
    How medical jargon can make COVID health disparities even worse.
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    • Kritz F. Shots. National Public Radio; May 24, 2021.

    Health literacy efforts address challenges related to both language and effective communication tactics. This story discussed how lack of language and information clarity reduced patient education effectiveness during the pandemic and highlights several efforts to address them including information product translation services.
    Cancer diagnoses delayed among prisoners in Washington state.
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    • Medscape Medical News. May 12, 2021.

    Delays and mistakes in health care for distinct patient populations hold improvement lessons for the broader system. This news story highlights problems in correctional system cancer diagnoses and treatment that may indicate other types of prison care delivery problems.
    Sent home to die.
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    • Waldman A, Kaplan J. ProPublica. 2020.
    Hospitals have been deeply challenged to provide effective care during the COVID crisis. This article discusses how rationing and ineffective protection for families and patients may have contributed to preventable death and the spread of the virus in families due to unnecessary referrals of patients to home care and hospice.
    Fear of Covid-19 leads other patients to decline critical treatment.
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    • Hafner K. New York Times. 2020;May 25.
    The uncertainties surrounding coronavirus transmission and treatment are causing patients with known conditions to forgo needed medical care. This article outlines how COVID-19 fear and anxiety are primary contributing factors in patient decisions to delay transplants and other necessary treatments.
    With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications.
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    • Brodwin E. Stat News. April 14, 2020.

    Patients with cancer and other chronic disorder treatment needs have been negatively affected by the restructuring of services to reduce the spread of the coronavirus. This story discusses company strategies to prepare to virtually support patients with a range of conditions. The author shares communication and support tactics to keep patients safe until they can get their appointments.
    As COVID-19 bears down, doctors confront difficult choices on elective surgeries.
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    • Alesse L, Dukakis A, Tatum S, Mosk M. ABC News. March 20, 2020.

    Delays in elective surgery and other procedures have the potential to lessen safe patient care. This news story describes the decision-making dilemma for physicians to limit patient access to care during the COVID-19 pandemic. Their concern is that the delays have the potential to result in diagnostic and treatment service deviations that could result in harm.
    A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays.
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    • Linnane R, Diedrich J. Milwaukee Journal Sentinel. February 25, 2020.

    Delays in emergency room (ER) triage and assessment contribute to wide range of failures that degrade patient safety. This news story highlights the findings of a government report highlighting overcrowding and production pressures as factors resulting in the death of a patient waiting for care who initially presented at the ER with symptoms of heart attack.
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