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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 - 8 of 8 Results
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    • 4 skin conditions doctors often misdiagnose.
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    • Oglethorpe A. Women's Health. November 4, 2020.

    Skin condition diagnosis is a visual activity that is vulnerable to error. This article highlights how conditions such as psoriasis and skin cancer can be misdiagnosed. The piece shares recommendations for patients to obtain an accurate diagnosis such as seeking a second opinion and preparing for appointments with notes and questions.
    Doctors' unconscious bias affects quality of health care services, research shows.
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    • Dembosky A. All Things Considered. National Public Radio. October 15, 2020.

    Physician implicit bias is gaining attention as a patient safety concern. This piece shares a story of ineffective care delivery to a patient with COVID-19 as context for the discussion. Hospital tactics to address the problem such as training and use of patient survey data to motivate individual action are reviewed.   
    Some health workers suffering from addiction steal drugs meant for patients.
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    • Mann B. All Things Considered. National Public Radio. October 5, 2020.

    Clinicians are susceptible for medication misuse due to stress, fatigue, or arrogance. This news article discusses how drug diversion should signal behaviors that can harm patients, the clinicians themselves, and the organizations they work for. Reporting gaps contribute to the perpetuation of the problem. 
    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.
    Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks.
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    • O'Donnell J. USA Today. September 8, 2020

    Management and clinical functions to ensure patient safety have been disrupted during the COVID-19 pandemic. This article discusses how tracking and submitting of reports of questionable medical care have been reduced due to redirection of efforts of all to managing pandemic related activities.   
    The risks of the prescribing cascade.
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    • Brody JE. New York Times. 2020.
    Inappropriate care activities can cascade to significantly impact patient safety. This article shares how medication side effects can be misdiagnosed to perpetuate harm in older patients rather than getting to the root of the care concerns. 
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