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
Back to all filtersAll Resource Types
Approach to Improving Safety
Clinical Area
Safety Target
Setting of Care
Displaying 1 - 20 of 21 Results
Organizational Policy/Guidelines
Save to Library
Share
Gross TK, Lane NE, Timm NL, et al. Pediatrics. 2023;151(3):e2022060971-e2022060972.
… Commentary … Pediatrics … Emergency room crowding is a persistent factor that degrades safety for … best practices, and recommendations to reduce emergency department crowding and its negative impact on pediatric …
Save to Library
Share
Epstein SK, Huckins DS, Liu SW, et al. Intern Emerg Med. 2012;7(2):173-180.
… Study … Intern Emerg Med … Intern Emerg Med … Emergency department (ED) crowding was strongly associated with an increased risk of …
Save to Library
Share
Kelen GD, Wolfe R, D’Onofrio G, et al. NEJM Catalyst. September 28, 2021.
… Study … Emergency department (ED) overcrowding and boarding can result in worse …
Save to Library
Share
Perspective on Safety
June 1, 2010
… Perspective … Emergency medicine has evolved from a location, with variably … physicians (EPs) have identified delays caused by crowding from boarding of admitted patients as their most … problem. 3 We present a model for understanding emergency department (ED) patient safety and identify solutions by …
Pat Croskerry, MD, PhD, is a professor in emergency medicine at Dalhousie University in Halifax, Nova Scotia, Canada. Trained as an experimental psychologist, Dr. Croskerry went on to become an emergency medicine physician, and found himself surprised by the relatively scant amount of attention given to cognitive errors. He has gone on to become one of the world's foremost experts in safety in emergency medicine and in diagnostic errors. We spoke to him about both.
WebM&M Cases
Spotlight Case
Save to Library
Share
WebM&M Case
March 25, 2020
… to this CME activity. … Case Objectives … Define the emergency department triage process State the root causes and dangers of emergency department crowding Use waiting room patient reassessment to improve …
Save to Library
Share
WebM&M Case
June 14, 2023
… Case … A 25-year-old female was sent by ambulance to the emergency department (ED) by a mental health clinic for suicidal … score was 200 (scores > 180 indicate disaster-level crowding). 1 After completing triage, the patient was placed …
WebM&M Cases
Spotlight Case
Save to Library
Share
WebM&M Case
May 1, 2017
… how the concept of missed diagnostic opportunities in the emergency department setting can be useful to understand diagnostic … can affect the way clinicians think. For example, ED crowding and frequent interruptions are associated with …
Save to Library
Share
Keister LA, Stecher C, Aronson B, et al. BMC Public Health. 2021;21(1):1518.
… Public Health … Constrained diagnostic situations in the emergency department (ED), such as crowding , can impact safe care . Based on multiple years of …
Save to Library
Share
WebM&M Case
September 27, 2023
… The Case … An 85-year-old woman presented to the Emergency Department (ED) at 1800H complaining of abdominal pain that … and had stable vital signs, triage was delayed due to ED crowding, which is usually a result of hospital crowding. She …
WebM&M Cases
Spotlight Case
Save to Library
Share
WebM&M Case
August 21, 2014
… … A 49-year-old previously healthy man presented to the emergency department (ED) after falling from his truck at work 3 days … was admitted to an internal medicine service. Due to ED crowding, he remained in the ED overnight, receiving only IV …
WebM&M Cases
Save to Library
Share
WebM&M Case
August 31, 2022
… suspected septic arthritis and sent the patient to the Emergency Department (ED) via ambulance for evaluation and treatment by … case include 1) the harmful effects of hospital and ED crowding on patient safety, 2) the necessity for a safe and …
WebM&M Cases
Save to Library
Share
WebM&M Case
June 28, 2023
… The Case … A 66-year-old woman presented to the emergency department (ED) with acute renal failure, abdominal pain, and … the ED. 26,27 Particularly, for patients with sepsis, ED crowding has been associated with increased time to fluid and …
WebM&M Cases
Save to Library
Share
WebM&M Case
August 1, 2010
… The Case … A 42-year-old woman presented to a busy urban emergency department (ED) and approached the triage nurse. The patient … in keeping EDs safe, especially in the presence of ED crowding. This case illustrates some of the challenges that …
WebM&M Cases
Save to Library
Share
WebM&M Case
January 1, 2004
… The Case … A parent presented with a child to the emergency department (ED) triage area (located around the corner and … What should be the response of EDs to overcrowding? … The Crowding Resources Task Force of the American College of …
WebM&M Cases
Spotlight Case
Save to Library
Share
WebM&M Case
January 1, 2009
… regulations behind triage and hospital choice decisions by emergency medical services (EMS) providers, and the roles of … took him to Hospital Y, a few miles away. In the emergency department (ED) of Hospital Y, the patient's AICD continued … that are activated when the ED reaches a certain level of crowding.( ref 1 ) The purpose of diversion is to signal to …
Save to Library
Share
Stoklosa H, Scannell M, Ma Z, et al. Emerg Med J. 2018;35(7):406-411.
… Study … Emergency medicine journal : EMJ … Emerg Med J … Emergency department crowding is linked to medication errors and other preventable …
WebM&M Cases
Spotlight Case
Save to Library
Share
WebM&M Case
March 21, 2009
… Case Objectives … Describe the Emergency Medical Treatment and Active Labor Act (EMTALA) and … during transitions in patient care in the emergency department. Appreciate how emergency physicians and inpatient … or incomplete information (particularly vital signs); ED crowding; high workload; difficulty in accessing key …
WebM&M Cases
Save to Library
Share
WebM&M Case
November 1, 2011
… artificial influxes of patients would take place in the emergency department.( ref 16 ) In addition to improving patient safety … ML, Cooper A. Root cause analysis of emergency department crowding and ambulance diversion in Massachusetts. Boston, …
Newspaper/Magazine Article
Save to Library
Share
Wells K. Health Shots. National Public Radio. October 29, 2021.
… Newspaper/Magazine Article … Emergency department (ED) crowding stemming from treatment delays and deferrals …
Save to Library
Share
Kulstad EB, Sikka R, Sweis RT, et al. Am J Emerg Med. 2010;28(3):304-309.
… Med … The Institute of Medicine found that hospital-based emergency care was "at the breaking point" in a seminal 2006 report , in which emergency department (ED) overcrowding was identified as a major … pharmacists revealed a significant correlation between ED crowding and the frequency of medication errors. Overcrowding …
