Training and Education Overview

PSNet offers an unparalleled set of resources for patient safety training and education. In this section, you will have the opportunity to read WebM&M (Morbidity & Mortality) Spotlight Cases and complete the interactive learning modules for free continuing medical education (CME) and maintenance of certification (MOC) credit. You will also be able to search the PSNet Training Catalog, updated monthly with in-person and online training programs, events, and meetings.

Continuing Education: New Spotlight Cases

Spotlight Case and Commentaries are certified for continuing education through two organizations: University of California, Davis (UCD) or University of California, San Francisco (UCSF). Spotlight Case and Commentaries published in November 2019 or later are certified for continuing education through the UCD Health Office of Continuing Medical Education, and any Cases and Commentaries published prior to that date are certified for continuing education through UCSF.

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Spotlight Case

CE/MOC

Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care

Hannah Spero, MSN, APRN, Angela E. Usher, PhD, LCSW, Brian Howard MS1, and Frederick J. Meyers, MD | November 30, 2021

A 77-year-old man was diagnosed with a rectal mass. After discussing goals of care with an oncologist, he declined surgical intervention and underwent targeted radiotherapy before being lost to follow up. The patient subsequently presented... Read More

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Spotlight Case

CE/MOC

Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations

Florence Tan, PharmD, Karnjit Johl, MD and Mariya Kotova, PharmD | September 29, 2021

This case describes multiple emergency department (ED) encounters and hospitalizations experienced by a middle-aged woman with sickle cell crisis and a past history of multiple, long admissions related to her sickle cell disease. The multiple... Read More

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WebM&M Case Studies

WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME (Continuing Medical Education). Commentaries are written by patient safety experts and published monthly. You can contribute by submitting a case study anonymously.

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New

Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery.

Gary S. Leiserowitz, MD, MS and Herman Hedriana, MD | November 30, 2021

A 32-year-old pregnant woman presented with prelabor rupture of membranes at 37 weeks’ gestation. During labor, the fetal heart rate dropped suddenly and the obstetric provider diagnosed umbilical cord prolapse and called for an emergency cesarean... Read More

To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room

Robin Aldwinckle, MD and Edmund Florendo, MD | October 27, 2021

A 78-year-old woman with macular degeneration presented for a pars plana vitrectomy (PPV) under monitored anesthesia care (MAC) with an eye block. At this particular hospital, eye cases under MAC are typically performed with an eye block by the... Read More

Have you encountered medical errors or patient safety issues?

Have you encountered medical errors or patient safety issues? Submit your case below to help the medical community and to prevent similar errors in the future.

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Training Catalog

The AHRQ PSNet Training Catalog is an easy to use resource for healthcare professionals across all settings of care and specialties looking for education opportunities to further their knowledge of patient safety practices and principles. Some training opportunities are available as in-person meetings while others are conducted via live or archived webinar. Opportunities are updated on a monthly basis and can be searched by critical fields such as event location, fee, and CE/CME availability. Opportunities are national in scope and identified from not for profit organizations, academic institutions, government agencies, and member associations.

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