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

Intraosseous Line Extravasation in a Pediatric Trauma Patient

David Barnes, MD and Joseph Yoon, MD | April 27, 2022

An 18-month-old girl presented to the Emergency Department (ED) after being attacked by a dog and sustaining multiple penetrating injuries to her head and neck. After multiple unsuccessful attempts to establish intravenous access, an intraosseous (IO... Read More

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Spotlight Case

CE/MOC

A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care.

Katrina Pasao, MD and Pouria Kashkouli, MD, MS | March 31, 2022

This Spotlight Case describes an older man incidentally diagnosed with prostate cancer, with metastases to the bone. He was seen in clinic one month after that discharge, without family present, and scheduled for outpatient biopsy. He showed up to... 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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Check Twice, Transport Once

Alexandria DePew, MSN, RN, James Rice, & Julie Chou, BSN | May 16, 2022

This WebM&M describes two incidences of the incorrect patient being transported from the Emergency Department (ED) to other parts of the hospital for tests or procedures. In one case, the wrong patient was identified before undergoing an... Read More

Management of Cardiac Arrest in Unconventional Locations.

Garima Agrawal, MD, MPH, and Mithu Molla, MD, MBA | May 16, 2022

This WebM&M describes two cases involving patients who became unresponsive in unconventional locations – inside of a computed tomography (CT) scanner and at an outpatient transplant clinic – and strategies to ensure that all healthcare teams are... 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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