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

Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis.

Narath Carlile, MD, MPH, Clyde Lanford Smith, MD, MPH, DTM&H, James H. Maguire, MD, and Gordon D. Schiff, MD | December 14, 2022

This case describes a man in his 70s with a history of multiple myeloma and multiple healthcare encounters for diarrhea in the previous five years, which had always been attributed to viral or unknown causes, without any microbiologic or serologic... Read More

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Spotlight Case

CE/MOC

False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.

Brooks T Kuhn, MD, and Florence Chau-Etchepare, MD | October 27, 2022

A 47-year-old man underwent a navigational bronchoscopy with transbronchial biospy under general anesthesia without complications. The patient was transferred to the post-acute care unit (PACU) for observation and a routine post-procedure chest x-ray... 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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Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.

Christian Bohringer, MBBS and Luis Godoy, MD | December 14, 2022

A 62-year-old Spanish-speaking woman presented to the pre-anesthesia area for elective removal of a left thigh lipoma. Expecting a relatively simple outpatient operation, the anesthesiologist opted not to use a Spanish language translator and... Read More

A framework for assessing reasoning about controversial end-of-life clinical decisions.

Mark Fedyk, PhD, Nathan Fairman, MD, MPH, Patrick S. Romano, MD, MPH, John MacMillan, MD, and Monica Miller, RN, MS, CCRN | December 14, 2022

A 65-year-old man with metastatic liver disease presented to the hospital with worsening abdominal pain after a partial hepatectomy and development of a large ventral hernia. Imaging studies revealed perforated diverticulitis. A goals-of-care... 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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