Sorry, you need to enable JavaScript to visit this website.
U.S. flag

An official website of the Department of Health & Human Services

AHRQ: Agency for Healthcare Research and Quality
Provide Feedback |
Submit a Case
Patient Safety Network

Promoting Patient Safety.

Advanced Search
Search Tips

AHRQ’s Patient Safety Network (PSNet) features a collection of the latest news and resources on patient safety, innovations and toolkits, opportunities for free CME and trainings. The platform provides powerful searching and browsing capability, as well as the ability for users to customize the site around their interests (My Profile).

Browse the Collection Learn More About Patient Safety Browse by Clinical Areas

Popular Searches

Culture of Safety
Medication Errors/Preventable Adverse Drug Events
Psychological and Social Complications
Discontinuities, Gaps, and Hand-Off Problems
Communication between Providers

The PSNet Collection

-
RESOURCES
-
PERSPECTIVES
-
WEBM&Ms
-
PRIMERS

August 21, 2024 Weekly Issue

PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety.

View the Weekly Issue
RSS Feed
Commentary
Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare.
Johansen RLR, Tulloch S. J Patient Saf. 2024;20:e78-e84.
Quality improvement (QI) and patient safety initiatives can be challenging to implement and sustain. The article proposes incorporating behavioral insights (BI) into QI to enhance and reinforce behaviors to support positive change. The authors describe using BI in a QI program to increase actions and behaviors more aligned with safe use of intravenous antibiotics at one hospital in Denmark.
Commentary
Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams.
Marsteller JA, Rosen MA, Wyskiel R, et al. Jt Comm J Qual Patient Saf. 2024;Epub Jun 3.
Effective communication and coordination among care teams is essential to the delivery of high quality, safe health care. This article introduces the Multi-Team Shared Expectations Tool (MT-SET), which is used to improvement team communication, engage teams in eliciting needs and establishing shared expectations among teams and individuals. A pilot evaluation of the MT-SET in perioperative and inpatient...
Study
Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study.
Snowdon A, Hussein A, Danforth M, et al. J Med Internet Res. 2024;26:e56316.
Digital maturity in healthcare refers to how well hospitals use digital systems to improve patient care processes, enhance patient safety, and provide quality health care. This study used the Electronic Medical Record Assessment Model (EMRAM) to examine the relationship between digital maturity and Leapfrog’s quality and safety scores. Among 1,026 hospitals, researchers found that higher digital maturity...

Browse by Clinical Areas

View All Clinical Areas
Sign up for PSNet Issues today!
Go to AHRQ site and subscribe

Training and Education

Update Date: July 10, 2024

WebM&M Case Studies & Spotlight Cases

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. Commentaries are written by patient safety experts and published monthly. Contribute by Submitting a Case anonymously.

View Training and Education
Spotlight Case
CE/MOC
New
Intraoperative Awareness during Rhinoplasty
Christian Bohringer, MBBS and Jaijeet Toor, MD | July 31, 2024

During elective rhinoplasty, a patient became aware that she was awake. She heard the conversation among the surgical team members and felt that the... Read More

Take the Quiz
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.

Upcoming Events

View All Upcoming Events
International Meeting/Conference
HSJ Patient Safety Congress.

Health Service Journal. September 16-17, 2024. Manchester Central Convention Complex, Manchester UK.

Improvement Resources
Bulb
Innovations

The Patient Safety Innovations Exchange highlights important innovations that can lead to improvements in patient safety.

Toolkit
Toolkits

Toolkits provide practical applications of PSNet research and concepts for front line providers to use in their day to day work.

Create Your Own Library

Create your own library to save and manage content on any topic of interest. You can start by searching for articles or by creating your library right here.
Create a Library
(Requires Login to PSNet Account)
Back To Top
Terms and Conditions | Privacy Policy | External Link Disclaimer | RSS Feed

Connect With Us

Facebook Twitter You Tube LinkedIn

Sign up for Email Updates

Agency for Healthcare Research and Quality

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364

Submit Your Innovations