miércoles, 2 de diciembre de 2015

New Online Resource Combines Patient Safety News, Research and Resources

Home | AHRQ Patient Safety Network

AHRQ Electronic Newsletter banner image

New Online Resource Combines Patient Safety News, Research and Resources

AHRQ has merged its Patient Safety Network (PSNet) and AHRQ WebM&M (Morbidity and Mortality Rounds on the Web) to help readers more efficiently access patient safety news, research and expert commentary. PSNet combines all the features of and content from both sites, including PSNet weekly updates, WebM&M Cases and Commentaries, Perspectives on Safety (including podcasts), Patient Safety Primers, The PSNet Collection and more.

Journal Article

    White WA, Kennedy K, Belgum HS, Payne NR, Kurachek S. Jt Comm J Qual Patient Saf. 2015;41:550-562.
      Heyland DK, Ilan R, Jiang X, You JJ, Dodek P. BMJ Qual Saf. 2015 Nov 9; [Epub ahead of print].
        Mazor K, Roblin DW, Greene SM, Fouayzi H, Gallagher TH. BMJ Qual Saf. 2015 Nov 3; [Epub ahead of print].
          Dixon JL, Mukhopadhyay D, Hunt J, Jupiter D, Smythe WR, Papaconstantinou HT. Am J Surg. 2015 Oct 22; [Epub ahead of print].
            McGlynn EA, McDonald KM, Cassel CK. JAMA. 2015 Nov 16; [Epub ahead of print].
              Aveling EL, Parker M, Dixon-Woods M. Sociol Health Illn. 2015 Nov 4; [Epub ahead of print].
                Hessels AJ, Larson EL. J Hosp Infect. 2015 Sep 25; [Epub ahead of print].
                  Stocks SJ, Kontopantelis E, Akbarov A, Rodgers S, Avery AJ, Ashcroft DM. BMJ. 2015;351:h5501.
                    Medford-Davis L, Park E, Shlamovitz G, Suliburk J, Meyer AND, Singh H. Emerg Med J. 2015 Nov 3; [Epub ahead of print].
                      Payne TH, Hines LE, Chan RC, et al. J Am Med Inform Assoc. 2015;22:1243-1250.
                        Gardner AK, Abdelfattah K, Wiersch J, Ahmed RA, Willis RE. J Surg Educ. 2015 Sep 8; [Epub ahead of print].
                          Samra R, Bottle A, Aylin P. BMJ Open. 2015;5:e008128.
                            Ramlakhan S, Qayyum H, Burke D, Brown R. Emerg Med J. 2015 Nov 3; [Epub ahead of print].


                              Illingworth J. London, UK: The Health Foundation; 2015. ISBN: 9781906461706.
                                Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto; 2015.

                                Special or Theme Issue

                                  Surgery. 2015;158:1395-1440.

                                  Also of Note

                                  TeamSTEPPS Webinar Series. Agency for Healthcare Research and Quality. December 9, 2015; 1:00–2:00 PM (Eastern).
                                  The Joint Commission.

                                  Perspectives on Safety

                                  Ten years of AHRQ Patient Safety Network: A Window Into the Evolution of the Patient Safety Literature


                                  Dr. Shojania is Editor-in-Chief of BMJ Quality and Safety and Director of the Centre for Quality Improvement and Patient Safety at the University of Toronto. We spoke with him about the evolution of patient safety research over the past 15 years.


                                  Ms. Zipperer was a founding staff member of the National Patient Safety Foundation as their information projects manager and has also been Cybrarian for AHRQ Patient Safety Network since its inception. We spoke with her about the role of librarians in patient safety.


                                  Robert M. Wachter, MD
                                  This editorial provides an overview of how PSNet and WebM&M have evolved in the past decade.

                                  WebM&M Cases

                                  • SPOTLIGHT CASE
                                  • CME/CEU
                                  Commentary by Jacob Reider, MD
                                  After leaving Hospital X against medical advice, a man with paraplegia presented to the emergency department of Hospital Y with pain and fever. The patient was diagnosed with sepsis and admitted to Hospital Y for management. In the night, the nurse found the patient unresponsive and called a code blue. The patient was resuscitated and transferred to the ICU, where physicians determined that the arrest was due to acute rupturing of his red blood cells (hemolysis), presumably caused by a reaction to the antibiotic. Later that day, the patient's records arrived from three hospitals where he had been treated recently. One record noted that he had previously experienced a life-threatening allergic reaction to the antibiotic, which was new information for the providers at Hospital Y.
                                  Commentary by Jonathan Carter, MD
                                  A patient with severe abdominal pain was admitted to the medicine service for observation, pain control, and serial abdominal examinations. Surgical consultation was not requested at admission. Two days later, the patient's abdomen worsened. Consultation led to urgent surgery, which revealed a strangulating bowel obstruction and associated perforation.
                                  Commentary by Jerod Nagel, PharmD, and Eric Nguyen
                                  A woman who had recently had her left lung removed for aspergilloma presented to the outpatient clinic with pain, redness, and pus draining from her sternotomy site. She was admitted for surgical debridement and prescribed IV liposomal amphotericin B for aspergillus. Hours into the IV infusion, the patient developed nausea, vomiting, sweating, and shivering, and it was discovered that she had been given conventional amphotericin B at the dose intended for the liposomal formulation, representing a 5-fold overdose.

                                  No hay comentarios: