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The PSNet Collection: All Content

The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.

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Displaying 1 - 9 of 9 Results
Modak I, Sexton B, Lux TR, et al. J Gen Intern Med. 2007;22:1-5.
While several surveys have been developed to measure the culture of safety in inpatient settings, no outpatient-specific resource yet exists. In this study, funded in part by the Agency for Healthcare Research and Quality (AHRQ), the investigators adapted the Safety Attitudes Questionnaire to address safety culture in the outpatient arena. The resulting 62-item questionnaire was pilot tested in an academic multispecialty practice and was found to reliably identify safety issues. The survey is posted online at the authors' web site.
Thomas EJ; Sexton JB; Lasky RE; Helmreich RL; Crandell DS; Tyson J.
The researchers videotaped neonatal resuscitation teams over 1 year to observe their interaction behaviors and compliance with guidelines. They found correlations between team behaviors and compliance with guidelines and overall quality of care.
Sexton JB, Helmreich RL, Neilands TB, et al. BMC Health Serv Res. 2006;6:44.
This AHRQ-supported study discusses one of the best-studied tools to measure and assess patient safety culture. Investigators present the cumulative findings from administering the Safety Attitude Questionnaire (SAQ) to more than 10,000 providers in 203 clinical areas and in 3 countries. The domains that encompass provider attitudes include teamwork climate, safety climate, perceptions of management, job satisfaction, working conditions, and stress recognition. The authors describe their findings with a goal that their tool will allow health care organizations to measure safety attitudes and compare themselves across domains to others. A past study described the results of using such a tool in an academic medical center.
Thomas EJ, Sexton B, Neilands TB, et al. BMC Health Serv Res. 2005;5:28.
While executive walk rounds (EWRs) vary in application from institution to institution, their use continues to grow as a largely unproven method for improving safety culture. EWRs typically involve a number of executives visiting patient care areas to engage providers and discuss patient safety concerns. This study targeted more than 20 clinical units to determine the impact of EWRs on perceived safety climate using an established survey tool. Results suggested a positive effect on the safety climate attitude of nurses who participated in the rounds. The authors conclude that greater implementation of EWRs may serve as an important tool to improve safety culture and, ultimately, patient safety.
Helmreich RL. BMJ . 2000;320:781-785.
… to frame the issues of patient safety and medical errors. Helmreich provides background on the methods and use of error … such as focusing on teamwork and communication skills, Helmreich proposes a series of steps for creating error …
Sexton JB, Thomas EJ, Helmreich RL, et al. The University of Texas Center of Excellence for Patient Safety Research and Practice, 2004. Technical Report 04-01.
This collection of surveys seeks to assess the attitudes toward safety in a variety of clinical settings. This project was supported by Agency for Healthcare Research and Quality (AHRQ) Grant # 1PO1HS1154401. The use of this survey instrument is discussed by Pronovost in a 2003 article.

BMJ. 2000 Mar 18;320(7237):725-814.

… van Rossum E; Luc P de Witte; Crebolder HFJM; McL Wilson R; O'Leary DS: Cohen MR … LL … DM … JA … TW … EJ … TA … BJ … … … Pietro … Shyavitz … Smith … Auerbach … Wu … Reinertsen … HelmreichL. … L. … LL Leape … DM Berwick … JA Espinosa … TW Nolan … EJ …