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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 - 16 of 16 Results
Panda N, Etheridge JC, Singh T, et al. World J Surg. 2021;45:1293-1296.
The World Health Organization (WHO) surgical safety checklist is widely used in surgical settings to prevent errors. This multinational panel representing multiple clinical specialties identified 16 recommendations for checklist content modification and implementation during the COVID-19 pandemic. These recommendations exemplify how the checklist can be adapted to meet urgent and emerging needs of surgical units by targeting important processes and encouraging critical discussions.
Ameratunga R, Klonin H, Vaughan J, et al. BMJ. 2019;364:l706.
… … BMJ … Recent high-profile incidents in the United States and the United Kingdom have fueled debate on the impact of … patient harm. This article compares how the United Kingdom and New Zealand respond when patients experience … authors emphasize the importance of focusing on resolution and learning to improve patient safety. …
Gelb AW, Morriss WW, Johnson W, et al. Anesth Analg. 2018;126:2047-2055.
Safe anesthesia is a global concern. These standards provide guidance and recommendations for clinicians, administrators, and governments as they review, implement, and manage anesthesia services in a variety of care environments. The standards center on themes related to professional qualification; facilities and equipment; medications and intravenous fluids; monitoring; and anesthesia delivery.
Ong APC, Devcich DA, Hannam J, et al. BMJ Qual Saf. 2016;25:971-976.
… BMJ quality & safety … BMJ Qual Saf … This hospital introduced … checklist posters in their operating rooms (ORs) and specifically assigned the leadership of each domain of … checklist to a different OR group (anesthesia, nursing, and surgery). These inexpensive changes led to improvements …
Kim RY, Kwakye G, Kwok AC, et al. JAMA Surg. 2015;150:473-9.
The World Health Organization's surgical safety checklist has been successfully implemented in multiple clinical settings. This study, conducted in Moldova, found that checklist usage remained high 2 years after initial implementation, with postoperative complication rates continuing to decline over that time period.
Merry A, Weller J, Mitchell SJ. J Cardiothorac Vasc Anesth. 2014;28:1341-51.
… Journal of cardiothoracic and vascular anesthesia … J Cardiothorac Vasc Anesth … This review explores safety in cardiac surgery and suggests that the anesthesiologist in the surgical team … able to ensure that evidence-based practices are followed and appropriate care is delivered. …
Gargiulo DA, Sheridan J, Webster CS, et al. BMJ Qual Saf. 2012;21:826-34.
Anesthesiologists were observed to violate sterile technique frequently when administering medications in a simulated setting. These protocol violations could contribute to hospital-acquired infections.
Merry A, Webster CS, Hannam J, et al. BMJ. 2011;343:d5543.
Drug administration errors are a major safety concern in anesthesiology, as even routine cases can require administration of several high-risk medications. In this randomized controlled trial, a novel system for drug administration was evaluated in comparison with usual anesthesia practice. The new system was designed according to human factors engineering principles and included proven safety measures such as barcode medication administration. Although fewer overall errors occurred with the new system, the reduction in administration errors occurred only when barcoding was performed consistently and safety alerts were heeded. The anesthesia field has long been a leader in patient safety, and in fact, some of the earliest studies in the patient safety field evaluated the role of human factors in anesthesia medication administration errors.
Haynes AB, Weiser TG, Berry WR, et al. N Engl J Med. 2009;360:491-9.
… latter. Eight hospitals with widely differing resources and patient populations were required to implement a … anesthesia), timeout (immediately before skin incision), and sign out (when the patient is ready to leave the … also included specific measures to improve teamwork and reduce the risk of surgical site infection . Checklist …