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.
Cognitive biases can threaten patient safety in a variety of ways. This narrative review summarizes the common cognitive biases in surgical care and how they threaten patient safety, including delays in diagnosis and treatment, unnecessary surgeries, and intraoperative errors and complications. The authors also discuss cognitive debiasing strategies to mitigate the impact of cognitive biases.
Duffy B, Miller J, Vitous CA, et al. J Patient Saf. 2021;17:e1765-e1773.
Healthcare providers are increasingly disclosing their errors to patients. This review summarizes available guidance for how and when to report other providers’ errors, particularly those outside their own facility or system. Guidelines tended to be ambiguous and restricted to incompetence.
Antunez AG, Shuman AG, Jagsi R, et al. J Am Coll Surg. 2018;227:543-547.
… Coll Surg … Learning from other organizations' errors is a recognized opportunity to engage in safety improvement. … others is an ethical responsibility. The authors describe a framework to build a culture that draws from quality, holism , collaboration, …
Dossett LA, Kauffmann RM, Lee JS, et al. Ann Surg. 2018;267:1077-1083.
… of medical errors to patients is central to maintaining a therapeutic provider–patient relationship. However, little … of medical errors occurring prior to the referral of a patient. Most believed that error disclosure did not …