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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 - 11 of 11 Results
Gagliardi AR, Ducey A, Lehoux P, et al. BMJ Qual Saf. 2017;27.
Regulatory agencies rely on physician reports of adverse events associated with medical devices in order to identify safety concerns. This qualitative interview study found that most physicians who implant devices do not regularly report adverse events related to particular devices. The authors recommend that postmarketing surveillance of medical devices be redesigned to foster detection of adverse events.
Gagliardi AR, Lehoux P, Ducey A, et al. PLoS One. 2017;12:e0174934.
Conflict of interest between health care providers and for-profit industry represents a patient safety concern. This qualitative study examined the relationship between physicians who use implantable devices and the device manufacturer representatives. Although physicians reported being vigilant in their relationship with device representatives and recognized the potential for conflicts of interest, device representatives were often present for implantations.
WebM&M Case February 1, 2017
… Understand how modern digital technology may encourage a superficial analysis of information. Appreciate that order … Fam Pract Manag. 2001;8:49-51. [go to PubMed] 4. Krive J, Shoolin JS, Zink SD. Effectiveness of evidence-based … at] 9. White RE, Trbovich PL, Easty AC, Savage P, Trip K, Hyland S. Checking it twice: an evaluation of checklists …
Prakash V, Koczmara C, Savage P, et al. BMJ Qual Saf. 2014;23:884-92.
This study used high-fidelity simulation to evaluate the impact of several interventions on preventing medication administration errors by chemotherapy nurses. Interventions with a basis in human factors engineering principles appeared to be highly effective at reducing errors related to interruptions.
White R, Cassano-Piché A, Fields A, et al. J Oncol Pharm Pract. 2014;20:40-6.
A fatal chemotherapy medication error prompted this thorough examination of ambulatory intravenous chemotherapy processes in Canada. This study uncovered potential preparation errors that were previously unrecognized and could lead to serious patient harms.
White RE, Trbovich PL, Easty AC, et al. Qual Saf Health Care. 2010;19:562-7.
This study describes the development and implementation of checklists to prevent chemotherapy errors. The authors raise the challenge of using checklists to balance safe completion of mechanistic tasks with those that require abstract clinical problem-solving.