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.
Bsharat S, Drach-Zahavy A. J Adv Nurs. 2017;73:2118-2128.
Patients can play an important role in improving patient safety. Although efforts to engage patients in safety work are becoming more widespread, some have criticized the idea that patients should bear any responsibility for safety. Prior research has shown that parents may help identify safety incidents affecting hospitalized children that might otherwise go undetected, but little is known about how nurses react to parental involvement in safety. This study used attribution theory to better understand how nurses respond to safety issues raised by parents. The authors also discuss the implications of their findings on promoting parental engagement in safety. A past PSNet perspective reviewed the opportunities and limitations when engaging patients in safety.
Drach-Zahavy A, Hadid N. J Adv Nurs. 2015;71:1135-45.
This prospective study examined 200 hospital nurse handovers. Documentation was missing in nearly half of patients' files, and dosage discrepancies were identified in 23% of cases. Use of strategies that emphasized the input and interaction of the incoming team—such as face-to-face verbal updates with questions—were associated with fewer treatment errors.
This study evaluated the mechanisms by which hospital wards learned from medication administration errors and the effect these learning strategies had on subsequent incidence of errors.