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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 - 10 of 10 Results
MohammadiGorji S, Joseph A, Mihandoust S, et al. HERD. 2023;Epub Aug 8.
Well-designed workspaces minimize disruptions and distractions. This review and study describes several important ways to improve the anesthesia workspace in the operating room. Recommendations include demarcating an anesthesia zone with adequate space for equipment and storage and that restricts unnecessary staff travel into and through the zone. Each recommendation includes an illustrative diagram, explains its importance, and offers methods to achieve it.
Lusk C, Catchpole K, Neyens DM, et al. Appl Ergon. 2022;104:103831.
Tall Man lettering and color-coding of medication syringes provide visual cues to decrease medication ordering and administration errors. In this study, an icon was added to the standard medication label; participants were asked to identify four medications, with and without the icon, from pre-defined distances. Participants correctly identified the medications with icons slightly more often.
Perspective on Safety June 30, 2021

This piece discusses areas where the healthcare built environment may contribute to the risk of COVID-19 transmission, mitigating strategies, and how the pandemic may impact the built environment moving forward.

This piece discusses areas where the healthcare built environment may contribute to the risk of COVID-19 transmission, mitigating strategies, and how the pandemic may impact the built environment moving forward.

Anjali Joseph

Anjali Joseph, PhD, EDAC, is a Spartanburg Regional Healthcare System Endowed Chair in Architecture and Health Design. Molly M. Scanlon, PhD, FAIA, FACHA, is the Director at Phigenics, LLC. We spoke with them about how healthcare built environments have been temporarily modified during the COVID-19 pandemic and what learnings may be used moving forward.

Joseph A, Henriksen K, Malone E. Health Aff (Millwood). 2018;37:1884-1891.
The built environment influences the safety and effectiveness of care delivery. This narrative review examines how care facility design can reduce health care–associated infections, falls, and medication errors. The authors provide suggestions regarding a range of facility design strategies and discuss how accreditation, funding, and policy organizations can support design projects as improvement efforts.
Joseph A, Bayramzadeh S, Zamani Z, et al. HERD. 2018;11:137-150.
Elements of the work environment can affect the safety of health care delivery. This literature review summarizes research to inform architectural and interior design improvements for operating rooms that support safety. The discussion highlights environmental themes associated with layout, acoustics, and lighting that can affect teamwork, processes, and communication in the operating room.
Catchpole K, Neyens DM, Abernathy J, et al. BMJ Qual Saf. 2017;26:1015-1021.
Efforts to measure and monitor patient safety improvement can help reveal how work is actually done. This commentary reviews observational study techniques to provide a framework and interactions to consider for researchers seeking to develop observational studies in health care.
Perspective on Safety October 1, 2012
… our buildings, and afterwards our buildings shape us." … Anjali Joseph, PhD … Director of ResearchThe Center for Health Design     … Eileen B. Malone, RN, MSN, MS … Member, Research CoalitionThe …
This piece discusses how environmental factors contribute to adverse events in health care and describes how evidence-based design principles can improve safety.
Henriksen K, Joseph A, Zayas-Cabán T. J Patient Saf. 2009;5:229-236.
This article introduces a five-tier conceptual framework recognizing both active and latent human factors issues in home health care delivery. The authors explain how the interdependencies among those elements can help inform policies to support safety for home-based patients.
Joseph A, Rashid M. Curr Opin Crit Care. 2007;13:714-9.
This review analyzes the literature linking patient safety to hospital design elements, such as unit layout, patient room design, and lighting conditions, and highlights areas for future research.