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.
The 2005 Patient Safety and Quality Improvement Act calls for creation of a national, voluntary error reporting system. This article discusses the scope and essential components of such a system, as well as what other industries can teach health care about error reporting systems.
Liang BA, Riley W, Rutherford W, et al. American Journal of Medical Quality. 2007;22.
The authors discuss the Patient Safety and Quality Improvement Act of 2005 and describe how it provides opportunities for safety improvement by enhancing both incident reporting and transparency about error.
Understanding that she may lose her life without it, a woman severely injured in a collision rejects a blood transfusion for religious reasons. However, her parents persuade the physicians otherwise, and the woman lives.