The PSNet Collection

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.

The meaning of justice in safety incident reporting.

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Weiner BJ, Hobgood C, Lewis MA. Soc Sci Med. 2008;66:403-13.

This article describes how the principles of just culture can inform the design of effective incident reporting systems. An AHRQ WebM&M interview and perspective address the concept of just culture and its implementation.

Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?

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Hobgood C, Weiner B, Tamayo-Sarver JH. Acad Emerg Med. 2006;13:443-51.

The investigators had physicians, nurses, and emergency medical technicians review 10 vignettes illustrating error. They found variances between the three groups in identification of error and the likelihood of disclosure and reporting.

Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children.

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Hobgood C, Tamayo-Sarver JH, Elms A, et al. Pediatrics. 2005;116:1276-1286.

… Pediatrics … Pediatrics … This study used a four-scenario survey instrument to demonstrate that nearly all parents desire full disclosure about a medical error. Based on enrollment of approximately 500 …

The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration.

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Hobgood C, Hevia A, Tamayo-Sarver JH, et al. Acad Med. 2005;80:758-64.

The authors surveyed emergency medicine residents to determine their emotional response to making medical mistakes. The authors suggest improvements in morbidity and mortality conferences and institutional environments that engender defensive medical practices.

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