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.
Extended and overnight shifts are associated with higher adverse event rates and burnout. This mini review summarizes the impact of overnight shifts on nurses' health, patient and public safety, and organizational costs (e.g., those related to nurse turnover). Organizational strategies to promote nurses' health and reduce errors are also summarized, ranging from low-cost measures such as breaks for physical activity during the shift to high-cost measures such as referral to sleep specialists or paid transportation home.
Dillon-Bleich K, Dolansky MA, Burant CJ, et al. J Nurs Care Qual. 2023;38:82-88.
Safety competencies are the knowledge, skills, and attitudes of healthcare providers to improve and ensure safe patient care. This study explored the interaction of nurses’ safety competencies with structural empowerment, systems thinking, level of education and certification. Results show systems thinking was positively correlated with safety competency; the authors recommend educators review the inclusion of safety competencies and systems thinking in academic curricula.
… of healthcare delivery. In this study, researchers used a concept analysis to identify attributes of nurse well-being … policy considerations around well-being and burnout . … Patrician PA, Bakerjian D, Billings R, et al. Nurse … analysis. Nurs Outlook. Epub 2022 Jul 4 . doi: 10.1016/j.outlook.2022.03.014 …
Montgomery AP, Patrician PA, Azuero A. J Nurs Care Qual. 2022;37:87-93.
Excess workload and burnout among nurses can compromise safe care. This cross-sectional survey of nurses in Alabama found that nurse burnout and poor work environment were associated with lower patient safety culture scores.
Polancich S, Hall AG, Miltner RS, et al. J Healthc Qual. 2021;43:137-144.
The COVID-19 pandemic has disrupted many aspects of health care delivery, including how hospitals prevent common hospital-acquired conditions such as pressure injuries. Based on retrospective data, the authors of this study did not identify a longitudinal increase in hospital-acquired pressure injuries between March and July 2020. The authors discuss how prior organizational efforts to reduce hospital-acquired pressure injuries allowed their hospital to quickly adapt existing workflows and processes to respond to the COVID-19 pandemic.
Daniel M, Rencic J, Durning SJ, et al. Acad Med. 2019;94:902-912.
… clinical situations, and on the front line. Although a variety of methods were identified, the authors highlight … clinical reasoning assessment tools. … Daniel M, Rencic J, Durning SJ, et al. Acad Med. 2019;94:902-912. …
Dr. Skochelak is the Group Vice President for Medical Education at the American Medical Association (AMA). She leads the AMA's Accelerating Change in Medical Education initiative, which aims to align physician training with the changing needs of our health care system. We spoke with her about her experience in medical education.
Randall KH, Slovensky D, Weech-Maldonado R, et al. Jt Comm J Qual Patient Saf. 2019;45:164-169.
… Jt Comm J Qual Patient Saf … Jt Comm J Qual Patient Saf … High … safety culture , and robust process improvement. A past PSNet interview discussed high reliability as it … health care. … Randall KH, Slovensky D, Weech-Maldonado R, Patrician PA, Sharek PJ. Self-Reported Adherence to High …
A systems approach to practice has been advocated as a key element of safe medical care. This white paper proposes that systems-based practice be integrated as a nursing competency requirement, including education about organizational leadership and complexity science and systems theory in design.
… The Journal of nursing administration … J Nurs Adm … In this study conducted at military hospitals, … nursing experience and skill mix was associated with a lower incidence of falls and medication errors. …