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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 - 15 of 15 Results
Zimlichman E, Henderson D, Tamir O, et al. JAMA Intern Med. 2013;173:2039-2046.
Health care–associated infections (HAIs) remain a major contributor to preventable morbidity and mortality in hospitalized patients, despite some progress in combating certain infections. This economic analysis combined a systematic review of estimates of costs attributable to HAIs with HAI incidence data to project hospitals' total financial burden caused by these infections in adult inpatients. The authors conclude that the 5 most common HAIs result in an annual cost to the health care system of nearly $10 billion. Since the majority of HAIs are considered preventable, this finding implies that considerable savings could be achieved through more rigorous HAI prevention efforts. Although the study is limited by the heterogeneous methods of determining costs used in the original studies, other studies have shown a relatively strong business case for hospitals to invest in efforts to prevent HAIs.
Denham CR, Dingman J, Foley M, et al. J Patient Saf. 2008;4:148-161.
This article discusses verbal communication and how human factors, authority gradients, team interaction, health literacy, and active listening can affect safety improvement.
Sheridan S, Conrad N, King S, et al. J Patient Saf. 2008;4:18-26.
This article relates personal experiences of medical errors and offers a powerful message to providers by discussing how disclosure might have influenced family members' healing in the aftermath of these preventable incidents.
Denham CR. J Patient Saf. 2008;4.
This commentary presents information and background on the standardized communication process known as SBAR (situation, background, assessment, and recommendation). The author proposes reformulating the SBAR model for patients and provides an example of the framework.
Denham CR. J Patient Saf. 2008;3.
The author discusses the psychological impact of medical error on clinicians and shares interviews with several patient safety experts on this topic. He proposes a list of five rights to which caregivers are entitled following an unintentional error.
Kilbridge PM, Classen D, Bates DW, et al. J Patient Saf. 2008;2.
The authors discuss the National Quality Forum (NQF) computerized physician order entry (CPOE) standard, review the evidence of CPOE efficacy, document impact and metrics, describe CPOE implementation challenges, and suggest updates to the current NQF standard.