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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 - 17 of 17 Results
Placona AM, Rathert C. Med Care Res Rev. 2022;79:3-16.
This systematic review analyzed results of 32 studies comparing online patient reviews (OPRs) and measures of patient outcomes. While OPRs did have positive associations with patient experience, associations between OPRs and quality measures were mixed. Due to the weight that patients give OPRs, future research should focus on associations between OPRs and encounter setting, specialty, and specific quality measures.
Linzer M, Sinsky CA, Poplau S, et al. Health Aff (Millwood). 2017;36:1808-1814.
Clinician burnout is a pressing patient safety issue. This pre–post study found that improving clinicians' work conditions (e.g., chaos, communication, values alignment, and cohesion) led to a subsequent reduction in burnout and increased likelihood of remaining in their medical practices. The findings suggest that clinicians' satisfaction can be improved by addressing workplace conditions.
Sahlström M, Partanen P, Rathert C, et al. Int J Nurs Pract. 2016;22:461-469.
Providing patient-centered care calls for involving patients in all aspects of care. However, patient engagement in safety efforts remains challenging. Analyzing survey data from 21 Finnish patient safety experts, researchers determined that patient participation in maintaining their own safety varied across institutions and did not consistently meet national standards. They suggest that institutions should focus on creating a safety culture that promotes an equal partnership with patients to achieve high quality care.
Perspective on Safety May 1, 2016
This piece describes strategies to reduce alarm fatigue in hospitals, including educating staff and patients, customizing alarm settings, and performing maintenance of lead wires.
This piece describes strategies to reduce alarm fatigue in hospitals, including educating staff and patients, customizing alarm settings, and performing maintenance of lead wires.
Dr. Drew is the David Mortara Distinguished Professor of Physiological Nursing and Clinical Professor of Medicine in Cardiology at the University of California, San Francisco. We spoke with her about the perils and prevalence of alert fatigue.
Linzer M, Poplau S, Grossman E, et al. J Gen Intern Med. 2015;30:1105-11.
A recent survey suggested that more than half of physicians in the United States have symptoms of burnout. This study examined multiple interventions aimed at improving work conditions for primary care physicians. Approximately 22% of intervention physicians showed improvements in burnout, compared to only 7% of those in the control group. Workflow interventions and targeted quality improvement projects led to fewer reported burnout and stress symptoms, while communication initiatives were associated with enhanced clinician satisfaction.
Rathert C, May DR, Williams E. Health Care Manage Rev. 2011;36:359-368.
… safety , concerns persist that patient satisfaction may be more influenced by service quality rather than safety … service quality influenced overall patient satisfaction. … Rathert C, May DR, Williams ES. Beyond service quality: the mediating role of …
Rathert C, Phillips W. Journal of Business Ethics. 2010;97.
Many factors inhibit clinicians from disclosing medical errors to patients, ranging from inadequate training in error disclosure, fear of precipitating a malpractice lawsuit, and sometimes explicit discouragement of disclosure. This article draws a sharp contrast between the traditional "deny and defend" approach to error disclosure, and the "disclose and apologize" model that has been successfully implemented at some institutions. Based on survey data, the authors argue that formal error disclosure training programs for staff not only teach important skills, but promote a values-based work environment. Health care leaders, in their view, should adopt "disclose and apologize" policies, and train employees to disclose and discuss errors as a key part of improving organizational safety culture.
Linzer M, Manwell LB, Williams E, et al. Ann Intern Med. 2009;151:28-36, W6-9.
The quality and safety of care in the ambulatory setting may require a different framework for assessment and improvement from that often applied in the hospital setting. The relationships between work environments and the care delivered in those environments similarly may differ between care settings. This AHRQ-funded study found that more than half of surveyed physicians reported time pressures during office visits and low control over their work, though only a quarter reported burnout. While adverse workflow and poor organizational culture were associated with adverse physician reactions (e.g., low satisfaction, stress, and burnout), there were no associations between these reactions and care quality or errors. This study builds on past analyses of these relationships from the same investigative team.
Dowell D, Manwell LB, Maguire A, et al. Healthc Q. 2005;8:suppl 2-8.
In this AHRQ-funded study, investigators conducted focus groups with patients to explore health care quality and safety issues. The authors conclude that patients can provide important insight for systems improvement and error reduction.