Skip to main content

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.

Search All Content

Search Tips
Filter By Author(s)
Advanced Filtering Mode
Date Ranges
Published Date
Original Publication Date
Original Publication Date
PSNet Publication Date
Additional Filters
Displaying 1 - 13 of 13 Results
Subbe CP, Hughes DA, Lewis S, et al. BMJ Open. 2023;13:e065819.
Failure to rescue refers to delayed or missed recognition of clinical deterioration, which can lead to patient complications and death. In this article, the authors used health economics methods to understand the health economic impacts associated with failure to rescue. The authors discuss the economic perspectives of various decision makers and how each group defines value. 
van Galen LS, Brabrand M, Cooksley T, et al. BMJ Qual Saf. 2017;26:958-969.
… & safety … BMJ Qual Saf … The use of readmission rates as a metric of care quality remains controversial, as United States–based studies have shown that only a minority of readmissions are preventable. This prospective … literature questioning the utility of readmission rates as a measure of the quality of care. …
Kemper PF, de Bruijne M, van Dyck C, et al. BMJ Qual Saf. 2016;25:577-87.
This study found that classroom-based crew resource management training for intensive care unit staff was well received and improved self-reported situational awareness tactics, safety culture, and job satisfaction. However, there were no measurable changes in professional communication or patient outcomes compared to control groups.
Sabin J, Subbe CP, Vaughan L, et al. Clin Med (Lond). 2014;14:462-7.
Many studies have explored how staffing levels influence safe and reliable patient care. Focusing on physician staffing in acute internal medicine, this review describes the way workload, process timing, patient complexity, service set-up, and team skill mix affect staffing needs.
Göbel B, Zwart DLM, Hesselink G, et al. BMJ Qual Saf. 2012;21 Suppl 1:i106-13.
… study examines the hospital discharge process through a clinical microsystems approach, using detailed interviews … physicians, and primary care physicians to construct a 360-degree view of the factors contributing to effective … ineffective transitions. The major theme that emerged was a lack of consistent information transfer across settings, …
Zwart DLM, Heddema WS, Vermeulen MI, et al. BMJ Qual Saf. 2011;20:857-62.
Voluntary error reporting systems have traditionally been hampered by low reporting rates among physicians. This Dutch analysis of an initiative to encourage error reporting among resident physicians found that residents who reported errors or near misses scored more highly on objective performance assessments compared with their peers who did not file any reports.
Gao H, McDonnell A, Harrison DA, et al. Intensive Care Med. 2007;33:667-79.
… commonly used triggers was relatively high, meaning that a significant proportion of acutely unstable patients would … be identified by such criteria. This problem was noted in a prior negative study of rapid response teams. The authors …