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 - 7 of 7 Results

The mixed blessings of smart infusion devices and health care IT.

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Nemeth CP, Brown J, Crandall B, et al. Mil Med. 2014;179:4-10.

This study provides a detailed description of the overlapping technological, organizational, and human factors associated with the use of smart pumps and includes insights into potential pitfalls that may pose patient safety threats. The authors make specific recommendations to improve the real-world use of smart pump technology.

The Safety of Medical Devices

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Perspective on Safety June 1, 2011

This piece discusses how adopting new technology can have unintended effects.

In Conversation with… Edward Tenner, PhD

His seminal work in patient safety is generally credited with introducing the concept of unintended consequences.

“Those found responsible have been sacked”: some observations on the usefulness of error.

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Cook RI, Nemeth CP. Cogn Tech Work. 2010;12:87-93.

… and social discussion of accidents. … Cook RI, Nemeth CP. “Those found responsible have been sacked”: some …

Between choice and chance: the role of human factors in acute care equipment decisions.

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Nemeth CP, Nunnally M, Bitan Y, et al. J Patient Saf. 2009;5:114-21.

This study describes a scientific analysis for assessing medical devices by combining a hospital staff assisted by human factors with medical professionals versed in equipment assessment.

Studying the technical work of emergency care.

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Nemeth CP, Cook RI, Wears RL. Ann Emerg Med. 2007;50:384-6.

The authors introduce a set of articles that explore how clinicians plan and manage their work in the emergency department through the spectrum of clinical workload, learning techniques, equipment use, and communication.

Patient safety: learning from the aviation industry.

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Kosnik LK, Brown J, Maund T. Nurs Manage. 2007;38:25-30; quiz 31.

The authors explain the value of crew resource management as a strategy to minimize errors in clinical work through its emphasis on improving team communication and flattening hierarchies.

Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work.

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Nemeth CP, O’Connor M, Klock PA, et al. Organization Studies. 2006;27.

The authors studied the use of cognitive artifacts (eg, schedules) in the operating room in order to understand the cognitive work of providers in coping with complex clinical interactions.

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