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.
Fisher D, Cochran KM, Provost LP, et al. Pediatrics. 2013;132:e1664-71.
A collaborative program modeled on the Keystone ICU project reduced the incidence of central line–associated bloodstream infections by 71% in 13 neonatal intensive care units. The reduction was sustained for 1 year after implementation of the intervention.
Evans S, Smith B, Esterman A, et al. Qual Saf Health Care. 2007;16:169-75.
The investigators describe an incident reporting intervention that included education on reportable incidents, changes in the process to reduce the fear of reporting, a shorter reporting form, and newsletters to share feedback. They found that this intervention significantly improved reporting.
Evans S, Berry JG, Smith B, et al. BMC Public Health. 2006;6:41.
The investigators surveyed more than 2000 people in southern Australia and found that experiencing an adverse event negatively affected opinions of hospital safety.