The PSNet Collection

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.

Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project.

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Turner K, Frush K, Hueckel RM, et al. J Nurs Care Qual. 2013;28:257-64.

The Josie King Care Journal is a tool intended to improve communication between the health care team and families of hospitalized children. This study reports on the implementation of the journal in a pediatric intensive care unit. Use of the tool was associated with perceived improvements in communication by both clinicians and parents.

Can we make postoperative patient handovers safer? A systematic review of the literature.

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Segall N, Bonifacio AS, Schroeder RA, et al. Anesth Analg. 2012;115:102-15.

This review summarizes how standardizing processes, completing urgent clinical tasks prior to information transfer, allowing patient-specific discussion during verbal handovers, and providing training in team and communication skills would improve patient handovers.

Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units.

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Fuchs MA, Sexton DJ, Thornlow D, et al. J Nurs Care Qual. 2011;26:101-9.

Adoption of a nurse-driven checklist led to reductions in catheter days and catheter-associated urinary tract infections. A past AHRQ WebM&M perspective discussed solutions to preventing health care–acquired urinary tract infections.

A necessary sea change for nurse faculty development: spotlight on quality and safety.

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Thornlow D, McGuinn K. J Prof Nurs. 2010;26:71-81.

This article explains the need to incorporate safety and quality concepts into undergraduate nursing education. The authors highlight methods to develop faculty competencies in this area.

Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults.

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Thornlow D, Anderson RA, Oddone E. Int J Nurs Stud. 2009;46:1528-1535.

This paper discusses the role of nursing care in preventing missteps that may trigger larger adverse events in hospitalized elderly patients.

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