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.
Trbovich PL, Tomasi JN, Kolodzey L, et al. Pediatr Crit Care Med. 2022;23:151-159.
Intensive care units (ICU) are high-risk environments. Based on direct observations, these researchers identified 226 latent safety threats affecting routine care activities in pediatric ICUs. Findings indicate that threats persist regardless of whether individuals comply with or deviate from policies and protocols, suggesting the need for targeted interventions beyond reinforcing compliance.
Hickey EJ, Nosikova Y, Pham-Hung E, et al. J Thorac Cardiovasc Surg. 2015;149:496-505; discussion 505-7.
… The Journal of thoracic and cardiovascular surgery … J Thorac Cardiovasc Surg … In this study, the National Aeronautics and Space Administration's error detection model was used to analyze the incidence and …
Burmester MK, Dionne R, Thiagarajan RR, et al. Intensive Care Med. 2008;34:1083-90.
Introduction of a standardized order template, along with targeted physician education, significantly reduced prescribing errors. However, no effect was seen on the incidence of adverse drug events.