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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 - 20 of 35 Results
Etherington C, Kitto S, Burns JK, et al. BMC Health Serv Res. 2021;21:1357.
Gender bias has been implicated in negatively affecting patient safety. The authors conducted semi-structured interviews to explore how gender and other social identify factors impact experiences and teamwork in the operating room. Researchers found that women being routinely challenged or ignored or perceived negatively when assertive may hinder their pursuit of leadership positions or certain specialties. Implicit gender bias and stereotypes along with deeply entrenched structural barriers persist and complicate hierarchical relations between professions – all contributing to breakdowns in communication, increased patient safety risks, and poor team morale.  
Hammond Mobilio M, Paradis E, Moulton C-A. Am J Surg. 2022;223:1105-1111.
… Am J Surg … Surgical safety checklists (SSC) have been adopted … and researchers are discussed. … Hammond Mobilio M, Paradis E, Moulton CA. "Some version, most of the time": the … and the everyday experience of practice variation. Am J Surg. Epub 2021 Nov 24. doi: 10.1016/j.amjsurg.2021.11.002. …
Gleason KT, Commodore-Mensah Y, Wu AW, et al. Nurse Educ Today. 2021;104:104984.
… online open courses (MOOCs) have the ability to reach a broad audience of learners. The Science of Safety in … competence for patient safety among global learners: a prospective cohort study. Nurse Educ Today. 2021;104:104984. doi: 10.1016/j.nedt.2021.104984. …
Patel P, Martimianakis MA, Zilbert NR, et al. Acad Med. 2018;93:769-774.
Semi-structured interviews of 15 surgical residents revealed that surgical trainees may feel pressured to exhibit certain characteristics they perceive as consistent with the ideal surgical personality. The authors suggest that trainee education should acknowledge the impact of the sociocultural context of the surgical environment on trainees.
Tarrant C, Leslie M, Bion J, et al. Soc Sci Med. 2017;193:8-15.
… Soc Sci Med … Soc Sci Med … Achieving a positive safety culture requires that all team members feel … deviations from normal practice. The authors argue that a better understanding of social control is necessary to … voicing safety concerns in the clinical setting. A past WebM&M commentary discussed an incident involving a
Thornton KC, Schwarz JJ, Gross K, et al. Crit Care Med. 2017;45:1531-1537.
Intensive care units (ICUs) are complex environments that carry high risk for medical errors. This review explores the role of safety culture and patient and family engagement in reducing opportunities for error in ICUs. The authors draw from quality improvement processes to provide insights for implementing safety initiatives and involving patients and families in these efforts.
Arbaje AI, Werner NE, Kasda EM, et al. J Patient Saf. 2020;16:52-57.
Patients are at risk for adverse events after they transition from hospital to home. This study used review of malpractice claims and stakeholder focus groups to inform planning tools for postdischarge care transitions. Pilot testing of the tools demonstrated acceptability and feasibility for patients and providers. These results suggest that malpractice data can inform safety improvement approaches.
Kitto S, Goldman J, Etchells E, et al. Acad Med. 2015;90:240-5.
Leaders of quality improvement/patient safety and continuing education in Canada felt that efforts in these two domains were separated and that there were many opportunities to collaborate. However, they had differing views on how to best integrate programs.
Kitto S, Marshall SD, McMillan SE, et al. J Interprof Care. 2015;29:340-6.
Clinical staff often fail to call rapid response teams to evaluate deteriorating patients, even when objective criteria for calling the team are met. This qualitative study of physicians and nurses at an Australian hospital found that an impaired culture of safety can result in failure to use the rapid response team when appropriate and can also lead to using the team as a workaround to compensate for poor interdisciplinary communication.