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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 23 Results
McComb SA, Lemaster M, Henneman EA, et al. J Patient Saf. 2017;13:237-242.
… … J Patient Saf … Interprofessional collaboration is a cornerstone of safe patient care. Researchers surveyed … the other profession when compared to their own. Fostering a shared mental model and mutual trust are core components of …
Kane-Gill SL, Dasta JF, Buckley MS, et al. Crit Care Med. 2017;45:e877-e915.
Although technology has helped decrease medication errors, adverse drug events remain a significant source of harm. Patients in the intensive care unit (ICU) may be particularly vulnerable to medication errors due to the complex nature of their care. Prior research has shown that medication errors occur more frequently in the ICU and are more likely to cause serious patient harm or death. This clinical practice guideline highlights environmental changes and prevention strategies that can be employed to improve medication safety in the ICU. The authors also describe components of active surveillance that may augment detection of medication errors and adverse drug events. A previous WebM&M commentary discussed a case involving a serious medication error in the ICU setting.
Henneman EA, Tessier EG, Nathanson BH, et al. J Patient Saf. 2014;10:88-94.
Medication reconciliation efforts depend on obtaining an accurate medication history at the time of the clinical encounter. In this study, use of a structured tool by student nurses improved the accuracy of the medication history at hospital admission and was associated with fewer inadvertent medication omissions.
Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.
… study explored the cues that nurses use to determine when a patient's clinical condition is worsening, with specific … to obtain assistance from the rapid response team or call a "code blue." Rather than relying on specific vital sign abnormalities , nurses relied on a combination of clinical findings (such as altered mental …
Henneman EA. AACN Adv Crit Care. 2009;20:128-132.
… the scope of the term patient safety technology and uses a case study to illustrate that sometimes simple … solutions can greatly improve patient safety. … Henneman EA. Patient safety and technology.  AACN Adv Crit …
WebM&M Case May 1, 2007
… The Case … A young woman with Takayasu's arteritis presented to the … the expertise of senior nurses and attending physicians. … Elizabeth A. Henneman, RN, PhD … Assistant Professor University of …