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.
Fu BQ, Zhong CCW, Wong CHL, et al. Int J Health Policy Manag. 2023;12:7089.
Peri-discharge interventions aim to reduce potential adverse events that can arise during and after hospital discharge. This systematic review of 13 qualitative studies identified common barriers and facilitators to implementing peri-discharge interventions. Frequently cited barriers included limited resources, poor team communication, and complicated intervention processes; common facilitators included leadership support, a positive organizational culture, and financial penalties.
Providing in-home care for home-dwelling adults presents unique patient safety challenges. This qualitative study with 13 registered nurses in Sweden explored how nurses ensure safe home health care among home-dwelling older patients. Findings highlight the importance of continuity of care, trust between patients, caregivers, and nurses, and adapting safety requirements to meet environmental conditions and maintain a sense of home.
Ericsson C, Skagerström J, Schildmeijer K, et al. BMJ Qual Saf. 2019;28:657-666.
Patient engagement in safety is considered a best practice and a National Patient Safety Goal, but less is known about patients' perceptions regarding this topic. In this survey study involving 1445 patients in Sweden, researchers found that more than 80% of respondents felt comfortable directing questions to doctors and nurses. Patients who had filed a formal complaint reporting a safety concern were found to believe with greater certainty that the patient perspective can improve the safety of care.
Skagerström J, Ericsson C, Nilsen P, et al. Nurs Open. 2017;4:230-239.
This qualitative study examines nurses' perspectives regarding patient engagement. Nurses reported that they believe health care workers and patients share responsibility for patient participation in care. Participants identified barriers to patient engagement, including time limitations, insufficient continuity with other providers, and lack of trust.
Öhrn A, Ericsson C, Andersson C, et al. J Patient Saf. 2018;14:17-20.
Failure mode effect analysis is a widely used method of prospectively detecting safety hazards, but evidence of its effectiveness is lacking. This study of 117 FMEAs from 3 hospitals in Sweden found that the recommended safety interventions were implemented in more than three-quarters of cases within a few years.