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.
The AHRQ Patient Safety Indicators (PSI) capture the quality and safety in inpatient care and identify potential complications. This study compares the incidence of PSI-12 (perioperative venous thromboembolism (VTE)) in patients with and without acute COVID-19 infection. Patients with acute COVID-19 infection were at increased risk for meeting the criteria for PSI-12, despite receiving appropriate care. The researchers suggest taking this into consideration and updating PSIs, as appropriate.
Huang C, Barwise A, Soleimani J, et al. J Patient Saf. 2022;18:e454-e462.
Identifying and reducing diagnostic errors remains a critical patient safety concern. This prospective study asked clinicians if they perceived that a diagnostic error played a part in rapid response team activations or unplanned admissions to the intensive care unit. Clinicians reported that 18% of acute care patients experienced diagnostic errors.
Hamadi H, Tafili A, Apatu E, et al. Hosp Top. 2019;97:148-155.
Medicare's Hospital-Acquired Condition (HAC) Reduction Program provides financial incentive to hospitals by reducing reimbursements to those with elevated rates of health care-associated infections. This study found that community segregation impacts hospital HAC performance, and that hospitals in diverse communities fared worse than hospitals in homogenous communities. Policymakers should consider community socioeconomic status when designing performance measures and incentive programs, since factors such as health literacy and community health affect hospital performance. PSNet's Primer on Health Care- Associated Infections provides an explanation of infections as one of the HACs.
Leroy H, Dierynck B, Anseel F, et al. Journal of Applied Psychology. 2012;97.
Nursing leadership's attitude toward patient safety strongly influenced nursing teams' overall attitude toward safety and error reporting, illustrating the importance of leadership in establishing a culture of safety.