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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 - 4 of 4 Results
Bacon CT, McCoy TP, Henshaw DS. J Nurs Adm. 2021;51(1) :12-18.
Lack of communication and interpersonal dynamics can contribute to failure to rescue. This study surveyed 262 surgical staff about perceived safety climate, but the authors did not find an association between organizational safety culture and failure to rescue or inpatient mortality.  
Bacon CT, McCoy TP, Henshaw DS. Res Nurs Health. 2019;43:155-167.
This study assessed the impact of crew resource management (CRM) training for surgical staff and organizational leadership on failure to rescue and 30-day in-hospital mortality. Two hospitals within a larger tertiary care system participated – one received training, the other did not. The authors found that the odds of FTR (2.9%) and 30-day mortality (0.4%) were higher at the hospital that received CRM training, but these differences were not statistically significant. These findings are consistent with prior research which found that CRM improved staff outcomes, such as safety culture and situational awareness, rather than patient-related outcomes.