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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 - 15 of 15 Results
Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023.
This review examines hospital discharge, details elements of the process that can increase risk of readmission, and reveals interventions to improve safety.
Perspective on Safety April 1, 2018
This piece explores the risks patients face after hospital discharge and strategies to address them, such as patient education, Project RED, and the Care Transitions Intervention.
This piece explores the risks patients face after hospital discharge and strategies to address them, such as patient education, Project RED, and the Care Transitions Intervention.
Dr. Krumholz is Professor of Medicine at the University of Yale School of Medicine and Director of the Yale-New Haven Hospital Center for Outcomes Research and Evaluation. We spoke with him about readmissions and post-hospital syndrome, a term he coined in an article in the New England Journal of Medicine to describe the risk of adverse health events in recently hospitalized patients.
Alper J; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine. Washington, DC: National Academies of Sciences, Engineering, and Medicine; 2015. ISBN: 9780309371544.
Efforts to develop patients' ability to understand health information and follow treatment recommendations can enhance medication safety and engage patients in their care. The Institute of Medicine highlighted health literacy as a safety concern in 2004. This report summarizes the findings of a workshop convened to assess progress in this field and to discuss local, national, and international strategies to advance health literacy improvement.
Alper J, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; December 2014. ISBN: 9780309307383.
… to augment patient understanding of directions. … Alper J, Hernandez LM; Roundtable on Health Literacy, Board … and Public Health Practice; Institute of Medicine; IOM … J … LM … Alper … Hernandez … J Alper … LM Hernandez …
Garrett SK, Khasawneh MT, eds. Int J Indust Ergon. 2011;41:333-400.
… medication delivery . … Garrett SK, Khasawneh MT, eds. Int J Indust Ergon. 2011;41:333-400. … SK … MT … EK … A … S … T … … Wears … Perry … Guarrera … Brown … Sui … Holden … Brown … Alper … Scanlon … Patel … Karsh … Grigg … Craig … Patterson … … TK Guarrera … JL Brown … Z Sui … RJ Holden … RL Brown … SJ Alper … MC Scanlon … NR Patel … BT Karsh … SJ Grigg … JB …
Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20.
This study applied a human factors model to nursing workload and found interesting relationships between workload types and outcomes. For instance, medication errors may be predicted by task-level workload, whereas dissatisfaction may be by unit-level workload.

Nash DB, Goldfarb NI, Patow C, eds. Acad Med. 2009;84:1641-1846.  

… … T … M … M … SJ … CJ … SJ … DM … EB … E … SJ … RM … R … JJ … PJ … MR … RM … GS … FS … SJ … SM … EC … J … T … MC … BE … … … Durning … Standiford … Bernstein … Windish … Bass … Alper … Durning … Bohmer … Behal … Finn … Voss-Andreae … …
Karsh B-T, Holden RJ, Alper SJ, et al. Qual Saf Health Care. 2006;15 Suppl 1:i59-65.
This paper argues for approaching patient safety through human factors engineering, which studies the day-to-day activities of health care professionals and uses them as a vehicle for changing the health care system. In the authors' framework, the physical, cognitive, and social/behavioral performance of health care professionals is analyzed to develop methods of increasing the likelihood of successful performance. The authors contrast this approach to other patient safety paradigms that seek to reduce errors made by providers or increase the use of evidence-based medicine. This article is part of a special issue on the role of design in health care improvements.
Qual Saf Health Care. 2006 Dec;15(Suppl 1):i1-90.
… RJ … SJ … CK … P … BT … AP … CJ … M … JR … JW … JS … JW … J … RM … MC … SG … JB … K … E … P … JK … Runciman … … … Lowe … Amalberti … Vincent … Auroy … Karsh … Holden … Alper … Or … Carayon … Karsh … Gurses … Alvarado … Smith … … Smith … JR Grout … JW Senders … JS Carroll … JW Rudolph … J Reiling … RM Galbraith … MC Holtman … SG Clyman … JB …

Ergonomics. 2006;49(5-6):439-630.

… MR; Van Der Schaaf TW; Van Mierlo H … ML … SJ … B … E … J … N … A … S … T … AN … N … CA … KR … AE … GJ … PJ … M … S … … L … ND … O … P … AS … CJ … SR … P … A … NK … S … GJ … CM … J … S … E … D … Hallock … Alper … Karsh … Hellier … Edworthy … Derbyshire … Costello … …