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Patient Safety Network

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 - 13 of 13 Results
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    • Do some surgical implants do more harm than good?
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    • Groopman J. New Yorker Online. April 13, 2020. 

    Medical devices support quality of life but must be designed appropriately and managed carefully to ensure safety over time. This feature discusses industry processes that reduce the reliability of surgical implants, including gaps and weaknesses in regulatory oversight. 
    Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes.
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    • DiCuccio MH, Colbert AM, Triolo PK, et al. J Nurs Admin. 2020;50:152-158.
    Over 1,000 nurses across 40 medical/surgical or telemetry units throughout seven hospitals were surveyed about perceptions on safety culture, patient advocacy, patient experience, and fall and pressure ulcer rates. Survey results indicated a positive correlation between safety culture and advocacy; however, this relationship was moderated by nursing experience, with newer nurses being more positive about safety culture and advocacy compared to experienced nurses.
    The power of regret.
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    • Groopman J, Hartzband P. N Engl J Med. 2017;377:1507-1509.
    … The New England journal of medicine … N Engl J Med … Clinicians may feel regret when the care they provide …
    Quality and Safety in Medicine.
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    • Nash DB, Goldfarb NI, Patow C, eds. Acad Med. 2009;84:1641-1846.  

    … NI, Patow C, eds. Acad Med. 2009;84:1641-1846.   … S. … SW … R. … CY … PE … KE … DM … GK … MA … AM … T. … MT … … … M. … M. … SJ … CJ … SJ … DM … EB … E. … SJ … RM … R. … J. … J. … PJ … MR … RM … GS … FS … SJ … SM … EC … J. … T. … MC … BE … LE … DB … NI … Bergh … Baker … Weaver … Colbert … Ogden … Hauer … Irby … Sharma … Makary … Manvar … …
    How Doctors Think.
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    • Groopman J. Boston, MA: Houghton Mifflin; 2007. ISBN: 0618610030.
    In this book, the author presents several stories that illustrate the forces that shape physician decision-making and may lead to diagnostic mistakes. Borrowing from the field of cognitive psychology, a number of errors stemming from clinicians’ use of heuristics, or “rule of thumb” shortcuts, are highlighted. This book introduced these concepts on a popular level to many clinicians and the public. The book also discusses the role patients can play to minimize these mistakes. A prior AHRQ WebM&M perspective discussed diagnostic errors and provided advice for reducing cognitive slips.
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