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.
Tawfik DS, Adair KC, Palassof S, et al. Jt Comm J Qual Patient Saf. 2023;49:156-165.
… Jt Comm J Qual Patient Saf … Leadership across all levels of a health … workload, and intentions to leave the job. … Tawfik DS, Adair KC, Palassof S, et al. Leadership behavior associations … engagement, and healthcare worker well-being. Jt Comm J Qual Patient Saf. Epub 2022 Dec …
Adair KC, Heath A, Frye MA, et al. J Patient Saf. 2022;18:513-520.
Psychological safety (PS) is integral to ensuring healthcare workers feel comfortable asking questions and raising patient safety concerns. A novel PS assessment was administered to over 10,000 healthcare workers and support staff in one academic health system. The scale showed a significant correlation with safety culture, especially among those exposed to institutional PS programs (i.e., Safety WalkRounds and Positive Leadership WalkRounds).
Rehder KJ, Adair KC, Eckert E, et al. J Patient Saf. 2023;19:36-41.
… J Patient Saf … Teamwork is an essential component of patient … increase team-based training to reduce patient harm. … Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during …
… J Patient Saf … Adverse event reporting by health care … care, diagnosis, and care delays. … Cohen SP, McLean HS, MilneJ, et al. Differences in safety report event types submitted …
Klimmeck S, Sexton B, Schwendimann R. Jt Comm J Qual Patient Saf. 2021;47:783-792.
… Jt Comm J Qual Patient Saf … Safety WalkRounds involve health care … climate nine-months after implementation. … Klimmeck S, Sexton BJ, Schwendimann R. Changes in safety and teamwork … observations to patient safety WalkRounds. Jt Comm J Qual Patient Saf. Epub 2021 Sep 8. …
Haidari E, Main EK, Cui X, et al. J Perinatol. 2021;41:961-969.
High levels of healthcare worker (HCW) burnout may be associated with lower levels of patient safety and quality. In June 2020, three months into the COVID-19 pandemic, 288 maternity and neonatal HCWs were asked about their perspectives on well-being and patient safety. Two-thirds of respondents reported symptoms of burnout and only one-third reported adequate organizational support to meet these challenges. Organizations are encouraged to implement programs to reduce burnout and support HCW well-being.
Sexton JB, Adair KC, Profit J, et al. Jt Comm J Qual Saf. 2021;47:306-312.
… Jt Comm J Qual Saf … Healthcare workers may experience distress … highlighting the importance of support programs . … Sexton JB, Adair KC, ProfitJ, et al. Perceptions of institutional …
Tawfik DS, Thomas EJ, Vogus TJ, et al. BMC Health Serv Res. 2019;19:738.
Prior research has found that perceptions about safety climate varies across neonatal intensive care units (NICUs). This large cross-sectional study examining the impact of caregiver perceptions of safety climate on clinical outcomes found that stronger safety climates were associated with lower risk of healthcare-associated infections, but climate did not affect mortality rates.
This piece describes a collaborative, interdisciplinary team approach with a flat hierarchy used at Intermountain Healthcare's Dixie Regional Medical Center that led to substantial reduction of key neonatal morbidities and costs of care.
This piece describes a collaborative, interdisciplinary team approach with a flat hierarchy used at Intermountain Healthcare's Dixie Regional Medical Center that led to substantial reduction of key neonatal morbidities and costs of care.
Dr. Shah is an Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School and Director of the Delivery Decisions Initiative at Harvard's Ariadne Labs. He is also the founder of the organization Costs of Care. We spoke with him about patient safety in obstetrics, maternal mortality, the importance of dignity, and the overuse of cesarean deliveries.
Johnston BE, Lou-Meda R, Mendez S, et al. BMJ Glob Health. 2019;4.
Medical errors are a concern across the economic spectrum worldwide. This commentary describes an educational effort to develop champions to lead patient safety, quality improvement, and infection control initiatives in health systems in low- and middle-income countries. The authors highlight the importance of contextualizing training to consider local needs and resources.
Tawfik DS, Profit J, Morgenthaler TI, et al. Mayo Clin Proc. 2018;93:1571-1580.
Physician burnout is a highly prevalent patient safety concern. Researchers employed data from the American Medical Association to survey United States physicians about burnout and safety. Of 6586 respondents, 54% reported burnout symptoms, consistent with prior studies. More than 10% of respondents reported a major medical error in the prior 3 months, and these rates were even higher among physicians that had symptoms of burnout, even after adjustment for personal and practice factors. The majority of physicians graded their work unit safety as excellent or very good. The authors conclude interventions to improve safety must address both burnout and work unit safety. Because the survey response rate was less than 20%, it is unclear whether these findings reflect practicing US physicians more broadly. An Annual Perspective summarized the relationship between clinician burnout and patient safety.