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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
Breitkreuz KR, Dougal RL, Wright MC. Simul Healthc. 2016;11:323-333.
Growing evidence supports the use of simulation training as a powerful tool in medical education. Investigators provided two groups of nursing students with different modalities of teaching on error. One group participated in simulated error experiences while the other watched movies about error; both groups reviewed a standard curriculum on medication errors. The authors found that both groups were more likely than baseline to demonstrate increased caution with regard to medication errors, but limited evidence suggested that the simulation group was more sensitive to the risk of error.
Segall N, Bonifacio AS, Barbeito A, et al. Jt Comm J Qual Patient Saf. 2016;42:400-14.
Human factors engineering aims to optimize performance by examining the relationship between individuals and the system within which they work. This field of study has long been used to improve the safety of industries like manufacturing and aviation, and it has more recently been applied to health care. This study used human factors approaches to conduct observations, surveys, interviews, and focus groups about handoffs, specifically for postsurgical patients transferred from the operating room to the intensive care unit. The investigators identified flaws in handoff practices; then they designed a standardized handoff process to address these vulnerabilities. The redesigned handoff did not take more time than prior handoffs but did demonstrate better participant satisfaction. The authors suggest that their human factors-based improvement approach could be applied to other patient safety processes. A past PSNet interview discussed the application of human factors to health care.
WebM&M Case September 1, 2005
… the use of low- and high-fidelity simulation approaches. … Jeffrey M. Taekman, MD … Assistant Professor of Anesthesiology Director, …