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.
Various factors affect the safety of women and infants during childbirth. This review identified randomized controlled trials that examined various combinations of clinician education, team enhancement, and auditing as tactics to address problems, litigation, and costs resulting from safety events in obstetrics.
Gagliardi AR, Straus SE, Shojania KG, et al. PLoS One. 2014;9:e108585.
This qualitative study identified barriers to implementation of and adherence to a surgical checklist, including modifications to enable integration into existing practices, lack of staff engagement, and insufficient organizational support for implementation. Challenges such as these may account for mixed results from checklists in practice despite clear evidence of efficacy.
Motamedi SM, Posadas-Calleja J, Straus SE, et al. BMJ Qual Saf. 2011;20:403-15.
This systematic review noted that computer-enabled discharge communication appears beneficial for timeliness, accuracy, and provider/patient satisfaction, but its impact on mortality and readmissions is less studied.