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.
Wrigstad J, Bergström J, Gustafson P. BMJ Open. 2014;4.
The effectiveness of root cause analysis (RCA) as a safety improvement tool has been called into question, as many institutions lack a formal mechanism for implementing and following up action items specified by RCAs. This Swedish study found that two factors predicted successful implementation of safety strategies after an RCA: management continuity and targeting corrective actions at the unit level (rather than at the organizational level).