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.
Mackenzie CF, Shackelford SA, Tisherman SA, et al. Surgery. 2019;166:835-843.
This study evaluated trauma readiness among surgical residents following trauma surgery training and its impact on critical errors. Resident trauma readiness index increased significantly following the training, and training resulted in fewer critical errors committed by residents when compared with practicing surgeons. The trauma readiness index may help identify surgeons who would benefit from additional follow up training.
This systematic review compared military mortality reviews to nonmilitary studies of pre- or in-hospital mortality reviews. The authors note widely varying review processes, data inclusion, and preventability assessment, and recommend standardization of definitions and processes in order to reduce bias.
Amato MG, Salazar A, Hickman T-TT, et al. J Am Med Inform Assoc. 2017;24:316-322.
… of the American Medical Informatics Association : JAMIA … J Am Med Inform Assoc … Computerized provider order entry … of these systems has revealed new safety concerns. A prior study funded by the US Food and Drug Administration … orders that were not detected by the system. A WebM&M commentary discussed an error that led to patient harm due …
Liang BA, Smith C by DS. J Clin Anesth. 2007;19:558-562.
… J Clin Anesth … This commentary analyzes a case in which a … and treatment failures. The authors discuss how this case's legal resolution may influence peer error reporting —the …
Simon SR, Smith DH, Feldstein AC, et al. J Am Geriatr Soc. 2006;54:963-8.
… Journal of the American Geriatrics Society … J Am Geriatr Soc … This study demonstrated that replacing … with drug-specific alerts alone. Investigators conducted a cluster-randomized trial of seven practices that received … alerts did decrease the alert burden overall to providers. A past review discussed the issue of inappropriate …
Smith DH, Perrin N, Feldstein AC, et al. Arch Intern Med. 2006;166:1098-104.
… elderly outpatients. Investigators evaluated the impact of a clinical decision support system (CDSS) at the point of … system to curtail inappropriate prescribing. This study is a first to evaluate a computerized alert system in a large population-based …