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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 - 13 of 13 Results
Wiley KK, Hilts KE, Ancker JS, et al. JAMIA Open. 2020;3:611-618.
Optimal use of health information exchange approaches such as event notification systems may be influenced by organizational capabilities. This study found that healthcare organizations whose positive perceptions of event alerts fit within existing workflows were more likely to use event notification services to improve care coordination and care quality.
Czeisler MÉ, Marynak K, Clarke KEN, et al. MMWR Morb Mortal Wkly Rep. 2020;69:1250-1257.
This nationwide survey of U.S. adults found that many respondents (40.9%) have avoided routine, urgent and emergent medical care during the COVID-19 pandemic. Avoidance of urgent or emergency care was significantly higher among unpaid caregivers for adults; persons with underlying medical conditions; persons with health insurance; non-Hispanic Black, Hispanic, or Latino adults; young adults; and persons with disabilities.
Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017.
Proactive analysis can help uncover process weaknesses and ensure improvements are implemented before patients experience harm. This guide provides insights for organizations who seek to implement proactive analysis strategies. Tools and models discussed include Reason's Swiss cheese model and Systems Engineering Initiative for Patient Safety.

Rolston JD, Han SJ, Parsa AT, eds. Neurosurg Clin N Am. 2015;26(2):143-322.

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Duchscherer C, Davies JM. Calgary, Alberta, Canada: Health Quality Council of Alberta; 2012.
Drawing from human factors and system analysis techniques, this guide describes an approach to identifying contributing factors after an adverse event or near miss. The three phases of the model focus on collecting information, analyzing data, and developing recommendations for improvement.

Vincent C. West Sussex, UK: Wiley-Blackwell; 2010. ISBN: 9781405192217.  

… in the United Kingdom. … Vincent C. West Sussex, UK: Wiley-Blackwell; 2010. ISBN: 9781405192217.   … C. … Vincent …
Hurwitz B, Sheikh A, eds. Hoboken, NJ: Wiley-Blackwell; 2009. ISBN: 9781405146432.
… minimizing error. … Hurwitz B, Sheikh A, eds. Hoboken, NJ: Wiley-Blackwell; 2009. ISBN: 9781405146432. … B. … A. … …
Berwick DM. San Francisco, CA: John Wiley & Sons; 2004.
This book presents a decade's worth of keynote speeches made by the Institute for Healthcare Improvement's cofounder and president Don Berwick. Using metaphor and storytelling, Berwick addresses issues of quality and safety in health care, reminding providers that, above all, their work is to ease the pain of patients.