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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 - 3 of 3 Results
Perspective on Safety April 1, 2018
This piece explores the risks patients face after hospital discharge and strategies to address them, such as patient education, Project RED, and the Care Transitions Intervention.
This piece explores the risks patients face after hospital discharge and strategies to address them, such as patient education, Project RED, and the Care Transitions Intervention.
Dr. Krumholz is Professor of Medicine at the University of Yale School of Medicine and Director of the Yale-New Haven Hospital Center for Outcomes Research and Evaluation. We spoke with him about readmissions and post-hospital syndrome, a term he coined in an article in the New England Journal of Medicine to describe the risk of adverse health events in recently hospitalized patients.
Fischer M, Mazor KM, Baril JL, et al. J Gen Intern Med. 2006;21:419-23.
Investigators conducted and analyzed nearly 60 structured interviews with medical trainees and categorized the factors that influenced their learning from errors. These factors were grouped as topic areas, which included awareness of error, factors influencing learner response (eg, personality, hidden curriculum), types of responses reported (eg, emotional, cognitive), and formal teaching. The authors discuss recommendations and specific educational methods that may promote improved learning from errors for trainees. A past study discussed one of these methods, Morbidity and Mortality Conferences, as a place to discuss medical errors with an educational focus.