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.
… J Hosp Med … I-PASS is a structured handoff tool to enhance … during patient transfers and improve patient safety. This study found that I-PASS implementation at 32 hospitals … prospective effectiveness implementation study. J Hosp Med . Epub 2022 Nov 3. doi: 10.1002/jhm.12979 …
Schwartz A, Peskin S, Spiro A, et al. Diagnosis (Berl). 2020;7:251-256.
Routine depression screening by primary care providers is recommended to decrease risk of suicide and self-harm. Using unannounced standardized patient visits, researchers were able to compare depression screening rates before and after intervention (including personalized provider feedback). Depression screenings were completed more frequently up to one-year postintervention.
Kemper KJ, Schwartz A, Wilson PM, et al. Pediatrics. 2020;145:e20191030.
… Pediatrics … Pediatrics … Physician burnout has been associated with increased patient safety incidents. A recent national survey of pediatric residents found burnout rates exceeded 50%. The survey found that risk of …
Ott M, Schwartz A, Goldszmidt M, et al. Med Educ. 2018;52:851-860.
This observation and interview study examined instances of surgical trainees hesitating in the operating room. Both trainees and attending physicians interpreted hesitation as incompetence. The authors suggest that this interpretation of hesitation does not support progressive autonomy for trainees and must be addressed in order to promote surgical safety.
Schwartz A, Weiner SJ, Binns-Calvey A, et al. BMJ Qual Saf. 2016;25:159-63.
This meta-analysis of three pooled studies revealed that patient-specific contextual factors, which may affect the care plan, were more often identified when providers specifically elicited such information rather than when it arose spontaneously. This finding demonstrates the benefits of recommended best practices for safe health communication, discussed in a past PSNet interview.
Physicians should consider contextual issues when developing care plans with patients. This commentary discusses how inattention to patient context, such as environmental or social factors, can contribute to medical errors. Contextual factors that physicians should consider include finances, religion, social support, and access to care.
Schwartz A, Weiner SJ, Harris IB, et al. JAMA. 2010;304:1191-7.
Medical students who received specific training in probing for contextual factors (biomedical or psychosocial factors that could impact diagnosis or treatment) while interviewing patients were better able to develop individualized treatment plans.