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.
Anthony MK, Kloos J, Beam P, et al. J Nurs Care Qual. 2018;33:128-134.
Partnering with patients to build and implement safety initiatives has been recognized as an improvement strategy. This commentary describes how one hospital redesigned the bedside handoff process to engage patients as partners through use of simple rules and complexity science.
Farag A, Tullai-McGuinness S, Anthony MK, et al. J Nurs Adm. 2017;47:8-15.
This cross-sectional survey study found an association between nurses' perceptions of leadership and their responses to the AHRQ Hospital Survey on Patient Safety Culture. Nurses' responses about a nonpunitive response to error were associated with their willingness to report medication errors. The authors suggest that safety culture is necessary but not sufficient to support medication safety.
Farag AA, Anthony MK. J Perianesth Nurs. 2015;30:492-503.
This survey study of nurses across four ambulatory surgical wards in Ohio found that nursing managers' leadership styles and some aspects of the safety climate (such as teamwork and organizational learning) were associated with how willing nurses are to report medication errors.
Iedema R, Ball C, Daly B, et al. BMJ Qual Saf. 2012;21:627-33.
Prior research has documented errors in handoffs between ambulance and emergency department personnel. This study reports on the development and initial implementation of a structured tool for use at this handoff.
Anthony K, Wiencek C, Bauer C, et al. Crit Care Nurse. 2010;30:21-9.
Interruptions have been identified as a contributing factor for medication administration errors. In this study, implementation of a "No Interruption Zone" helped nurses avoid administration errors.