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.
Dodge LE, Nippita S, Hacker MR, et al. J Healthc Risk Manag. 2019;38:44-54.
This pre–post study examined the implementation of AHRQ's TeamSTEPPS training program. Investigators found that the intervention had positive effects on staff ratings of teamwork and patient satisfaction, and these improvements persisted for one year.
Vadnais MA, Hacker MR, Shah NT, et al. Jt Comm J Qual Patient Saf. 2016;43:53-61.
Cesarean delivery is associated with increased morbidity, mortality, longer hospital stays, and increased costs. From 2008 through 2015, a single tertiary care academic medical center implemented a quality improvement initiative designed to address factors influencing the rate of nulliparous term singleton vertex (NTSV) cesarean delivery rate. The initiative consisted of provider education, provider feedback, and implementation of new policies. The rate of NTSV cesarean delivery decreased from 34.8% to 21.2% and total cesarean delivery rate decreased from 40.0% to 29.1%. Researchers also noted a decline in the incidence of episiotomy and third-degree lacerations.