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.
Solberg LI, Asche SE, Averbeck BM, et al. Jt Comm J Qual Patient Saf. 2008;34:266-274.
Patients are increasingly knowledgeable about medical errors and the quality of care, and this study explored whether patient satisfaction surveys could be used to detect medical errors. All reported incidents were reviewed by physicians to determine if a true error occurred. Although many incidents were reported, only a very small percentage were determined to represent true errors after review, similar to a prior study conducted in outpatient chemotherapy centers. Most "errors" represented misunderstanding by patients or communication problems.
Hurley JS, Roberts M, Solberg LI, et al. J Gen Intern Med. 2005;20.
This AHRQ–funded study retrospectively examined the failure rate of recommended laboratory surveillance for patients on specific chronic medications. Using claims data from two large health plans, the investigators selected 11 drugs and their recommended lab testing intervals to capture and analyze data. Results suggested that nearly half of those requiring a chronic medication were subject to a potential laboratory monitoring error per year. Discussion includes detailed presentation of the potential error rates and how they differed among specific drugs and lab tests. The authors conclude that the prevalence of inadequate laboratory monitoring should stimulate further research about its impact on several clinical outcomes.