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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 - 17 of 17 Results

Gerteis J, Booker C, Brach C, et al. Rockville, MD:  Agency for Healthcare Research and Quality; February 2023. AHRQ Publication No. 23-0025.

Burnout reduction in primary care is critical to patient safety. This resource is designed to help practices assess the causes of burnout in primary care and implement strategies to promote well-being. Suggested areas of focus include the reduction of documentation tasks, use of huddles and peer support.
Hemmelgarn C, Hatlie MJ, Sheridan S, et al. J Patient Saf Risk Manage. 2022;27:56-58.
This commentary, authored by patients and families who have experienced medical errors, argues current patient safety efforts in the United States lack urgency and commitment, even as the World Health Organization is increasing its efforts. They call on policy makers and safety agencies to collaborate with the Patients for Patient Safety US organization to move improvement efforts forward.
Daley Ullem E, Gandhi TK, Mate K, et al. IHI White Paper. Boston, MA: Institute for Healthcare Improvement; 2018.
… health system leaders with regard to quality oversight. … Daley Ullem E, Gandhi TK, Mate K, et al. IHI White Paper. … LLI; Institute for Healthcare Improvement; IHI … TK … K. … J. … M. … J. … Gandhi … Mate … Whittington … Renton … Huebner … TK …
Gandhi TK, Kaplan GS, Leape L, et al. BMJ Qual Saf. 2018;27:1019-1026.
Over the last decade, the Lucian Leape Institute has explored five key areas in health care to advance patient safety. These include medical education reform, care integration, patient and family engagement, transparency, and joy and meaning in work and workforce safety for health care professionals. This review highlights progress to date in each area and the challenges that remain to be addressed, including increasing clinician burnout and shortcomings of existing health information technology approaches. The authors also suggest opportunities for further research such as measuring the impact of residency training programs. In a past PSNet interview, Dr. Tejal Gandhi, president of the IHI/NPSF Lucian Leape Institute, discussed improving patient safety at a national level.
McGaffigan PA, Ullem BD, Gandhi TK. Jt Comm J Qual Patient Saf. 2017;43:267-274.
Board and leadership engagement is considered critical for advancing patient safety. In this survey study, safety and quality leaders rated board and executive leaders as less engaged in patient safety and quality compared to executive and board member self-perceptions. These findings suggest room for enhanced executive engagement.
Daley J. Colorado Public Radio. February 17, 2015.
Patient and family stories of harm are increasingly promoted as a strategy to provide insights into medical errors. This radio segment interviews a patient advocate whose daughter died due to medical errors, including failure-to-rescue and a health care–associated infection, and who speaks about that experience to educate clinicians on the importance of patient safety and listening to patients' families.

Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87(7):845-858.

… an organization responded, is discussed in an AHRQ WebM&M commentary . … Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87(7):845-858. … LL … MF … JL … RJ … S. … GS … GB … Leape … Shore … Dienstag … Mayer … Edgman-Levitan … Meyer … Healy … LL Leape … MF Shore … JL …
Khuri SF, Henderson WG, Daley J, et al. Ann Surg. 2008;248:329-36.
The Patient Safety in Surgery study documented remarkable improvements in postoperative outcomes at Veterans Affairs hospitals following implementation of a quality improvement program. This study demonstrated similar improvement in clinical outcomes, including surgical site infection rates, following implementation of the program in private sector hospitals.
Johnson B, Abraham M, Conway J, et al. Bethesda, MD: Institute for Family-Centered Care; April 2008.
… in providing patient-centered care. … Johnson B, Abraham M, Conway J, et al. Bethesda, MD: Institute for … Family-Centered Care; April 2008. … B. … M. … J. … L. … S. … P. … J. … D. … Johnson … Abraham … Conway … Simmons … Edgman-Levitan … Sodomka … Schlucter … Ford … B. Johnson … M. …
Gerteis M, Edgman-Levitan S, Daley J, et al. San Francisco: Jossey-Bass; 1993. ISBN: 9781555425449
Authored by several leaders of the Picker/Commonwealth Program for Patient-Centered Care, this book demonstrates the broad impact of the program. The authors discuss the key tenets of patient-centered care, drawing on empirical research, theory, and results of many surveys of patients, providers, and administrators. The authors provide many practical suggestions, a number of which have been adopted since the book's first publication in 1993. Examples include giving patients access to their medical records, giving them “written and/or visual information identifying members of the clinical team," and offering “culturally sensitive educational materials tailored to specific ethnic groups.”