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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 - 20 of 147 Results
Amdani S, Conway J, Kleinmahon J, et al. JACC Heart Fail. 2023;11:19-26.
Research has shown clinicians frequently have implicit biases against patients of color, women, and transgender patients. This study used Implicit Association Tests (IAT) to evaluate implicit bias in pediatric heart transplant clinicians. Results showed these clinicians had a bias, or preference for, individuals who were White, from a higher socio-economic group, and had more education. These results are similar to other adult and pediatric clinicians.
Self WH, Tenforde MW, Stubblefield WB, et al. MMWR Morb Mortal Wkly Rep. 2020;69:1221-1226.
… COVID-19 patients. Serum specimens were collected from a convenience sample of 3,248 frontline personnel between … percent (6%) tested positive for SARS-CoV-2 antibodies; a high proportion of these individuals did not suspect that … of SARS-CoV-2 among frontline health care personnel in a multistate hospital network - 13 academic medical centers, …
Stolldorf DP, Mixon AS, Auerbach AD, et al. Am J Health Syst Pharm. 2020;77:1135-1143.
… staff responsibilities, adding pharmacy staff, and using a range of implementation strategies (e.g., educational tools for staff, EHR templates). … Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods …

Auerbach AD, Bates DW, Rao JK, et al, eds. Ann Intern Med. 2020;172(11_Supp):S69-S144.

… system reliability. The articles cover topics such as a framework  for research reporting, design of randomized … … Del Fiol G … DW … A … P … AS … RB … MAK … CJ … H … DF … MJ … V … NS … RJ … AA … RJ … CE … RA … AB … NK … RS … MW … P …
Perspective on Safety September 1, 2019
… with the 1999  To Err Is Human  report, there was a recognition that preventing harm would require more than … this need by funding the development of AHRQ WebM&M (initially funded September 2001; launched February 2003) … we would like to take this opportunity to discuss PSNet's and WebM&M's contributions to the discipline of patient …
This piece explores the evolution of PSNet and WebM&M since their inception (WebM&M in 2003 and PSNet in 2005) and summarizes changes in the patient safety landscape over time.
Perspective on Safety November 1, 2018
… University of Chicago. The focus of our conversation is a pilot program that David launched several years ago. In it, … most importantly—making the economics work. … Robert M. Wachter, MD … Professor and Chair, Department of Medicine … role of "hospitalists" in the American health care system. N Engl J Med. 1996;335:514-517. [go to PubMed] 3. Wachter RM. …
This piece, written by the physician who coined the term "hospitalist," provides an overview of the hospitalist model and reflects on key advantages of and challenges faced by the Comprehensive Care Physician Model.
Dr. Meltzer is the Fanny L. Pritzker Professor of Medicine, Chief of the Section of Hospital Medicine, and Director of the Center for Health and the Social Sciences at the University of Chicago. His research aims to improve the quality and lower the cost of hospital care. We spoke with him about the Comprehensive Care Physician Model, which he pioneered and was recently featured in an article in The New York Times Magazine.
Wick EC, Sehgal NL. JAMA Surg. 2018;153:948-954.
This systematic review of opioid stewardship practices following surgery identified eight intervention studies intended to reduce postsurgical opioid use. Organizational-level interventions such as changing orders in the electronic health record, demonstrated clear reductions in opioid prescribing. Clinician-facing interventions such as development and dissemination of local guidelines also led to reduced opioid prescribing. The authors emphasize the need for more high-quality evidence on opioid stewardship interventions.
Wong AH, Auerbach MA, Ruppel H, et al. Simul Healthc. 2018;13:154-162.
Workplace violence in health care is a particular area of concern in the emergency department (ED). Patients who are agitated present a unique management challenge for ED providers because they are at increased risk for causing harm, both to themselves and to health care workers. This mixed-methods study concludes that simulation may be a helpful tool for improving teamwork when caring for patients with behavioral issues in the ED.
Wachter R, Howell MD. JAMA. 2018;320:25-26.
The impact of electronic health records has thus far been disappointing for many clinicians, with limited effect on patient safety and growing concern that electronic health records may contribute to physician burnout. This commentary discusses the productivity paradox of information technology—the fact that digitization often initially impedes productivity rather than enhancing it. The authors highlight recent advancements in health care information technology that hold promise to overcome the productivity paradox, such as artificial intelligence, and discuss barriers that must be surmounted in order for health IT to meet its potential.
Auerbach AD, Neinstein A, Khanna R. Ann Intern Med. 2018;168:733-734.
Digital tools have the potential to improve diagnosis, patient self-care, and patient–clinician communication. This commentary argues that digital tools that alter diagnosis or treatment require examination to ensure safety. The authors provide recommendations such as involving experts in evaluating the tools, engaging information technologists, and continuous local review and assessment to identify and address risks associated with use of such tools in practice.