Skip to main content

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.

Search All Content

Search Tips
Selection
Format
Download
Filter By Author(s)
Advanced Filtering Mode
Date Ranges
Published Date
Original Publication Date
Original Publication Date
PSNet Publication Date
Additional Filters
Selection
Format
Download
Displaying 1 - 8 of 8 Results
Ayyala MS, Rios R, Wright SM. JAMA. 2019;322:576-578.
Nearly 1 in 7 internal medicine residents reported being the victim of bullying during training. Of these, many described burnout as the most common consequence. Bullying is one example of disruptive and unprofessional behaviors that are known to affect patient safety.
Eid SM, Ponor L, Reed DA, et al. J Grad Med Educ. 2019;11:146-155.
Long work hours and fatigue among health care workers can adversely impact patient safety. In 2011, the Accreditation Council for Graduate Medical Education made changes to resident duty hours, but research on the effect of those reforms on resident wellness and patient safety remains somewhat inconclusive. In this retrospective observational study, researchers examined the impact of the 2011 duty hour reforms on patient mortality, length of stay, and cost using data on patients hospitalized in the 2-year periods before and after the work hour changes were implemented. Nonteaching hospitals served as the control group. They found no difference in mortality or length of stay but did find that cost associated with hospitalization decreased slightly at teaching hospitals after the 2011 changes. A past PSNet interview discussed the effect of less restrictive duty hours on patients and residents.
Harris CM, Sridharan A, Landis R, et al. J Patient Saf. 2013;9:150-3.
This cohort study of elderly patients discharged from the medical service at a teaching hospital found that, on average, patients had two new medications started at discharge, and among their chronic medications had one discontinued and one dosage changed. However, 3 days after discharge, patients had reverted to taking their chronic medications as previously prescribed and had discontinued taking a significant proportion of new medications. This study highlights the practical challenges inherent in the medication reconciliation process.