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.
Härgestam M, Lindkvist M, Brulin C, et al. BMJ Open. 2013;3:e003525.
Communication, coordination, and cooperation are key elements to effective teamwork, especially during high-stakes situations. This simulator-based study observed trauma teams and found that proven techniques, such as closed-loop communication, occurred infrequently, even in teams that had previously completed teamwork training programs.
Most errors in laboratory medicine occur in the preanalytical phase, that is, before the sample reaches the laboratory. This survey found that phlebotomists frequently do not follow recommended procedures to minimize labeling and documentation errors.