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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 - 9 of 9 Results
Härkänen M, Turunen H, Vehviläinen-Julkunen K. J Patient Saf. 2020;16.
This study compared medication errors detected using incident reports, the Global Trigger Tool method, and direct observations of patient records. Incident reports and the Global Trigger Tool more commonly identified medication errors likely to cause harm. Omission errors were commonly identified by all three methods, but identification of other errors varied. For example, incident reports most commonly identified wrong dose and wrong time errors. The contributing factors also varied by method, but in general, communication issues and human factors were the most common contributors.
Sahlström M, Partanen P, Azimirad M, et al. J Nurs Manag. 2019;27:84-92.
This survey of medical inpatients at five academic medical centers in Finland aimed to elicit patients' perceptions of safety and experience of errors. Investigators found that encouragement from staff, education about patient safety, and comprehensible information all led to higher participation rates. The authors conclude that patients will be more engaged in their safety if frontline staff value patient involvement.
Sahlström M, Partanen P, Rathert C, et al. Int J Nurs Pract. 2016;22:461-469.
Providing patient-centered care calls for involving patients in all aspects of care. However, patient engagement in safety efforts remains challenging. Analyzing survey data from 21 Finnish patient safety experts, researchers determined that patient participation in maintaining their own safety varied across institutions and did not consistently meet national standards. They suggest that institutions should focus on creating a safety culture that promotes an equal partnership with patients to achieve high quality care.
Härkänen M, Kervinen M, Ahonen J, et al. Nurs Health Sci. 2015;17:188-94.
This direct observation study found that verifying patients' identity prior to medication administration, a key patient safety practice, was not routinely employed. Nurses with more experience tended to comply with the identification protocol less, underscoring the challenge of effectively implementing patient safety recommendations.
Silén-Lipponen M, Tossavainen K, Turunen H, et al. Int J Nurs Pract. 2005;11:21-32.
Three categories were used to explore potential causes of error in the operating room—demanding teamwork practice, shared responsibility in teams, and organized teamwork. Results revealed that attention to workforce, management, and reporting issues has the potential to improve the situation.