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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
Lee SE, Vincent C, Dahinten S, et al. J Nurs Scholarsh. 2018;50:432-440.
This secondary analysis combined survey data from individual nurses with hospital safety culture data and found that both individual characteristics such as education level and hospital characteristics such as safety culture were associated with risks of medication administration errors and falls. The authors conclude that improving safety culture should be a high priority.
Lee SE, Scott LD, Dahinten S, et al. West J Nurs Res. 2019;41:279-304.
This literature review found that the relationship between safety culture and patient safety outcomes is inconsistent across studies. Researchers recommend use of a theoretical framework and validated safety culture instruments to shed light on the correlation between safety culture and patient harm.
Lee SE, Scott LD. West J Nurs Res. 2018;40:121-145.
The health care environment is known to influence teamwork and the culture of safety. This integrative review explored the literature to clarify the relationship between nurses' work environment and patient safety. The authors found weak definitional concurrence and measure inconsistency in the evidence base and advocate for improved research design to support future investigation in this area.
Scott LD, Arslanian-Engoren C, Engoren MC. Am J Crit Care. 2014;23:13-23.
Sleep deprivation can worsen clinical performance. Early studies on the effects of fatigue in clinical trainees formed some of the basis behind duty hour restrictions for resident physicians. This study surveyed intensive care unit (ICU) nurses about levels of fatigue and clinical decision-making. Nurses who regretted a clinical decision were more apt to be fatigued and to work 12-hour shifts. Sleep deprivation among ICU nurses was found to be common, with almost three-quarters of surveyed nurses having lost 8 or more hours of sleep in a 5-day period. The study was limited by a very low (17%) response rate, potentially biasing the results. Prior research has linked extended nursing shift lengths with compromised patient safety.
Rogers AE, Hwang W-T, Scott LD, et al. Health Aff (Millwood). 2004;23:202-212.
This AHRQ-funded study demonstrated that the risk of error increased in association with extended work shifts, overtime, or longer than 40-hour work weeks. Using logbooks from nearly 400 nurses sampled out of a larger group from the American Nurses Association, investigators determined that an alarmingly high percentage of nurses report working extended hours. For those shifts longer than 12.5 hours, the error rate increased notably. The authors advocate for continued attention to relationships between nursing work hours and patient safety, building on past research that linked staffing to poor patient outcomes.