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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 - 19 of 19 Results
Davis A, Jones S, Crowell-Kuhnberg AM, et al. Surgery. 2017;161:1348-1356.
Communication failures in the operating room are a well-recognized threat to patient safety. Researchers observed and analyzed communication across seven operating room teams during a simulated emergency using a closed-loop communication framework. They found that communication patterns varied by specialty and that the patient's clinical status influenced whether directed communication resulted in a response.
Reader TW, Flin R, Mearns K, et al. BMJ Qual Saf. 2011;20:1035-42.
Situational awareness refers to the degree to which perception matches reality. This study assessed situational awareness of intensive care unit teams through direct observation of team rounds and assessment of the degree to which team members were able to anticipate clinical deterioration.
Jackson J, Sarac C, Flin R. Curr Opin Crit Care. 2010;16:632-8.
This review discusses the role of safety culture surveys in assessing safety climate at the unit and hospital level, and explores the relationship between survey results and safety behaviors and outcomes.
Flin R. BMJ. 2010;340:c2480.
This editorial discusses how disruptive behaviors can impair performance and may be particularly hazardous in the health care setting.