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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 - 10 of 10 Results
Parshuram CS, Dryden-Palmer K, Farrell C, et al. JAMA. 2018;319:1002-1012.
Identifying incipient clinical deterioration is a prerequisite for rapid response and prevention of harm for hospitalized patients. This study tested a bedside pediatric early warning system, which included an illness severity score, standardized documentation, and monitoring protocols. In a cluster-randomized trial in several high-income countries, implementation of the bundle did not result in decreased in-hospital mortality compared to usual care. The overall mortality rate in the study was less than 0.2%. The authors suggest that this unexpectedly low mortality rate may have made it difficult to detect differences in intervention versus control hospitals. A related editorial suggests that artificial intelligence should be used to identify clinical deterioration and that outcomes beyond mortality should be considered in their evaluation.
Hunt EA, Walker AR, Shaffner DH, et al. Pediatrics. 2008;121:e34-e43.
… help identify opportunities for educational intervention. A similar study in the adult population found delays in … survival rates in patients with slower response rates. A past AHRQ  perspective discusses the role of simulation and …
Pronovost P, Berenholtz SM, Goeschel CA, et al. Health Serv Res. 2006;41:1599-617.
… conditions. This study describes the development of a framework to achieve high reliability in the intensive care … bloodstream infections. The framework is based on a previously published method for evaluating safety …