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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
Siewert B, Swedeen S, Brook OR, et al. Radiology. 2022;302:613-619.
Adverse events can contribute to physical, financial, or emotional harm. Based on radiology-related events identified in a hospital incident reporting system, the authors identified the types of incidents contributing to emotional harm in patients – failure to be patient-centered, disrespectful communication, privacy violations, minimization of patient concerns, and loss of property. The authors also proposed several improvement strategies, including communication training and improvement of communication processes, individual feedback, and improvements to existing processes and systems.
Brown SD, Bruno MA, Shyu JY, et al. Radiology. 2019;293:30-35.
This commentary reviews general aspects of the disclosure movement, supportive evidence, and challenges associated with liability concerns. The authors discuss barriers unique to radiology that have hindered acceptance of the practice and highlight how communication-and-resolution programs can support radiologist participation in disclosure conversations.
Siewert B, Brook OR, Swedeen S, et al. Radiographics. 2019;39:251-263.
Raising concerns in real time can prevent adverse events. This review examines human characteristics that affect the ability of health care workers to report safety events in radiology. Barriers to reporting included organizational culture, accountability, communication weaknesses, and authority gradients. The authors suggest tactics at the organizational, leadership, and staff levels to address conditions that deter raising concerns, including use of structured communication methods such as SBAR.
Zygmont ME, Itri JN, Rosenkrantz AB, et al. Acad Radiol. 2017;24:263-272.
This review highlights key elements that enable research efforts to assess the current state of safety in radiology. The authors discuss safety culture, education, data infrastructure, incident reporting, and performance measures as specific areas of interest that require deeper understanding to improve the quality and safety of radiologic services.
Larson DB, Donnelly LF, Podberesky DJ, et al. Radiology. 2017;283:231-241.
Improving the culture of safety within health care is an essential component of preventing errors. This commentary discusses the culture of radiology in the context of recent progress in understanding and reducing diagnostic error. The authors suggest that peer-oriented feedback and assessment would drive progress in improving safety in radiology.