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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 - 7 of 7 Results
Blythe R, Parsons R, White NM, et al. BMJ Qual Saf. 2022;31:725-734.
Early recognition of clinical deterioration in patients is often difficult to detect and often results in poor patient outcomes. This scoping review focused on the delivery and response to deterioration alerts and their impact on patient outcomes. Only four out of 18 studies included in the review reported statistically significant improvements in at least two patient outcomes, Authors suggest that workflow and integration of the early warning system model’s features into the decision-making process may be helpful.
Cook DA, Sherbino J, Durning SJ. JAMA. 2018;319:2267-2268.
This commentary reviews five differences between diagnostic reasoning and patient management reasoning, such as the changing nature of management over time and the team-based nature of the activity. The authors recommend areas of research needed to further understand patient management reasoning.
Perspective on Safety March 1, 2013
This piece discusses the value of simulation-based education in health care.
This piece discusses the value of simulation-based education in health care.
Stanford anesthesiologist David M. Gaba, MD, helped introduce the modern full-body patient simulator and the concept of crew resource management training to health care.
Haines TP, Hill A-M, Hill KD, et al. Arch Intern Med. 2011;171:516-24.
… falls among hospitalized patients have been limited by a lack of evidence-based preventive strategies. In this study … hospitals, cognitively intact patients who received a multimodal fall prevention intervention (written and … A case of recurrent falls is discussed in an AHRQ WebM&M commentary . …