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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 - 8 of 8 Results
Basco WT. JAMA Netw Open. 2018;1.
The number of hospitalists—physicians practicing exclusively in acute care settings—continues to grow. However, whether patient outcomes differ between hospitalists and general physicians remains unclear. This study examined medical record data from a single urban academic children's hospital to compare patient outcomes between general pediatricians and hospitalists. After adjustment for patient characteristics (e.g., age and number of chronic conditions) and for physician characteristics (e.g., number of years in practice), the investigators did not find differences in readmission rates, total costs, or lengths of stay. The hospitalists' patients had a greater risk for device-related adverse events, which was explained by differences in physician experience. The authors conclude that the safety of care delivered by general versus hospitalist pediatricians is similar. A related editorial predicts that the hospitalist model of pediatric acute care will continue to grow.
Mazurenko O, Richter J, Kazley AS, et al. J Patient Saf. 2021;17:e1537-e1545.
Prior research has shown that managers and leaders often have a more positive view of safety culture compared to frontline staff. Using data from the 2010–2011 AHRQ Medical Office Survey on Patient Safety Culture, researchers found that perceptions of safety climate differed across medical practice owners and frontline staff, with managers bearing ownership responsibility having the more favorable view.
Mazurenko O, Richter J, Kazley AS, et al. Health Care Manage Rev. 2019;44:79-89.
Establishing a climate of safety is essential for improving safety in hospitals. Although a robust safety climate is associated with measurable improvements in safety, the question remains whether patients perceive their care differently in hospitals with a stronger safety culture. This cross-sectional study used data from the AHRQ Hospital Survey on Patient Safety Culture (HSPSC) and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) to examine the relationship between safety culture and patient satisfaction with care. Investigators found a moderately strong association between HSPSC and HCAHPS scores, indicating that hospitals with a more robust culture of safety also had higher patient satisfaction scores. This correlation was particularly strong for the teamwork and communication domains of the HSPSC, indicating that improvement in relationships between staff may translate to enhanced communication with patients. A prior multinational study also found a positive association between nurses' perception of care quality and patient satisfaction. A recent PSNet interview discussed recent advancements in understanding safety culture.
Basco WT, Garner SS, Ebeling M, et al. Acad Pediatr. 2016;16:183-191.
Look-alike, sound-alike drug names pose serious threats for potential medication errors. In this study, 38 pediatricians participated in a modified Delphi process to classify the clinical importance of more than 600 look-alike, sound-alike medication pairs that present risks to children.
Basco WT, Ebeling M, Garner SS, et al. Clin Pediatr (Phila). 2015;54:738-44.
Children are particularly vulnerable to medication errors in the outpatient setting. This study found that prescribing errors were common in opioid pain medications dispensed to children, especially infants. These results suggest that opioid prescriptions for pediatric patients often contain potential overdose quantities and better safeguards are needed to prevent such incidents.
Teufel RJ, Kazley AS, Basco WT. Clin Pediatr (Phila). 2009;48:389-96.
This national survey conducted in 2003 found that only 6% of pediatric inpatient units were using computerized provider order entry (CPOE). Dedicated children's hospitals and teaching institutions were more likely to use CPOE.