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.
Plint AC, Newton AS, Stang A, et al. BMJ Qual Saf. 2022;31:806-817.
While adverse events (AE) in pediatric emergency departments are rare, the majority are considered preventable. This study reports on the proportion of pediatric patients experiencing an AE within 21 days of an emergency department visit, whether the AE may have been preventable, and the type of AE (e.g., management, diagnostic). Results show 3% of children experienced at least one AE, most of which were preventable.
Essex R, Weldon SM. Nurs Ethics. 2022;29:1152-1173.
Appropriate staffing levels have been shown to impact patient safety and patient outcomes. This review of literature on healthcare worker strikes explores potential negative impacts, such as compromised patient safety due to decreased staffing levels, and justifications, such as long-term benefits.
Liang H, Tsui BY, Ni H, et al. Nat Med. 2019;25:433-438.
Artificial intelligence may have the potential to improve patient safety by enhancing diagnostic capability. In this study, researchers applied machine learning techniques to a large amount of pediatric electronic health record data and found that their model was able to achieve diagnostic accuracy analogous to that of skilled pediatricians.
Bezemer J, Cope A, Korkiakangas T, et al. BMJ Qual Saf. 2017;26:583-587.
Increased use of video technology in the health care setting may represent an opportunity to improve patient safety. The authors introduce a framework for using video data in patient safety research, present insights from numerous studies, and outline opportunities for further study.
Use of the World Health Organization Surgical Safety Checklist can be effective at preventing operative complications, but its utility outside of research settings has been limited by inconsistent implementation. Using video observation and ethnographic analysis of surgical procedures at a British teaching hospital, investigators found that failure to properly mobilize the operating room team to participate in a timeout or signout at the appropriate stage of the procedure often resulted in ineffective checklist usage.
This special issue contains articles discussing human factors and ergonomics in health care simulation, information technology use, hospitals, and home care to reveal opportunities for safety improvement.
Wetzel CM, Black SA, Hanna GB, et al. Ann Surg. 2010;251:171-6.
Surgeons who experienced less stress and had higher coping skills performed better at both technical and non-technical aspects of simulated operations.
The authors propose an approach to simulation training that combines simulated patients (actors) with high-fidelity technology for a more authentic clinical experience.
Kneebone RL, Kidd J, Nestel D, et al. Med Educ. 2005;39.
This study explored the feasibility of using scenario-based simulation for clinical procedures training, providing a realistic experience for medical students while preserving patient safety.