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.
McComb SA, Lemaster M, Henneman EA, et al. J Patient Saf. 2017;13:237-242.
Interprofessional collaboration is a cornerstone of safe patient care. Researchers surveyed inpatient nurses and physicians and found discordant perceptions of each others' roles as well as lower levels of trust in the other profession when compared to their own. Fostering a shared mental model and mutual trust are core components of teamwork training programs like TeamSTEPPS.
Kane-Gill SL, Dasta JF, Buckley MS, et al. Crit Care Med. 2017;45:e877-e915.
… decrease medication errors, adverse drug events remain a significant source of harm. Patients in the intensive care … detection of medication errors and adverse drug events. A previous WebM&M commentary discussed a case involving a serious medication error in the ICU …
McComb SA, Simpson V. J Adv Nurs. 2014;70:1479-88.
This concept analysis examines how shared mental models can improve teamwork and recommends that this concept be integrated into training programs to improve care quality.
… study explored the cues that nurses use to determine when a patient's clinical condition is worsening, with specific … to obtain assistance from the rapid response team or call a "code blue." Rather than relying on specific vital sign abnormalities , nurses relied on a combination of clinical findings (such as altered mental …
… the scope of the term patient safety technology and uses a case study to illustrate that sometimes simple … solutions can greatly improve patient safety. … Henneman EA. Patient safety and technology. AACN Adv Crit …
Henneman EA. Crit Care Nurse. 2007;27:27-34; quiz 35.
This commentary uses two medication error reporting failures to provide insight into the social and cultural factors that influence incident reporting.
… The Case … A young woman with Takayasu's arteritis presented to the … the expertise of senior nurses and attending physicians. … ElizabethA. Henneman, RN, PhD … Assistant Professor University of …