The PSNet Collection

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.

Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency.

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Imach S, Eppich W, Zech A, et al. Simul Healthc. 2020;15.

This case study describes the use of root cause analysis to investigate a critical incident occurring during an emergency medicine simulation scenario, and discusses the importance of these investigations in furthering the training of emergency medicine personnel and instructors.

PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations.

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Dubé MM, Reid J, Kaba A, et al. Simul Healthc. 2019;14:333-342.

Simulation is used to assess process and team performance and prevent failure. This commentary discusses the Promoting Excellence And Reflective Learning in Simulation (PEARLS) framework and how the modifiable debriefing strategies in the framework can help identify system-level problems and implement changes to enhance patient safety.

Use of simulation to test systems and prepare staff for a new hospital transition.

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Adler MD, Mobley BL, Eppich W, et al. J Patient Saf. 2018;14:143-147.

This study reports the results of a large-scale simulation project conducted prior to opening a new hospital. The majority of simulation participants found the practice helpful in preparation for transitioning to a new hospital. The authors suggest that use of simulation in new facility training can enhance patient safety.

Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs.

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Cheng A, Grant V, Huffman J, et al. Simul Healthc. 2017;12:319-325.

Peer coaching can be an effective tactic to improve clinician performance and nontechnical skills. This commentary describes a debriefing skills development program for educators. A core element of the program involves a peer feedback form that explores 10 elements of debriefing that consider psychological safety and team building.

Structuring feedback and debriefing to achieve mastery learning goals.

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Eppich W, Hunt EA, Duval-Arnould JM, et al. Acad Med. 2015;90:1501-8.

This study describes a strategy for supporting deliberative practice through providing feedback during simulation training exercises. This method, called "microdebriefing," has been shown to be effective in improving skills for adult and pediatric advanced life support resuscitation

Team training: implications for emergency and critical care pediatrics.

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Eppich W, Brannen M, Hunt EA. Curr Opin Pediatr. 2008;20:255-60.

This article reviews the principles of teamwork and emphasizes their role in pediatric emergency and critical care settings.

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