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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
Mackenhauer J, Winsløv J-H, Holmskov J, et al. Crisis. 2021;43:307-314.
Prior research has found that patients who die by suicide often had recent contact with the healthcare setting. Based on a multi-year chart review at one institution, the authors concluded that suicide risk assessment and documentation in the heath record to be insufficient. The authors outline quality improvement recommendations focused on improving documentation, suicide assessment and intervention training, and improving communications with families, caregivers, and other health care providers.
Schram A, Paltved C, Christensen KB, et al. BMJ Open Qual. 2021;10:e001183.
Simulation training is increasingly used as an educational tool and can improve teamwork and safety culture. Set at two Danish hospitals, this study evaluated perceived safety culture before and after a four-day in situ simulation training emphasizing team training, communication, and leadership. After the training, safety attitudes improved, but the effect was more pronounced at the acute care hospital compared to the hospital handling mainly elective procedures.
Kristensen S, Christensen KB, Jaquet A, et al. BMJ Open. 2016;6:e010180.
A leadership training intervention targeting clinical managers at a Danish psychiatric hospital was associated with a significant improvement in staff perceptions of safety culture. A Patient Safety Primer discusses the role of organizational leadership in promoting patient safety.
Kristensen S, Hammer A, Bartels P, et al. Int J Qual Health Care. 2015;27:499-506.
In this study, health care organizations that have quality management systems in place had higher safety culture scores than those without such systems. As with prior studies, leaders expressed more positive safety culture than frontline clinicians. This work suggests that ongoing investment in safety culture is needed.