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.
Wu AW, Buckle P, Haut ER, et al. J Patient Saf Risk Manag. 2020;25:93-96.
This editorial discusses priority areas for maintaining and promoting the well-being of the healthcare workforce during the COVID-19 pandemic. The authors discuss the importance of providing adequate personal protective equipment (PPE), supporting basic daily needs (e.g., provision of in-hospital food stores), ensuring frequent and visible communication, supporting mental and emotional well-being, addressing ethical concerns, promoting wellness, and showing gratitude for staff.
… to speed the discovery and use of safety solutions. … Dr. John Øvretveit … Director of Research, Professor of Health … research. BMJ Qual Saf. 2011;20:604-610. [go to PubMed] … John … Øvretveit … John Øvretveit …
This piece discusses how observations from social sciences have implications for patient safety.
Taylor SL, Dy SM, Foy R, et al. BMJ Qual Saf. 2011;20:611-7.
Based on discussions from a 22-person expert panel, this study described four contextual domains judged as important for patient safety practices. The domains included: safety culture, teamwork, and leadership involvement; structural organizational characteristics; external factors (e.g., incentive systems); and availability of implementation and management tools.
Shekelle PG, Pronovost P, Wachter R, et al. Ann Intern Med. 2011;154:693-6.
Research on patient safety has dramatically increased in the past decade, but despite this, the progress of improving safety remains slow. Significant controversy exists about how safety interventions should be evaluated, and even apparently successful interventions may not be generalizable to all settings. This AHRQ-sponsored consensus statement by leaders in the safety field defines a framework for rigorous assessment of safety interventions. This framework calls for investigators to use change theory to develop their projects; provide adequate details of the intervention, implementation process, and the context in which the intervention was conducted; and evaluate both the expected outcomes and potential unintended consequences of the intervention. The accompanying editorial (see link below) discusses the challenges of conducting research in complex settings, and takes note of existing guidelines and resources to help clinicians write and interpret articles about patient safety interventions.
Øvretveit J, Scott T, Rundall TG, et al. Int J Qual Health Care. 2007;19:259-66.
The implementation of an electronic health record at a Swedish hospital is analyzed through structured interviews, to determine the factors that predicted implementation success.
Dy SM, Taylor SL, Carr LH, et al. BMJ Qual Saf. 2011;20:618-24.
This AHRQ-sponsored consensus panel defined a classification scheme for patient safety practices, including intervention characteristics as well as the context of the intervention and potential implementation issues.