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.
Pugh S, Chan F, Han S, et al. J Nurs Adm. 2023;53:292-298.
The COVID-19 pandemic dramatically impacted the delivery of nursing care. This retrospective analysis examined the impact of a bedside checklist and nursing-led intervention bundle (“Nursing Back to Basics” or NB2B bundle) among patients hospitalized with COVID-19 at one academic hospital in New York City. The NB2B bundle, implemented with a bedside checklist, included five evidence-based interventions. Between March and April 2020, the NB2B intervention showed a 12% reduction in mortality due to COVID-19 compared with usual care.
Poghosyan L, Norful AA, Fleck E, et al. J Am Board Fam Med. 2017;30:733-742.
Errors of omission can lead to delayed or missed diagnosis. In this qualitative study, researchers interviewed 26 primary care providers to characterize errors of omission occurring in primary care. They found that omitting patient education, follow-up, emotional support, and consideration of mental health needs were commonly cited. Providers identified lack of time, emergencies, unplanned visits, and administrative workload as contributing factors.