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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 - 20 of 34 Results
Longo BA, Schmaltz SP, Williams SC, et al. Jt Comm J Qual Patient Saf. 2023;49:511-520.
Supporting and improving clinician well-being has long been a safety focus and received renewed focus during the COVID-19 pandemic. This study sought to understand efforts undertaken to support clinicians’ well-being in Joint Commission-accredited hospitals and Federally Qualified Health Centers (FQHC). Only half of responding hospitals and FQHCs reported implementing at least one action towards improving clinician well-being (e.g., establishing a wellness committee) and few had implemented a comprehensive approach.
Trockel MT, Menon NK, Rowe SG, et al. JAMA Netw Open. 2020;3:e2028111.
Fatigue among health care workers can increase the risk of errors. This large cross-sectional study of attending and house staff physicians found that sleep-related impairment was associated with increased burnout, decreased professional fulfillment, and increased self-reported clinically significant medical error. Organizational policies should focus on reducing sleep-related impairment in order to reduce harm to patients and physicians.
Harry EM, Sinsky CA, Dyrbye LN, et al. Jt Comm J Qual Patient Saf. 2021;47:76-85.
… Jt Comm J Qual Patient Saf … Cognitive load can increase patient … effect on wellbeing of health care professionals. Among a sample of US physicians, the authors of this study found … specialty, and hours worked per week. … Harry E, Sinsky C, Dyrbye LN, et al. Physician task load and the risk of burnout …
Shanafelt TD, Ripp JA, Trockel M. JAMA. 2020;323:2133-2134.
This article summarizes key considerations to ensure that healthcare professionals are supported and equipped to provide care for patients and communities during the COVID-19 pandemic. The authors discuss sources of anxiety amongst healthcare professionals and how healthcare leadership can communicate and connect with their teams to mitigate concerns to the extent they are able.
Han S, Shanafelt TD, Sinsky CA, et al. Ann Intern Med. 2019;170:784-790.
Burnout may adversely affect patient safety as well as physician wellness. While health care organizations are increasingly focused on measuring burnout and implementing targeted interventions for improvement, the financial costs associated with physician burnout are not well described. In this study, researchers estimate that in the United States, $4.6 billion in costs are incurred from physician turnover and reduced work hours related to burnout on an annual basis. They estimate that the cost for organizations is about $7600 per physician each year. These findings suggest that physician burnout is associated with substantial economic burden. An Annual Perspective discussed burnout and its effect on patient safety.
Schwartz SP, Adair KC, Bae J, et al. BMJ Qual Saf. 2019;28:142-150.
… BMJ Qual Saf … BMJ Qual Saf … Burnout is a highly prevalent patient safety issue. This survey study … work–life balance and burnout. Researchers validated a novel survey measure for work–life balance by asking … within health care settings. … Schwartz SP, Adair KC, Bae J, et al. Work-life balance behaviours cluster in work …
Dyrbye LN, Burke SE, Hardeman RR, et al. JAMA. 2018;320:1114-1130.
Physician burnout threatens the well-being and sustainability of the health care workforce. This large prospective cohort study found that 45% of resident physicians experienced burnout. Higher burnout rates were detected in urology, general surgery, emergency medicine, and neurology residents (relative to internal medicine residents). The overall prevalence of burnout was similar to studies of practicing physicians, and significantly higher than studies of the general population. Although most residents were satisfied with their career choice, those who were burned out were more likely to regret their decision to become a physician. An Annual Perspective explored how burnout impacts patient safety.
Tawfik DS, Profit J, Morgenthaler TI, et al. Mayo Clin Proc. 2018;93:1571-1580.
Physician burnout is a highly prevalent patient safety concern. Researchers employed data from the American Medical Association to survey United States physicians about burnout and safety. Of 6586 respondents, 54% reported burnout symptoms, consistent with prior studies. More than 10% of respondents reported a major medical error in the prior 3 months, and these rates were even higher among physicians that had symptoms of burnout, even after adjustment for personal and practice factors. The majority of physicians graded their work unit safety as excellent or very good. The authors conclude interventions to improve safety must address both burnout and work unit safety. Because the survey response rate was less than 20%, it is unclear whether these findings reflect practicing US physicians more broadly. An Annual Perspective summarized the relationship between clinician burnout and patient safety.
Shanafelt TD, Goh J, Sinsky CA. JAMA Intern Med. 2017;177:1826-1832.
Burnout among physicians and nurses is a patient safety concern. This commentary suggests a model to track and communicate the financial burden associated with physician burnout to gain organizational support for burnout reduction efforts.
Dyrbye LN, Trockel M, Frank E, et al. Ann Intern Med. 2017;166:743-744.
Clinician burnout is increasingly recognized as a patient safety concern. This commentary summarizes the results of a consensus-building conference focused on physician burnout. The authors outline recommendations from the session to move the research base forward, including the need for collaboration to address the problem and examining the relationships between burnout, physician well-being, and care outcomes.
Shanafelt TD, Dyrbye LN, West CP. JAMA. 2017;317:901-902.
… of electronic health records. The authors also highlight a new initiative to collaboratively examine the phenomenon to develop improvement strategies. A previous Annual Perspective discussed the relationship …
Shanafelt TD, Noseworthy JH. Mayo Clin Proc. 2017;92:129-146.
Clinician burnout can affect the safety of teamwork and care delivery. This review suggests that focusing solely on individual behaviors is insufficient to reduce burnout in health care. The authors discuss how organizational strategies that encourage physician engagement can address burnout and its negative effects.
Shanafelt TD, Hasan O, Dyrbye LN, et al. Mayo Clin Proc. 2015;90:1600-13.
Physician burnout can impact patient safety. Prior research has shown that burnout is associated with lower reported quality and safety. This survey study of physicians found that more than half reported one or more symptoms of burnout. In contrast to other adults in the United States, rates of burnout are increasing among physicians. This work adds to the growing calls for addressing the causes of physician burnout. An Annual Perspective discussed burnout among health care professions as it relates to patient safety.
Bixenstine PJ, Shore AD, Mehtsun WT, et al. J Healthc Qual. 2013;36:43-53.
J Healthc Qual … Proposals to reform the medical malpractice … Catastrophic payments most frequently arose as a result of a diagnostic error and were more likely to occur for … was discussed by Dr. Troyen Brennan in a past AHRQ WebM&M interview . …