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.
This commentary recommends that courses covering root cause analysis, failure mode and effects analysis (FMEA), and SBAR (situation, background, assessment, recommendation) be built into health care curriculum.
The author reviews key research that led to the Patient Safety and Quality Improvement Act of 2005, summarizes the primary elements of the act, and discusses its potential impact.