Skip to main content

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.

Search All Content

Search Tips
Filter By Author(s)
Advanced Filtering Mode
Date Ranges
Published Date
Original Publication Date
Original Publication Date
PSNet Publication Date
Additional Filters
Displaying 1 - 12 of 12 Results
Bloo G, Calsbeek H, Westert GP, et al. J Patient Saf Risk Manag. 2023;28:31-46.
Racial and ethnic minoritized patients frequently have poorer postoperative outcomes. The hospital in this study found the opposite and sought the perspectives of minority and non-minority patients to explore potential contributing factors. Both groups of patients described positive communication with nurses and physicians, trust in the team, and family support. Only one unique factor came up for the ethnic minority patients: having someone, an interpreter, accompany them to the operating room made them feel safe.
Atsma F, Elwyn G, Westert GP. Int J Qual Health Care. 2020;32:271-274.
… Int J Qual Health Care … Research has identified variations in … networks may reduce variations. … Atsma F,   Elwyn G, Westert G. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning …
van Gelderen SC, Zegers M, Robben PB, et al. BMC Health Serv Res. 2018;18:798.
Auditing for compliance with safety practices is performed frequently in the health care setting, both for learning and feedback as well as for regulatory purposes. In this survey study involving boards of directors and hospital leaders from 89 acute care hospitals in the Netherlands, researchers sought to identify factors for effective auditing and provide suggestions for how hospital boards can use such auditing practices to inform governance.
Zegers M, Hesselink G, Geense W, et al. BMJ Open. 2016;6:e012555.
This review examined the evidence base for reducing adverse events in hospitals. Investigators found sufficient evidence to support implementation of certain types of interventions, such as rapid response teams to reduce cardiac arrest and mortality rates, bundles and checklists to mitigate hospital-acquired infections, and pharmacist interventions to decrease adverse drug events. However, the overall evidence base for many of the patient safety interventions used by hospitals is weak.
Hanskamp-Sebregts M, Zegers M, Vincent CA, et al. BMJ Open. 2016;6:e011078.
… BMJ open … BMJ Open … Detection of safety hazards remains a challenge. This systematic review examined record review as a way to identify adverse events. Consistency of event … authors recommend formal validation of record review as a method to detect adverse events. …
van Sluisveld N, Hesselink G, van der Hoeven JG, et al. Intensive Care Med. 2015;41:589-604.
This systematic review revealed that limited evidence exists exploring handoffs from intensive care units to general wards, and most of the studies identified were of low quality. Two promising interventions include employing liaison nurses working across multiple settings and structured communication, which has been shown to improve handoffs. The authors advocate for these interventions to be tested widely in rigorous studies to determine their effectiveness.
Weenink JW, Westert GP, Schoonhoven L, et al. BMJ Qual Saf. 2015;24:56-64.
In this survey study, one-third of respondents reported an experience with an impaired or incompetent colleague within the last year. One limitation to the survey findings was the low 28% response rate, but the authors note that even if all non-respondents had no such encounters, the results suggest at least 9% of health care professionals have dealt with impaired or incompetent colleagues.