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 20 Results

Medicine's Shadowside: Revisiting Clinical Iatrogenesis.

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Varley E, Varma S, eds. Anthropol Med. 2021;28(2);141-278.

Implicit biases are rooted in culture and context. This special issue examines a broad range of influences and impacts of medical harm enabled by societal acceptance of inequalities both within medicine and beyond it.

High-Performance Work Systems in Health Care Management: Parts 1-5.

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Garman AN, McAlearney AS, Harrison MI, et al. Health Care Manag Rev. 2011-2020.

In this continuing series, high-performance work practices are explored and defined through literature review, case analysis, and research. The authors summarize findings and discuss how best practices can influence quality, safety, and efficiency outcomes. Topics covered include speaking up, central line infection prevention, and business case development.

Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report.

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J Patient Saf. 2020;16:s1-s56.

The patient safety evidence base has been growing exponentially for two decades with noted expansion into the non-acute care environment. This special issue highlights eight articles illustrating the range of practices examined in the AHRQ Making Healthcare Safer III report, including rapid response teams and failure to rescue, deprescribing practices and opioid stewardship.

Patient Safety.

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Levett-Jones T, ed. Clin Sim Nurs. 2020;44(1):1-78; 2020;45(1):1-60.

Simulation is a recognized technique to educate and plan to improve care processes and safety. This pair of special issues highlights the use of simulation in nursing and its value in work such as communication enhancement, minority population care, and patient deterioration.

Patient Safety.

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GMS J Med Educ. 2019;36:Doc11-Doc22.

Patient safety has been described as an unmet need in physician training. This special issue covers areas of focus for a patient safety curriculum drawn from experience in the German medical education system. Topics covered include human error, blame, and responsibility. Articles also review the epidemiology of common problems such as medication safety, organizational contributors to failure, and diagnostic error.

Cognitive Factors in Health Care.

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Rogers WA, ed. J Exp Psychol Appl. 2011;17(3):191-302.

Articles in this special issue explore the impact of cognition on health care activities such as patient identification, interruptions, and team communication.

Patient Safety Papers 5.

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Baker GR, ed. Healthc Q. 2010;13(Spec No):1-136.

This is the fifth in a series of special issues devoted to exploring Canadian patient safety organizational and strategic improvement efforts. The articles highlight work related to topics including critical occurrence review, hand hygiene compliance, and effective handoffs.

Medical Malpractice and Errors.

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Health Aff (Millwood). 2010;29(9):1564-1619.

Articles in this special issue cover liability costs and defensive medicine, the gap in understanding diagnostic error, and the need for effective patient safety policy.

Medical Errors and Safety Systems.

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Pearlman MD, ed. Clin Obstet Gynecol. 2010;53(3):471-585.

This special issue provides articles that discuss leadership roles, human factors, risk management, and data collection concepts that promote patient safety.

Infection Control in the Intensive Care Unit.

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Crit Care Med. 2010;38:S265-S404.

Articles in this special issue describe strategies to reduce infections in the intensive care unit, including human factors design, guideline use, collaborative projects, and hand hygiene compliance.

Safety.

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Simmons D, ed. Crit Care Nurs Clin North Am. 2010;22:161-290.

Articles in this special issue discuss safe practices, effective staffing, teamwork, and event analysis to enhance patient safety in the critical care setting.

The English Patient Safety Programme.

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J Health Serv Research Policy. 2010;15(suppl 1):S1-S91.

This journal supplement contains numerous articles, reviews, and commentaries pertaining to patient safety–related activities and research in the United Kingdom.

Obstetric Issues.

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PA-PSRS; Patient Safety Advisory.

Articles in this supplement draw from labor, delivery, and obstetric safety reports to provide insights for safe practice in obstetrics.

Obstetric Quality and Safety.

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Scarrow PK; Gluck P; Elgart L; Gaffney A; Shea-Lewis A; Beckett CD; Kipnis G; Weinschreider J; Dadiz R; Daniel LT; Simpson EK; Cooper MR; Duquette CE; McWilliams T; Orsini M; Klein AA; Graham JM; Brinson M; Magtibay LV; Regan B; Lazar EJ.

Articles in this special issue cover numerous aspects of patient safety in obstetric care: teamwork training, simulation, communication, and process improvement strategies.

Risk, Safety and Reliability Special Issue.

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Newbold D, Attree M, eds. J Nurs Manag. 2009;17:145-266.

This special issue contains articles exploring patient safety, risk, and reliability from both theoretical and practical standpoints.

Patient Safety: An Old and New Issue.

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Bagnara S; Tartaglia R, eds. Theor Issues Ergon Sci. 2023;8(5):365-507.

This special issue contains articles focusing on ergonomic research areas that intersect with patient safety, such as team management, work design, and safety culture.

Patient Safety Papers.

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Healthc Q. 2006;9 Spec No:1-140.

This special issue describes projects and research in Canadian health care that are supporting improvements in patient safety.

Fixing America's hospitals.

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Newsweek. October 15, 2006.

This "Health for Life" series features 10 case studies about patient safety and quality improvement efforts as well as several short articles on safety-related topics such as disclosure and computerizing medical care.

Case studies on medication reconciliation.

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Crawford AG; Sciamanna CN.

The journal provides an editorial and several case studies on medication reconciliation from a variety of health care environments.

Patient Safety Papers.

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Baker RG, ed. Healthc Q. 2005;8 Spec No:1-156.

This special issue highlights Canadian experiences in several safety-related areas: culture shift in support of safety, risk identification and reduction, medication safety, change initiative strategies, and disclosure and accountability.

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