The PSNet Collection

Empowering Patients and Supporting Health Care Providers—New Avenues for High Quality Care and Safety.

Save to Library

Rimondini M, Busch IM, eds. Int J Environ Res Public Health. 2021;18.

Patient/clinician relationships supported by organizational culture and individual wellness efforts are core to the provision of high-quality care and process improvement engagement. This article collection highlights trainee attitudes about patient safety and how respect and support for enhancing the care experience of both patients and those who care for them are foundational to safe, effective care.

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

Save to Library

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.

Special Issue on Prescription Drug Misuse.

Save to Library

Ardenne M, Reitnauer PG. Arzneimittel-Forschung. 1975;25:1369-79.

This special issue reviews research initiatives exploring persistent challenges associated with the prescription drug misuse epidemic and strategies to monitor and reduce its persistence. Topics covered include the role of the pharmacist in addressing opioid misuse, physician–pharmacist collaboration to improve pain management, and community pharmacy monitoring of opioid dispensing.

Emerging Concepts in Patient Safety.

Save to Library

Shapiro FE, ed. Int Anesthesiol Clin. 2019;57:1-162.

This publication presents patient safety concepts for anesthesia practice, including decision aids to educate and empower patients about anesthesia choice, environmental hazards, interpersonal communication, team training, and use of technology and simulation as educational tools.

Patient Safety in Obstetrics and Gynecology.

Save to Library

Gluck PA, ed. Obstet Gynecol Clin North Am. 2019;46:H1-H8, 199-398.

Obstetrics is a high-risk practice that concurrently manages the safety of mothers and newborns. Articles in this special issue explore various facets of health care quality and safety improvement in the care of women and expectant mothers. Topics covered include the patient experience, safety culture, disparities, program implementation, and clinical trends.

Patient Safety and Quality Improvement.

Save to Library

Shah RK, ed. Otolaryngol Clin North Am. 2019;52:1-194.

Articles in this special issue apply safety concepts to reducing preventable patient harm in otolaryngology. The reviews highlight systems science, collaboration, leadership models, and patient experience as important to moving safety innovation forward in this specialty.

Improving Diagnosis.

Save to Library

Deutsch E, ed. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):1-70.

This special issue raises awareness of challenges to reducing diagnostic error. Articles discuss insights from experts about how to improve diagnosis, the role of patients in diagnostic error reduction, and diagnostic process improvement activities implemented in various health care facilities.

Handoff Communication.

Save to Library

APSF Newsletter. October 2017;32:29-56.

Handoff processes are known to carry risks of communication errors. This special issue focuses on transfers involving anesthesia care. Articles review different types of handoffs, characteristics of an effective handoff, challenges of implementing a handoff improvement collaborative, and strategies to reduce distraction in the operating room.

Improving Diagnosis in Radiology—Progress and Proposals.

Save to Library

Bruno MA, Johnson K, Argy N, Graber ML, eds. Diagnosis. 2017;4(3):111-191.

Radiology plays a unique role in the determination of a diagnosis. Cognitive and system elements in radiology can contribute to overuse, diagnostic error, and delays. Articles in this special issue discuss communication, information overload, and uncertainty in radiology and describe projects working toward improving safety of radiological imaging.

Polypharmacy.

Save to Library

Zagaria MAE, ed. Clin Geriatr Med. 2017;33:153-292.

Older patients are likely to be prescribed multiple medications, which can increase risks. Articles in this special issue explore polypharmacy in a variety of care settings and provide tactics for improvement, such as enhancing care integration for older patients through medication reconciliation and deprescribing initiatives.

Symposium: Patient Safety: Collaboration, Communication, and Physician Leadership.

Save to Library

Hendrickson WA, Ward KB. Biochemical and biophysical research communications. 1975;66:1349-56.

Articles in this special issue spotlight areas of focus to augment safety in orthopedic surgery, including work hour reforms, surgical site infections, and hazardous attitudes among surgeons.

Interdisciplinary Perspectives on Medical Error.

Save to Library

J Public Health Res. 2013;2:e22-e33.

This special issue explores the challenges of advancing patient safety and highlights the value of interdisciplinary collaboration to achieve improvements. Articles cover various topics, including heuristic thinking, communication skills, incident reporting, and error disclosure.

Diagnostic Error in Medicine.

Save to Library

Singh H, ed. BMJ Qual Saf. 2013;22(suppl 2):ii1-ii72.

Articles in this special issue cover efforts to reduce diagnostic errors, including patient engagement and cognitive debiasing.

Handoff Communication Tools.

Save to Library

Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8.

This newsletter issue highlights initiatives and tools developed to improve handoff communication in Massachusetts.

How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations.

Save to Library

Cambridge, MA: Institute for Healthcare Improvement; June 2012.

This series, developed in conjunction with the STAAR initiative, provides tactics and resources to improve transitions across various care settings.

Patient Safety Papers 6.

Save to Library

Baker GR, ed. Healthc Q. 2012;15:1-72.

This special issue exploring patient safety in Canada highlights topics such as teamwork, medication reconciliation, and diagnostic error.

The Medical Apology: Making It Right When Things Go Wrong.

Save to Library

Schulte MF, ed. Front Health Serv Manage. 2012;28(3):1-46.

Articles in this special issue highlight lessons learned from disclosure and apology in health care.

Safety in EMS.

Save to Library

Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.

This special issue contains articles exploring safety improvement efforts in emergency medical services.

Cognitive Factors in Health Care.

Save to Library

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.

First, Do No Harm.

Save to Library

Virtual Mentor. 2011;13(9):587-678.

With a focus on advancing education for physicians and trainees, articles in this special issue explore major patient safety themes such as errors and accountability, disclosure and coping, hand-offs, never events, patient safety organizations, and systems failures in medical practice.

All Content

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

All Content

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users