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Patient Safety Network

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 - 9 of 9 Results
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    • Safety and Quality in Perioperative Anesthesia Care.
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    • Preckel B, ed. Best Pract Res Clin Anaesthesiol. 2021;35(1):1-154.

    The field of anesthesiology has realized impressive improvements in safety, yet challenges still exist in its practice. This special issue provides discussions on a variety of concerns that require continued effort, including use of early warning scores, differences associated with sex and gender, and use of incident reporting systems.
    Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error.
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    • Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344.

    Challenges to effective clinical reasoning reduce diagnostic accuracy. This special issue provides background for a new approach to clinical reasoning: situativity. The articles explore the four complementary facets of the concept -- situated cognition; distributed cognition; embodied cognition; and ecological psychology – and describes how situativity can enhance diagnosis through a holistic approach to education, assessment, and research.    
    Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records.
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    • Auerbach AD, Bates DW, Rao JK, et al, eds. Ann Intern Med. 2020;172(11_Supp):S69-S144.

    Research and error reporting are important strategies to uncover problems in health system performance. This special issue highlights vendor transparency and context as important areas of focus to ensure electronic health records (EHR) research and reporting help improve system reliability. The articles cover topics such as a framework for research reporting, design of randomized controlled trials for technology studies, and designing research on patient portal enhancement.
    Supplement on Deepening our Understanding of Quality in Australia (DUQuA).
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    • Int J Qual Health Care. 2020;32(Supp1):1-105.

    Quality and safety are often intertwined in large improvement efforts. This special issue outlies the results of a 5-year examination of 32 hospitals across Australia and its territories. The culture of organizations, assessing that culture from the leadership, patient and clinician perspectives and adopting a “Safety II” approach can impact conditions that affect quality and safety.
    Deprescribing Guidelines: Special Section on Symposium Results.
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    • Res Social Adm Pharm. 2019;15(6):780-810.

    Appropriate deprescribing can reduce the risks associated with polypharmacy, overuse, and accidental overdose. Articles in this special section cover findings from a symposium discussing guidelines for safe discontinuation of medications and research needed to support further understanding of deprescribing practices.
    Improving Usability, Safety and Patient Outcomes With Health Information Technology.
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    • Lau F, Bartle-Clar JA, Bliss G, et al, eds. Stud Health Technol Inform. 2019;257:1-539. ISBN: 9781614999508.

    Information technology is prevalent in health care and is associated with both optimized processes and unintended consequences. This publication is a compilation of papers from an international conference that explored the potential of health information technology and the research needed to achieve success. Topics covered include usability, implementation, interoperability, and policy.
    The Foundations of Safety Science.
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    • LeCoze JC, Pettersen K, Reiman T, eds. Safety Sci. 2014;67:1-70.

    Safety science crosses many disciplines including healthcare, aviation, and nuclear power. This special issue describes the state of safety science from a range of perspectives, including the meaning of safety science, the relationship between safety scientists and their field of study, and high reliability and resilience engineering.
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