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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 - 3 of 3 Results

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.
Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-95.
Interruptions and other work system failures often prevent nurses from completing essential patient care tasks. This study, a secondary analysis of data from a seminal article, found that failure to complete nursing care was linked to an increased risk of a broad range of adverse events. This finding is corroborated by another recent study that tied interruptions during medication administration to an increased risk of medication errors. While inadequate nurse staffing ratios increase safety risks, this study reinforces the necessity of also transforming nurses' work environment in order to reduce preventable adverse events.
St Louis, Missouri; Facilities Guidelines Institute; 2018.
These updated guidelines include design changes, such as the adoption of private rooms to reduce medical error, interruptions, and hospital-acquired infections. The 2018 edition was developed as a 3-volume set covering hospitals, outpatient facilities, and residential health, care, and support facilities. Each provides information on design elements that enhance safety. The material also includes risk assessments to identify space concerns that could lead to unsafe conditions.