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 52 Results

Delayed access to care and late presentations in children during the COVID-19 pandemic: a snapshot survey of 4075 paediatricians in the UK and Ireland.

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Lynn RM, Avis JL, Lenton S, et al. Arch Dis Child. 2020;106:e8.

… survey of pediatricians about delayed presentations to a healthcare provider among children during the COVID-19 … factor. … Lynn RM, Avis JL, Lenton S, et al. Delayed access to care and late presentations in children during the COVID-19 …

Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014.

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HR 3230, 113th Congress: 2014.

… (VA) health system has both achieved success and struggled to provide safe care to its patients. In an effort to address shortcomings in … and improving staffing levels, enabling veterans to access non-VA facilities, and enhancing patient access to …

Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area

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Patient Safety Innovation June 12, 2020

Formerly known as the Antenatal and Neonatal Guidelines, Education and Learning System (ANGELS), the University of Arkansas for Medical Sciences (UAMS) High-Risk Pregnancy Program links clinicians and patients across the state with UAMS, where the vast majority of the state's high-risk pregnancy services, maternal-fetal medicine specialists, and prenatal genetic counselors are located.

‘They are terrified’: fearing coronavirus, people with potentially fatal conditions avoid emergency care.

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Bruggeman L, Bhatt J. ABC News. April 23, 2020.

… Patient ability to access emergency care is vital for timely and appropriate diagnosis and … highlights how patient and family discomfort with going to the emergency room for non-COVID-19 associated conditions …

Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada.

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Sears K, Bishop A, MacKinnon NJ. J Particip Med. 2014;6:e2.

… study analyzed physician–patient communication related to medication safety. The authors identified many areas in … reviews, written medication lists for patients, and access to care. … Sears K, Bishop A, MacKinnon NJ. J Particip Med. …

People with disabilities fear pandemic will worsen medical biases.

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Shaprio J. National Public Radio. April 15, 2020.

… Access to care has been strained by the COVID-19 pandemic. This radio … about this patient population could limit their access to treatments should they become ill. … Shaprio J. …

Contextual errors in medical decision making: overlooked and understudied.

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Weiner SJ, Schwartz A. Acad Med. 2016;91:657-62.

… should consider contextual issues when developing care plans with patients. This commentary discusses how inattention to patient context, such as environmental or social factors, … consider include finances, religion, social support, and access to care. …

Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals.

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Xiao Y, Smith A, Abebe E, et al. J Patient Saf. 2022;18:e1174-e1180.

… Older adults are particularly vulnerable to medication errors due to polypharmacy and medical … multifactorial hazards for medication-related harm during care transitions, including complex dosing, knowledge gaps, errors in discharge medications and gaps in access to care. … Xiao Y, Smith A, Abebe E, et al. …

Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework.

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Giles SJ, Lewis PJ, Phipps DL, et al. J Patient Saf. 2020;16:e324-e339.

… groups that included the public, patients, and caregivers to define a framework for medication safety problems. … supply of medications, health information technology, access to care, and continuity with physicians. The authors suggest …

The State of VA Health Care.

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Hearing Before the Committee on Veterans' Affairs United States Senate. 113th Cong (September 9, 2014).

… the culture at the hospitals enabled record falsification to become normalized , and outline actions being taken to address weaknesses in processes and access to care. … Hearing Before the Committee on Veterans' Affairs …

Root cause analysis of ambulatory adverse drug events that present to the emergency department.

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Gertler SA, Coralic Z, Lopez A, et al. J Patient Saf. 2014;12.

… incorporated patient perspectives —of ED visits for ADEs to identify contributing factors related to drugs (e.g., prescribing of high-risk medications), … low health literacy), and the environment (e.g., poor access to care). …

As COVID-19 bears down, doctors confront difficult choices on elective surgeries.

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Alesse L, Dukakis A, Tatum S, Mosk M. ABC News. March 20, 2020.

… elective surgery and other procedures have the potential to lessen safe patient care. This news story describes the decision-making dilemma for physicians to limit patient access to care during the COVID-19 pandemic. Their concern is …

Workplace violence against anesthesiologists: we are not immune to this patient safety threat.

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Udoji MA, Ifeanyi-Pillette IC, Miller TR, Lin DM. Int Anesthesiol Clin. 2019;57:123-137.

… including increased risk of burnout , burden on health care systems because of decreased retention in practice, and ultimately, less access to care for patients. … Udoji MA, Ifeanyi-Pillette IC, Miller …

How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway.

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Malterud K, Aamland A, Fosse A. Scand J Prim Health Care. 2020;38.

… such as delays in diagnosis, overdiagnosis , and reduced access to care. …

The effectiveness of tele-triage during the COVID-19 pandemic: a systematic review and narrative synthesis.

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Farzandipour M, Nabovati E, Sharif R. J Telemed Telecare. 2023;Epub Jan 23.

… Remote triage allows patients to receive guidance about whether to seek care and, if required, what level of care. This review of … The studies reported on five broad outcome categories (access to care, triage rates, patient safety, post-triage …

Choice, transparency, coordination, and quality among direct-to-consumer telemedicine websites and apps treating skin disease.

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Resneck JS, Abrouk M, Steuer M, et al. JAMA Dermatol. 2016;152:768-75.

… … Telemedicine is being more widely used in order to increase access to care. A relatively new aspect of telemedicine is …

Reversing the rise in maternal mortality.

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Kozhimannil KB. Health Aff (Millwood). 2018;37:1901-1904.

… in collecting data on maternal health outcomes, access to care, understanding of racial disparities, accountability, …

Medically-necessary, time-sensitive procedures: a scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic.

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Prachand VN, Milner R, Angelos P, et al. J Am Coll Surg. 2020;231:281-288.

… with difficult decisions regarding potential limits to patient access to care during the COVID-19 pandemic in order to preserve …

Uncharted territory: measuring costs of diagnostic errors outside the medical record.

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Schwartz A, Weiner SJ, Weaver F, et al. BMJ Qual Saf. 2012;21:918-24.

… BMJ quality & safety … Failure to appreciate the role of contextual factors —such as patients' access to care or social support—can result in diagnostic errors . In …

Assessing reasons for decreased primary care access for individuals on prescribed opioids: an audit study.

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Lagisetty P, Macleod C, Thomas J, et al. Pain. 2021;162:1379-1386.

… prescribing of opioids is a major contributor to the ongoing opioid epidemic. This study involved simulated … patients with chronic opioid use who called primary care clinics in need of a new provider because their … whose histories are suggestive of misuse, which may raise access to care concerns and cause potential unintended …

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