The PSNet Collection

Displaying 1 - 17 of 17 Results

Curated Libraries

September 13, 2021

Ensuring maternal safety is a patient safety priority. This library reflects a curated selection of PSNet content focused on improving maternal safety. Included resources explore strategies with the potential to improve maternal care delivery and outcomes, such as high reliability, collaborative initiatives, teamwork, and trigger tools.

Patient Safety.

Save to Library

Harrisburg, PA: Patient Safety Authority. ISSN 2641-4716.

The Pennsylvania Patient Safety Authority is a long-established source of patient safety data analysis and application-focused commentary. Their publishing output aims to generate improvements in their state as well as throughout health care. This open-access publication replaces the quarterly Pennsylvania Patient Safety Advisory newsletter.

Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.

Save to Library

Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236.

Patient stories offer important insights regarding the impact medical errors have on patients and their families. This book shares the author's experience with medical error and spotlights how lack of transparency in European health care can contribute to avoidable process failures that result in patient harm.

Maternal deaths at MetroWest hospital prompt state probes.

Save to Library

Kowalczyk L.

Maternal death is a sentinel event. This news article reports on two incidents at one hospital that prompted investigations and describes strategies to improve maternal safety, including standardizing procedures and enhancing communication.

Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study.

Save to Library

Scott J, Heavey E, Waring J, et al. BMJ Open. 2016;6:e011222.

Patients may provide a valuable perspective with regard to safety efforts. In this qualitative study, researchers developed and validated a survey for patients to provide feedback on safety issues about care transfers between different institutions. The authors suggest that further research is necessary to determine the usability of the survey and how best to use the patient feedback obtained.

Weak oversight allows lab failures to put patients at risk.

Save to Library

Gabler E. Milwaukee Journal Sentinel. May 15, 2015.

Reporting on weaknesses in laboratory testing methods, this news article discusses patients' experiences with testing errors to illustrate how such failures can contribute to patient harm—such as missed or delayed diagnosis—and raises concerns about insufficient transparency, investigations, and regulations around laboratory facilities with poor processes.

Living with cancer: not talking about medical mistakes.

Save to Library

Gubar S.

This newspaper article describes how surgical complications, health care–associated infections, and ineffective patient–provider communication contributed to a patient's experience with harm and suggests that transparency around the incident and preoperative patient briefings could have improved the situation.

Delivering results.

Save to Library

Landro L. Wall Street Journal. March 28, 2011.

This newspaper article discusses how combining best practices in teamwork, simulation, and communication can improve patient safety during obstetric emergencies.

Alleged kidnapper agrees to extradition.

Save to Library

Blaney B; Associated Press

This article reports on the abduction of a newborn by an individual masquerading as a hospital employee. Infant abduction is one of the patient safety "never events" defined by the National Quality Forum.

Maternity ward at Highland under fire from patients.

Save to Library

Vesely R. East Bay Times. December 28, 2006.

This article describes a variety of quality and safety problems in the labor and delivery ward at a large public hospital.

Survive your doctor.

Save to Library

This series includes articles on "doorway diagnosis" (or a doctor's assessment of a patient before an exam begins), anesthesiologists addicted to painkillers, and medical mistakes in the emergency room.

Promoting collaboration and transparency in patient safety.

Save to Library

Apold J, Daniels T, Sonneborn M. Jt Comm J Qual Patient Saf. 2006;32:672-675.

This article discusses the efforts of the Minnesota Alliance for Patient Safety to promote a culture of safety among the state's health care organizations.

Improving Patient Safety Through Simulation Research.

Save to Library

This announcement describes the 19 projects funded by the Agency for Healthcare Research and Quality in 2006 that studies the potential of simulation to improve patient safety.

Inquiry into reporter's death finds multiple failures in care.

Save to Library

This article reports on the investigation following the death of New York Times reporter David E. Rosenbaum. The investigation uncovered a range of failures in emergency care and is described in a report available via the link below.

Get me out alive.

Save to Library

Feldman R

In this article, a nurse shares her firsthand account of what it was like to be a surgical patient and the surprising safety and quality shortcomings she encountered during her hospital stay.

The Patients' View: 2004 ISQSH National Survey.

Save to Library

Dublin: Irish Society for Quality and Safety in Healthcare; 2004.

This report provides results from a 26-hospital survey investigating areas of service and care weakness in Irish hospitals. The research revealed problems related to information transfer, overwork, and lack of patient involvement in decision making about their care.

Ding-a-ling-a-ling: ambulances can be dangerous places.

Save to Library

Meisel Z.

In this article, an emergency medicine physician describes the work environment of emergency medical technicians and paramedics and why it is prone to error.

The PSNet Collection: All Content

Search All Content

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The PSNet Collection: All Content

Search 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