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.
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.
Elder NC, McEwen TR, Flach JM, et al. Ann Fam Med. 2009;7:343-51.
This study evaluated contributing factors to effective test management systems and identified safety awareness and technological adoption as two themes worthy of greater attention in system design.
Flabouris A, Runciman WB, Levings B. Anaesth Intensive Care. 2006;34:228-236.
The authors analyzed adverse events that occurred during out-of-hospital patient transfer. They found that 91% of reported failures were preventable and conclude that incident monitoring is an effective tool for safety improvement.