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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 - 9 of 9 Results
Tate K, McLane P, Reid C, et al. BMJ Open Qual. 2022;11:e001639.
Older adults are vulnerable to patient safety events during care transitions. The Older Persons’ Transitions in Care (OPTIC) study prospectively tracked long-term care residents’ transitions and applied the IOM’s quality of care domains to develop 49 measures for quality of care for the transition process (e.g., safety, timeliness, efficiency, effectiveness, and patient-centered care) between long-term care and emergency department settings.
Mirarchi FL, Cammarata C, Zerkle SW, et al. J Patient Saf. 2015;11:9-17.
This survey of emergency department physicians found that significant confusion in understanding of Physician Orders for Life-Sustaining Treatment (POLST) documents exists. The authors suggest that additional research and training are required to protect patients' decisions. A related study revealed variation in interpretations of POLST orders by prehospital emergency responders. A previous AHRQ WebM&M commentary discusses how confusion in resuscitation status can result in a patient receiving unwanted care.
Irving, TX: American College of Emergency Physicians; 2014.
This guidance recognizes risks associated with emergency medical services and provides recommendations to support the implementation of a safety culture in this setting.

Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.  

This special issue contains articles exploring safety improvement efforts in emergency medical services.