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 - 6 of 6 Results

Meeting the Joint Commission's 2013 National Patient Safety Goals.

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Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

This e-book provides tips for incorporating activities into daily hospital practice in conjunction with the 2013 National Patient Safety Goals.

Safety.

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Simmons D, ed. Crit Care Nurs Clin North Am. 2010;22:161-290.

Articles in this special issue discuss safe practices, effective staffing, teamwork, and event analysis to enhance patient safety in the critical care setting.

Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.

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Snijders C, van Lingen RA, Klip H, et al. Arch Dis Child Fetal Neonatal Ed. 2009;94:F210-5.

Incident reporting systems are one mechanism for hospitals to both identify and potentially prevent adverse events, although they have frequently failed to meet those expectations. This study describes findings from a voluntary system that produced a significant increase in reported neonatal events, many of which were associated with patient morbidity.

CPOE: it don't come easy.

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Anderson HJ. Health Data Manag. 2009;17:18-20, 22, 24 passim.

Although shifting from paper-based or verbal orders to computerized physician order entry (CPOE) systems could reduce medical errors, a mere 8% of hospitals use the system and fewer implement it effectively, according to the Leapfrog Group CPOE evaluation tool.

Eliminating Serious, Preventable, and Costly Medical Errors - Never Events.

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Centers for Medicare and Medicaid Services; CMS

This fact sheet provides information regarding the Centers for Medicare and Medicaid Services' initiative to better understand and minimize never events.

2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer through Implementation and Innovation.

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Agency for Healthcare Research and Quality

The Agency for Healthcare Research and Quality (AHRQ) hosted the 2005 Annual Patient Safety and Health Information Technology Conference. Transcripts and slide presentations are available from the five-day event.

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