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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 - 7 of 7 Results
Schrøder K, Assing Hvidt E. Int J Environ Res Public Health. 2023;20:5749.
Healthcare providers may experience emotional distress after involvement in an adverse or traumatic event. This qualitative study with 198 healthcare professionals identified common emotions experienced after adverse events as well as the types of support needed after involvement in an adverse event. These findings can contribute to the development and refinement of support programs for healthcare workers after adverse events.
Schrøder K, Lamont RF, Jørgensen JS, et al. BJOG. 2019;126:440-442.
Medical errors can have emotional consequences for clinicians. This commentary emphasizes the importance of organizational support for second victims to ensure that these providers receive assistance from their colleagues to remain healthy and productive. The authors suggest that peer support programs are also required in organizations with blame-free cultures to support providers who feel guilt after an error.

J Health Serv Res Policy. 2015;20(suppl 1):S1-S60.

Articles in this special supplement explore research commissioned by National Institute for Health Research in the United Kingdom to address four patient safety research gaps: how organizational culture and context influence evaluations of interventions, organizational boundaries that affect handovers and other aspects of care, the role of the patient in safety improvement, and the economic costs and benefits of safety interventions.
The authors of this study characterized the attributable mortality rate from anesthesia by examining the records of more than 33,000 patients receiving anesthesia during a 10-year period. Cases are categorized by the type of anesthesia given, the number of deaths recorded, and the characteristics of the patients and their indicated procedure. The authors conclude that the physical condition of patients relates most closely to the contribution of anesthesia to death. When deaths were related to the use of muscle relaxants, errors of omission or commission were always noted to be present.
WebM&M Case September 1, 2004
Following hernia repair surgery, an elderly woman is incidentally found to have a mass in her neck. Expecting the worst, the treating physician recommends palliative care and withdrawal of mechanical ventilation, before biopsy results are in.