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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 - 3 of 3 Results
Zavalkoff S, O’Donnell S, Lalani J, et al. Can J Anaesth. 2023;70:886-892.
Lack of timely identification and referral of potential organ donors and poor communication can lead to missed opportunities for life-saving organ transplants. This analysis of data from Canadian organ donation organizations estimates that there were 354 potentially missed transplants between 2016 and 2018.
Bhatt M, Johnson DW, Chan J, et al. JAMA Pediatr. 2017;171:957-964.
Procedural sedation is more commonly used among pediatric patients compared to adult patients. In this prospective study across six emergency departments, researchers found that the occurrence of serious adverse events among children receiving sedation varied depending on the type of medication used.
Korah N, Zavalkoff S, Dubrovsky AS. Pediatrics. 2015;136:4-5.
Games illustrating what could go wrong can reveal insights into culture and teamwork in a health care organization. This commentary describes a low-tech simulation activity in a pediatric setting designed to foster learning by engaging staff to identify, correct, and discuss safety hazards.