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psnet.ahrq.gov/node/49737/psn-pdf
June 01, 2015 - focused competency-based approach to review the microbiology of
CAUTI, urinalysis collection, and urine culture … As a means of obtaining urine for culture or other diagnostic tests when the patient can voluntarily
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psnet.ahrq.gov/node/841305/psn-pdf
January 27, 2023 - intention is a broad definition, including
people, knowledge, equipment, physical spaces, protocols, culture … including all the components of socio-technical
systems, the physical environment, the protocols, the culture
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psnet.ahrq.gov/primer/human-factors-engineering
December 15, 2024 - October 4, 2017
Changing our culture: adopting the military aviation safety system.
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psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
December 15, 2024 - Annual Perspective
Ensuring Patient and Workforce Safety Culture
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psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
April 24, 2018 - Written Signout: It Only Works If You Use The Right One
Citation Text:
Lewis K, Rosenbluth G. Written Signout: It Only Works If You Use The Right One. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
June 28, 2023 - Adverse Drug Event (ADE) Surveillance and Pharmacist Counseling
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January 31, 2024
Innovation
Contact
…
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psnet.ahrq.gov/node/49674/psn-pdf
December 01, 2012 - Her blood cultures
subsequently grew staphylococcus aureus and she was diagnosed with endocarditis and
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - The challenges presented in this case reflect an outdated culture surrounding disclosure. … In such a situation, should the accepting physicians share their beliefs directly with the family about
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psnet.ahrq.gov/node/49584/psn-pdf
April 01, 2009 - Ross Koppel, PhD Principal Investigator Study of Hospital Workplace Culture and Medication Errors
Center
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psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
September 28, 2022 - The community culture around medical care matters, and if people don’t understand the complexities of … that could happen at the dinner table, at the bowling alley, or at the livestock sale barn, and the culture … I think there’s been a broad culture change over the last 20 years related to this, but I think there
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psnet.ahrq.gov/node/49457/psn-pdf
September 01, 2004 - The admitting physician ordered blood cultures and prescribed intravenous ceftriaxone as well as oral … the treating physician might offer less
information than explained to 'ordinary' patients, due to a belief
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - Celebrities have spoken about it, and the culture of social media has normalized talking about mental
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psnet.ahrq.gov/node/843150/psn-pdf
December 05, 2022 - a
patient's name or pronouns because they do not want to enable something that goes against their beliefs … When it comes to healthcare though, their beliefs of normal shouldn’t interfere with someone’s
ability … many people consider to be
offensive because it suggests that you prescribe to a set of ideals or beliefs
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psnet.ahrq.gov/node/49548/psn-pdf
October 01, 2007 - When both infection and thyrotoxicosis are
present, routine cultures and early initiation of broad-spectrum
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psnet.ahrq.gov/node/49390/psn-pdf
February 01, 2003 - of the puzzle, and most will be rendered more effective when applied in
organizations with strong cultures
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psnet.ahrq.gov/node/49419/psn-pdf
October 01, 2003 - The Other Side
October 1, 2003
Vincent CA. The Other Side. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/other-side
Case Objectives
List the factors contributing to wrong site surgery.
Understand the key components of the Universal Protocol for eliminating wrong site, wrong
procedure, wrong person surger…
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psnet.ahrq.gov/node/33842/psn-pdf
January 01, 2018 - As such, another key facet of this work is for
organizational leadership to create the blame-free culture
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - focused competency-based approach to review the microbiology of CAUTI, urinalysis collection, and urine culture … As a means of obtaining urine for culture or other diagnostic tests when the patient can voluntarily
-
psnet.ahrq.gov/node/33787/psn-pdf
January 01, 2018 - In other
words, the culture and context matter, the leaders matter, and the mechanism is the change … Hence, the theory was that if you
understood your culture and you had a mechanism that you could try
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psnet.ahrq.gov/sites/default/files/2020-10/final_slides_oct_2020_spotlight_case_inpt_stroke_mngt_in_adolescent_with_type1_diabetes.pdf
January 01, 2020 - Spotlight
Spotlight
Inpatient Stroke Management in a Patient
with Type 1 Diabetes and Home Insulin
Pump
Source and Credits
• This presentation is based on the October 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Berit B…