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psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
November 01, 2023 - November 12, 2008
WebM&M Cases
Culture Clash No More:
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psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-safety
September 29, 2017 - Mental Health
March 29, 2023
The barriers and enhancers to trust in a just culture
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psnet.ahrq.gov/node/73387/psn-pdf
March 17, 2021 - Culture and Redesign. Agency for Healthcare
Research and Quality; 2008.
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psnet.ahrq.gov/node/49460/psn-pdf
September 01, 2004 - On the culture of student abuse in medical school. Acad Med.
1998;73:1149-58.[ go to PubMed ]
3.
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psnet.ahrq.gov/node/49635/psn-pdf
September 01, 2011 - While we wait, we must increase awareness of human
factors and create a health care culture that responds
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psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Provider-Patient Communication
(6)
Health Literacy Improvement
(2)
Culture
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psnet.ahrq.gov/node/33732/psn-pdf
July 01, 2012 - It was not possible given our size, political culture, and political
institutions.
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psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
February 26, 2025 - committees
Dissemination channels online, via standing conferences, and through regular meetings
A culture
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psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
October 30, 2024 - Build and maintain a shared safety culture to minimize communication gaps.
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psnet.ahrq.gov/web-mm/double-dosing-rules
February 03, 2010 - Dynamics: If the organization functions in a hierarchical model of patient care, move toward a culture
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psnet.ahrq.gov/web-mm/specimen-almost-lost
September 21, 2022 - WebM&M Cases
Delayed Recognition of a Positive Blood Culture
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psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
August 01, 2019 - , the largest medical scribe staffing agency in the US, has stated that using scribes can support a culture … to the competencies listed by The Joint Commission, new scribes may need to be oriented to medical culture … Murphy M. 3 ways scribes support a culture of safety. Medical Scribe America. April 12, 2016.
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psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
July 01, 2017 - unsurprising given the number of legislators who are lawyers themselves and who are steeped in the culture … It is a massive culture shift for institutions to move from a traditional "deny-and-defend" posture to … a culture in which not only do health care providers feel supported in disclosing error, but the insurance
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psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - prevention strategies integrated into the day-to-day workflow, leadership support and an organizational culture … One study examined the association between nursing unit safety culture, quality of care, nurse staffing … levels, and inpatient falls; the researchers found that nursing units with strong safety culture and
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psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - prevention strategies integrated into the day-to-day workflow, leadership support and an organizational culture … One study examined the association between nursing unit safety culture, quality of care, nurse staffing … levels, and inpatient falls; the researchers found that nursing units with strong safety culture and
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psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - unsurprising given the number of legislators who are lawyers themselves and who are steeped in the culture … It is a massive culture shift for institutions to move from a traditional "deny-and-defend" posture to … a culture in which not only do health care providers feel supported in disclosing error, but the insurance
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - Progress will require not only advances in the science but also changes to today's culture, which inhibits … It's my own belief that the major factor was the perception that we were doing okay in regard to diagnosis … We need to get much better feedback if we want to excel at this, and we need to create a culture where
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psnet.ahrq.gov/web-mm/other-side
May 01, 2007 - SPOTLIGHT CASE
The Other Side
Citation Text:
Vincent CA. The Other Side. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
January 01, 2019 - Spotlight
Missed Opportunities for Suicide
Risk Assessment
Source and Credits
• This presentation is based on the November 2019 AHRQ WebM&M
Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Glen Xiong, MD & Debra Kahn, MD
○ Editors in Chief, AHRQ We…
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psnet.ahrq.gov/node/33806/psn-pdf
April 01, 2016 - In Conversation With… Amy J. Starmer, MD, MPH
April 1, 2016
In Conversation With… Amy J. Starmer, MD, MPH. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
Editor's note: Dr. Starmer is Director of Primary Care Quality Improvement and Assistant Professor of
Pediatrics a…