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psnet.ahrq.gov/web-mm/security-lapse
December 18, 2019 - On the culture of student abuse in medical school.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - assessment
• Initial antibiotic timing
• Pneumococcal vaccination
• Influenza vaccination
• Blood culture
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psnet.ahrq.gov/node/49409/psn-pdf
July 01, 2003 - environment, (iv) organizational factors, (v) the overarching system of
legal, regulatory, national culture
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psnet.ahrq.gov/node/49447/psn-pdf
June 01, 2004 - Beyond these considerations, communication and
culture may have played an additional, subtler role in
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psnet.ahrq.gov/node/33840/psn-pdf
August 01, 2017 - They include
emphasis on the culture of safety, requiring residents and faculty to actively participate
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psnet.ahrq.gov/node/49830/psn-pdf
May 01, 2018 - Inpatient suicide prevention: promoting a culture and system of safety over 30 years of
practice.
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - invariably reveals underlying system flaws —such as human factors engineering issues and impaired safety culture
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psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - March 31, 2022
WebM&M Cases
Culture Clash No More
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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - Second victims need emotional support after adverse events: even in a just safety culture
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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - WebM&M Cases
Delayed Recognition of a Positive Blood Culture
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psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - Transitions in Adolescent Medicine
Citation Text:
Okumura MJ, Williams RG. Transitions in Adolescent Medicine. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission
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psnet.ahrq.gov/node/49733/psn-pdf
May 01, 2015 - Transitions in Adolescent Medicine
May 1, 2015
Okumura MJ, Williams RG. Transitions in Adolescent Medicine. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
The Case
A 21-year-old woman with a history of Marfan syndrome complicated by aortic root dilation presented to the
emer…
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psnet.ahrq.gov/web-mm/flying-object-hits-mri
September 01, 2005 - piece 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/49808/psn-pdf
October 01, 2017 - After the patient's infection improved and blood cultures cleared, the decision was made to have the
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psnet.ahrq.gov/node/49655/psn-pdf
June 01, 2012 - Given that her new presentation included fever, blood cultures were drawn, ultimately growing yeast.
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - not only understand what has to be done for patient safety, but are given the time to do it within a culture … There are many lessons here, including communication strategies, culture, leadership, teamwork training … I have a personal belief that if we unleash the voice of the patient in quality reporting, we are going
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psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - not only understand what has to be done for patient safety, but are given the time to do it within a culture … There are many lessons here, including communication strategies, culture, leadership, teamwork training … I have a personal belief that if we unleash the voice of the patient in quality reporting, we are going
-
psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - also positioned as an organizational leader who valued systems engineering, and I think having the culture … Annual Perspective
Ensuring Patient and Workforce Safety Culture
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psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
February 01, 2014 - We have this culture such that people are hypersensitive about interrupting someone, but somebody needs … We have made extensive progress in changing the culture in hospitals and other health care institutions … Perspective
What We've Learned About Leveraging Leadership and Culture