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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.167_slideshow.ppt
January 01, 2008 - efforts should focus on implementing curriculum in medical errors at all levels of medical training
Culture
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psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-driven-decision
October 30, 2024 - Unfortunately, prior to implementation, the treatment culture in PA focused on an inpatient abstinence-only
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psnet.ahrq.gov/node/49589/psn-pdf
August 01, 2009 - These can be differentiated by a
history of recurrence in the case of sacral HSV, and by viral culture
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psnet.ahrq.gov/web-mm/central-not-epidural
August 28, 2024 - 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/node/49805/psn-pdf
September 01, 2017 - In some cases, the organizational culture may
discourage seeking help, with the covert implication that
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psnet.ahrq.gov/node/853772/psn-pdf
September 27, 2023 - psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
https://psnet.ahrq.gov//#9
Cultivating a culture
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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - Creating an environment where a culture of safety is incorporated into daily practice is the ultimate
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psnet.ahrq.gov/node/33684/psn-pdf
May 01, 2009 - The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA.
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psnet.ahrq.gov/primer/computerized-provider-order-entry
March 15, 2025 - Generation of new types of errors Unexpected changes in an institution's power structure, organizational culture
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psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
November 01, 2012 - accurately as measurement of serum troponin.( 3,16 )
The evidence also shows, in contrast to common belief … But, systemic changes are also required, because we now live in a medical culture that allows clinicians … Until this culture changes, constrictive pericarditis will continue to be misdiagnosed as liver disease
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psnet.ahrq.gov/node/846975/psn-pdf
March 28, 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/867651/psn-pdf
February 26, 2025 - on Normal Accidents and HROs
1990s and on Swiss Cheese and Safety Management
2000s and on Safety Culture … viewed, as well as the utility of the concept of human error.1,
13-15 This questioning of long held beliefs … Hollnagel terms this the causality credo, which he defines as “the belief that adverse outcomes happen
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psnet.ahrq.gov/node/50391/psn-pdf
September 25, 2019 - However, results of blood and urine
cultures were negative, and no clear source of infection was found
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psnet.ahrq.gov/node/49641/psn-pdf
November 01, 2011 - Cultures of blood and urine were negative, and her
symptoms were attributed to pegfilgrastim (fever,
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.140_slideshow.ppt
December 01, 2006 - Blood cultures eventually grew candida, and amphotericin was added to her regimen.
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - can tailor components to align with their organizational needs, priorities, available resources, and culture
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psnet.ahrq.gov/web-mm/lost-transition
November 17, 2010 - Culture and high reliability organizations: the case of the nuclear submarine. J Manage.
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psnet.ahrq.gov/perspective/disclosure-medical-error
January 01, 2009 - In many regards, this has been a time-revered risk management belief. … September 29, 2017
Safety culture in the operating room: variability among perioperative
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psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
September 20, 2011 - history was placed on an involuntary hold as a danger to others and for grave disability because of his belief
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psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - Missed Opportunities for Suicide Risk Assessment
November 27, 2019
Xiong G, Kahn D. Missed Opportunities for Suicide Risk Assessment. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
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