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81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44249/psn-pdf
    February 12, 2019 - Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. … The database is meant to allow for comparison and benchmarking of safety cultures across pharmacies. … Bryan Sexton explored the relationship between culture and patient safety. … /issue/surveys-patient-safety-culture https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov … /primer/culture-safety https://psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma

82. Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. | PSNet
    psnet.ahrq.gov/issue/culture-work-aviation-and-medicine-national-organizational-and-professional-influences
    November 03, 2021 - Book/Report Classic Culture at Work in Aviation and Medicine … Citation Text: Culture at Work in Aviation and Medicine: National, Organizational, and Professional … This book examines the influence of professional, national, and organizational cultures on shaping individual … The research comes largely from research on culture and teamwork in aviation, but the intended audience … In recent years, the importance of teamwork and organizational culture has gained increasing attention

83. Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital. | PSNet
    psnet.ahrq.gov/issue/attitudes-and-barriers-medical-emergency-team-system-tertiary-paediatric-hospital
    April 11, 2011 - This study highlights the importance of a positive safety culture in ensuring that safety interventions … March 1, 2023 Association of diagnostic stewardship for blood cultures in critically … ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative … April 8, 2011 A survey of nurses' beliefs about the medical emergency team system in

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34742/psn-pdf
    July 20, 2016 - Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. … https://psnet.ahrq.gov/issue/culture-work-aviation-and-medicine-national-organizational-and-professional … - influences This book examines the influence of professional, national, and organizational cultures … The research comes largely from research on culture and teamwork in aviation, but the intended audience … In recent years, the importance of teamwork and organizational culture has gained increasing attention

85. What are we doing when we double check? | PSNet
    psnet.ahrq.gov/issue/what-are-we-doing-when-we-double-check
    June 10, 2020 - September 7, 2016 Oncology nurses' beliefs and attitudes towards the double-check of … September 7, 2022 The role of organizational and professional cultures in medication

86. Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments | PSNet
    psnet.ahrq.gov/issue/assessing-impact-hospital-mergers-and-acquisitions-safety-culture-proactive-risk-assessments
    June 12, 2024 - Study Assessing the impact of hospital mergers and acquisitions on safety culture … Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments … assessment, ideally prior to the merger, can identify strengths and weaknesses of the organizations' safety cultures … Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments … About The Topic Health Care Executives and Administrators Risk Managers Latent Errors Culture

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34654/psn-pdf
    June 16, 2011 - Finally, large-scale systems need to maintain strong safety cultures and norms that reinforce common … psnet.ahrq.gov//#highreliabilityorganizations https://psnet.ahrq.gov//#error https://psnet.ahrq.gov/primer/culture-safety

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73902/psn-pdf
    September 29, 2021 - Cultures of blood and CSF were obtained but imaging of the cervical spine was not ordered. … The next morning, two blood cultures returned positive for Staphylococcus aureus while CSF culture was … Blood culture results are highly concordant with SEA fluid culture results.23 Most importantly, positive … blood cultures in a patient complaining of neck or back pain should raise suspicion for SEA. … Operative management is followed by 4-6 weeks of parenteral antibiotic therapy tailored to culture results

89. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome | PSNet
    psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
    April 27, 2022 - Cultures of blood and CSF were obtained but imaging of the cervical spine was not ordered. … The next morning, two blood cultures returned positive for Staphylococcus aureus while CSF culture … Blood culture results are highly concordant with SEA fluid culture results. 23 Most importantly, positive … blood cultures in a patient complaining of neck or back pain should raise suspicion for SEA. … Operative management is followed by 4-6 weeks of parenteral antibiotic therapy tailored to culture results

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60279/psn-pdf
    April 29, 2020 - exploring-challenges-quality-and-safety-work-nursing-homes-and-home-care- case-study-basis A part of the SAFE-LEAD program to promote safety culture … different EHR systems that do not communicate), and; inadequate time leading to different error reporting cultures

91. Culture of Safety | PSNet
    psnet.ahrq.gov/primer/culture-safety
    September 15, 2024 - Culture of Safety Citation Text: Culture of Safety. PSNet [internet]. … Background Patient safety culture is the extent to which an organization's culture supports and promotes … It refers to the values, beliefs, and norms that are shared by healthcare practitioners and other staff … Patient safety culture can be measured by determining the values, beliefs, norms, and behaviors related … Culture of Safety

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867450/psn-pdf
    January 08, 2025 - The elements include promoting transparency, supporting safe cultures through partnership, and encouraging

93. One Dose, Two Errors | PSNet
    psnet.ahrq.gov/web-mm/one-dose-two-errors
    September 29, 2017 - The patient was intubated and treated with broad-spectrum antibiotics while waiting for blood culture … A few hours into the admission, the microbiology lab called the ICU to report that the blood cultures … She reviewed the laboratory data and was surprised to find that the patient had no positive blood cultures … She called the microbiology lab, who confirmed that the patient had not had any positive blood cultures … In the course of the discussion, she came to a troubling realization: the positive yeast cultures were

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33666/psn-pdf
    October 01, 2008 - include: adherence to hand hygiene, contact precautions for patients with MRSA, active surveillance cultures … were required.(16,17) While not formally studied, I suspect that organizations that have a strong culture … The two most complex issues surrounding the control of MRSA are the role of active surveillance cultures … However, there is considerable evidence to support the use of active surveillance cultures for identifying … safety activities, this requires a comprehensive approach focusing on the system and organizational culture

95. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
    January 01, 2021 - – Cultures of blood and CSF were obtained but imaging of the cervical spine was not ordered. … • The next morning, two blood cultures returned positive for Staphylococcus aureus while CSF culture … – Approximately two-thirds of these cultures return positive. … • Blood culture results are highly concordant with SEA fluid culture results. … • Operative management is followed by 4-6 weeks of parenteral antibiotic therapy tailored to culture

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38857/psn-pdf
    July 31, 2012 - https://psnet.ahrq.gov/issue/name-and-shame https://psnet.ahrq.gov/issue/hospitals-cultures-entrapment-re-analysis-bristol-royal-infirmary

97. Is the "Surgical Personality" a Threat to Patient Safety? | PSNet
    psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
    February 24, 2021 - The anesthesiologist voiced his belief that the surgeon had placed the device in the pericardial space … 6 ) Two elements are critical to safety cultures. … For Weick, “safety cultures” seek wisdom rather than knowledge alone, couple confidence in skill with … A number of factors are critical if safety cultures are to become a reality rather than a rhetorical … Culture as a source of high reliability. Calif Manage Rev. 1987;29:112-127. 7. Reason J.

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/852805/psn-pdf
    August 23, 2023 - https://psnet.ahrq.gov/issue/surgeon-so-bad-it-was-criminal https://psnet.ahrq.gov/issue/hospitals-cultures-entrapment-re-analysis-bristol-royal-infirmary

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/854259/psn-pdf
    January 01, 2024 - following a clinical encounter included more important clinical information (e.g., ordering blood cultures

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73478/psn-pdf
     July 07, 2021 - psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services Organizations with safety cultures