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9821. Caution, Interrupted | PSNet
      psnet.ahrq.gov/web-mm/caution-interrupted
      October 01, 2016 - Based on the patient's several recent admissions and the results of a blood culture drawn during the … Culture at work in aviation and medicine. Aldershot, UK: Ashgate Publishing; 1998. 14.

9822. One Bronchoscopy, Two Errors | PSNet
      psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
      December 09, 2020 - How can regulatory authorities improve safety in organizations by influencing safety culture … medication safety for nursing home residents based on experiential knowledge related to patient safety culture

9823. Liposuction Gone Awry | PSNet
      psnet.ahrq.gov/web-mm/liposuction-gone-awry
      July 01, 2003 - Psychiatric Presentation March 27, 2024 Building and sustaining a systemwide culture … Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture

9824. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72834/psn-pdf
      March 10, 2021 - Communication across Providers Communication, and teamwork in particular, are pillars of patient safety culture … communication contact between leaders and members of their team is associated with better patient safety culture

9825. Haste Makes Care Unsafe | PSNet
      psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
      January 07, 2015 - understand that checklist implementation is a complex sociotechnical process that requires a robust culture … checklists (here, in particular, at the transition between anesthesiologists), combined with a strong safety culture

9826. Departure From Central Line Ritual | PSNet
      psnet.ahrq.gov/web-mm/departure-central-line-ritual
      October 13, 2018 - Here, the safety culture of the operating room (OR) provides us some ideas. … simulation training, these extra eyes may safely be borrowed from the nursing staff—assuming that a culture

9827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49869/psn-pdf
      July 02, 2019 - A culture of huddles and debriefs encourages a culture of safety and improves situational awareness

9828. Around the Block | PSNet
      psnet.ahrq.gov/web-mm/around-block
      March 04, 2020 - Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture … November 15, 2023 Safety culture and workforce well-being associations with Positive

9829. Shortcuts to Acetaminophen-induced Liver Failure | PSNet
      psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
      July 01, 2017 - Although limited data exist, the prevailing culture of medicine is toward nonintervention during pregnancy … simulation training, morbidity and mortality reviews, critical thinking training, and an organizational culture

9830. In Conversation With…David C. Classen, MD, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
      May 01, 2012 - some triggers might be essentially perfect correlates of what you're looking for (a positive blood culture … Building a safety culture clearly has a big part in enabling people to report problems in the system … One argument is that this effort is an essential part of building a culture of safety.

9831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49497/psn-pdf
      December 01, 2005 - Deficiencies in organizational culture (hierarchy and intimidation, failure to function as a team, and … Culture change and resource acquisition require the cooperation of those controlling people, space and

9832. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50613/psn-pdf
      October 30, 2019 - this cannot happen overnight, but over the course of a decade or two that it often takes to change culture

9833. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49502/psn-pdf
      February 01, 2006 - Such discussions require exquisite tact and sensitivity to cultural issues and to the patient’s prior beliefs

9834. Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/application-safety-ii-principles
      August 28, 2024 - However, as we shift our culture, we have also shifted to referring to great catches and patient care … Kathy Helak: I think all organizations embrace a learning culture, but we have been deliberate in operationalizing … I also had a mistaken belief that regulatory bodies would insist that you've done an RCA. … This is safety culture transformation at the organizational level and an important overall strategy for

9835. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
      August 28, 2024 - However, as we shift our culture, we have also shifted to referring to great catches and patient care … Kathy Helak: I think all organizations embrace a learning culture, but we have been deliberate in operationalizing … I also had a mistaken belief that regulatory bodies would insist that you've done an RCA. … This is safety culture transformation at the organizational level and an important overall strategy for

9836. Making Healthcare Safer III Report | PSNet
      psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
      March 30, 2020 - The included cross-cutting topics/practices are: improving safety culture; teamwork and team training … The new cross-cutting topics, such as Safety Culture, Teamwork and Communication, etc. also help to highlight

9837. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet
      psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
      July 08, 2022 - July 28, 2021 Just culture: the foundation of staff safety in the perioperative … to the Hospital July 8, 2022 WebM&M Cases Culture

9838. Patient Safety in Frail Older Patients | PSNet
      psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
      November 26, 2019 - In addition to patient safety programs and the development of patient safety culture, we also tie in … February 21, 2020 Perspectives on Safety Safety Culture

9839. A Loss of Trust and a Missed Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
      October 31, 2023 - Perspective What We've Learned About Leveraging Leadership and Culture … Perspective Our Maturing Understanding of Safety Culture

9840. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49847/psn-pdf
      November 01, 2018 - Written Signout: It Only Works If You Use The Right One November 1, 2018 Lewis K, Rosenbluth G. Written Signout: It Only Works If You Use The Right One. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one The Case A 75-year-old man was hospitalized due to a stro…