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9841. Retained Surgical Items: Causation and Prevention | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
      January 04, 2024 - Implementing system changes in processes of care requires attention to inter-professional culture differences … determine whether the devices under consideration are likely to be helpful at that site, given that site’s culture

9842. One Toxic Drug Is Not Like Another | PSNet
      psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
      October 02, 2019 - Impeding this change in culture is the lack of robust, systematic assessment approaches, fear of retribution … The Culture Code: An Ingenious Way to Understand Why People Around the World Live and Buy as They Do.

9843. Safeguarding Diagnostic Testing at the Point of Care | PSNet
      psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
      September 30, 2011 - most frequently performed point-of-care tests probably are urinalysis with dipstick followed by urine culture … only if the urinalysis is positive, and rapid strep followed by a throat culture if the rapid test is

9844. Continuing Education | PSNet
      psnet.ahrq.gov/continuing-education
      February 26, 2025 - Health Literacy Improvement (5) Informed Consent (2) Culture … commentary discusses appropriate management of ongoing intraoperative and postoperative bleeding and how a culture

9845. Check Twice, Transport Once | PSNet
      psnet.ahrq.gov/web-mm/check-twice-transport-once
      March 15, 2023 - November 5, 2008 It’s time to consider national culture when designing team training … January 27, 2021 Nurses' perceptions of safety culture in long-term care settings.

9846. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet
      psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
      March 15, 2023 - various organizational levels: Organizational Influences: These encompass the broader organizational culture … dosage calculations, understanding appropriate patient ranges for weight/height , and fostering a culture

9847. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33637/psn-pdf
      August 01, 2006 - We're talking about a major culture change. It's going to take years. … I expect that to grow and to help change the culture more than anything.Finally, I've been very encouraged

9848. Who Nose Where the Airway Is? | PSNet
      psnet.ahrq.gov/web-mm/who-nose-where-airway
      May 01, 2016 - standardized tools or checklists to facilitate handoffs may help remind practitioners and reinforce a culture … Structured handoffs should be considered to minimize forgotten items and to reinforce a culture of consistency

9849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854897/psn-pdf
      October 31, 2023 - various organizational levels: Organizational Influences: These encompass the broader organizational culture … accurate dosage calculations, understanding appropriate patient ranges for weight/height, and fostering a culture

9850. Complaints as Safety Surveillance | PSNet
      psnet.ahrq.gov/web-mm/complaints-safety-surveillance
      May 05, 2021 - patient safety benefits of complaints, individuals and institutions need to foster an environment and culture … The aim should be a just culture where physicians are not punished for isolated lapses or systems failures

9851. A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. | PSNet
      psnet.ahrq.gov/issue/national-survey-assessing-number-records-allowed-open-electronic-health-records-hospitals-and
      May 29, 2019 - Study A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. Citation Text: Adelman JS, Berger MA, Rai A, et al. A national survey assessing the number of records allowed open in electronic health records at hospital…

9852. Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. | PSNet
      psnet.ahrq.gov/issue/weekend-effect-hospital-mortality-ischemic-and-hemorrhagic-stroke-us-rural-and-urban
      January 19, 2022 - Study Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. Citation Text: Mekonnen B, Wang G, Rajbhandari-Thapa J, et al. Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. J…

9853. The relationship between patients' perception of care and measures of hospital quality and safety. | PSNet
      psnet.ahrq.gov/issue/relationship-between-patients-perception-care-and-measures-hospital-quality-and-safety
      February 13, 2019 - Study Classic The relationship between patients' perception of care and measures of hospital quality and safety. Citation Text: Isaac T, Zaslavsky AM, Cleary PD, et al. The relationship between patients' perception of care and measures of hospital quality and …

9854. Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? | PSNet
      psnet.ahrq.gov/issue/health-economic-evaluation-infection-prevention-and-control-program-are-quality-and-patient
      June 02, 2021 - Study Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? Citation Text: Raschka S, Dempster L, Bryce E. Health economic evaluation of an infection prevention and control program: are quality and patien…

9855. Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors. | PSNet
      psnet.ahrq.gov/issue/health-disparities-impact-health-disparities-and-treatment-decision-making-biases-cancer
      October 14, 2020 - Commentary Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors. Citation Text: Vo J, Gillman A, Mitchell K, et al. Health disparities: impact of health disparities and treatment decision-making biase…

9856. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49767/psn-pdf
      August 21, 2016 - Falling Between the Cracks in the Software August 21, 2016 Adler-Milstein J. Falling Between the Cracks in the Software. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/falling-between-cracks-software The Case A 61-year-old man with a history of osteoarthritis was scheduled for a total knee replacement. Prio…

9857. In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
      April 24, 2024 - It’s key to create a culture where everyone is welcome. We all depend on each other. … Instilling a culture that says, “We’re all a team, no matter who’s here,” is the way to move forward. … August 21, 2024 Creating a just culture in the perioperative setting.

9858. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
      January 29, 2021 - Encourage an institutional culture that values rest A culture of taking deliberate breaks during long … Expanding the pool of clinicians available to staff hospitals, and improving the culture to support shorter

9859. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852807/psn-pdf
      August 30, 2023 - Encourage an institutional culture that values rest A culture of taking deliberate breaks during long … Expanding the pool of clinicians available to staff hospitals, and improving the culture to support

9860. Maternal Safety and Perinatal Mental Health | PSNet
      psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
      March 28, 2023 - Celebrities have spoken about it, and the culture of social media has normalized talking about mental