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psnet.ahrq.gov/web-mm/thin-air
March 01, 2006 - In addition to avoiding a culture of blame and striving to identify root causes, the solutions offered … June 16, 2011
How does patient safety culture in the operating room and post-anesthesia
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - this does for the people doing the analysis, and for the institutions where
they work, is create a culture … privilege and
confidentiality in a way that sets up the protected space that enables the creation of a culture
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psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
February 26, 2025 - RW : My own bias is I think the culture is pretty good in terms of the blame and nonblame in the system … Really, part of this is culture.
RW : Yeah, and leadership.
JB : And leadership.
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psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - identifying, reporting, and analyzing medication errors,
all organizations should actively cultivate a culture … identifying, reporting, analyzing, and reducing the risk of
medication errors
• Cultivation of a just culture
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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - November 26, 2019
Perspectives on Safety
Safety Culture
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psnet.ahrq.gov/node/33683/psn-pdf
April 01, 2009 - It is not surprising, therefore, to find a certain tension between the culture of medicine and
the demands
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psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - Fluid
cultures were negative but presumed to be the same species (Methicillin Sensitive Staphylococcus
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psnet.ahrq.gov/node/49513/psn-pdf
July 01, 2006 - It would
take a very strong culture of safety to empower them to approach the nurse or a physician to
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psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
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 … , 2023
Association of implementation and social network factors with patient safety culture
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psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
March 15, 2025 - Library Organization
Custom - This library is organized by custom section header names. … A cross-sectional survey of patient perceptions and beliefs. … empowering patients to ensure safe care, and emphasizing patient involvement as a means of improving the culture
-
psnet.ahrq.gov/node/49624/psn-pdf
May 01, 2011 - The challenges presented in this case reflect an outdated culture surrounding disclosure. … In such a situation, should the
accepting physicians share their beliefs directly with the family about
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psnet.ahrq.gov/web-mm/poorly-advanced-directives
August 01, 2018 - can increase advance directive completion.( 5 ) Best practices, such as eliciting patients' values, beliefs … End-of-Life Care Planning
August 1, 2018
Preventing harm in the ICU—building a culture
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psnet.ahrq.gov/primer/disclosure-errors
September 15, 2024 - Current Context
Related Patient Safety Primers
Never Events September 15, 2024
Culture
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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - commentary discusses appropriate management of ongoing intraoperative and postoperative bleeding and how a culture
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psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - Ultimately, preventing WSPEs depends on the combination of system solutions, strong teamwork and safety culture
-
psnet.ahrq.gov/node/33562/psn-pdf
September 15, 2024 - Rapid Response Systems
September 15, 2024
Rapid Response Systems. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/rapid-response-systems
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field.…
-
psnet.ahrq.gov/issue/hospital-board-and-management-practices-are-strongly-related-hospital-performance-clinical
October 27, 2021 - Study
Classic
Hospital board and management practices are strongly related to hospital performance on clinical quality metrics.
Citation Text:
Tsai TC, Jha AK, Gawande AA, et al. Hospital board and management practices are strongly related to hospital performanc…
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psnet.ahrq.gov/node/33599/psn-pdf
August 30, 2023 - Health literacy is affected by many factors, including socioeconomic status,
culture, and language.11
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psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
July 01, 2012 - Our current policy is based on the belief that anything that encourages the purchase and use of health … This belief that health IT, by itself, improves care and reduces costs has not only diminished government … It was not possible given our size, political culture, and political institutions.
-
psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
July 01, 2012 - It was not possible given our size, political culture, and political institutions. … Our current policy is based on the belief that anything that encourages the purchase and use of health … This belief that health IT, by itself, improves care and reduces costs has not only diminished government