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1281. In Conversation With… Jeffrey Starke, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
      September 11, 2023 - The problem, however, is that the culture of the institutions is not changing. … JS : Just starting to. … But you also have to create the culture that it's okay to use it. … That's how you create that culture. … That's part of the culture.

1282. Meaningful Measurement in Patient and Family Engagement | PSNet
      psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
      March 10, 2021 - That’s a potential gold mine of information; we just haven't bridged the data collection approach yet … KH : I was just thinking about return on investment. … Are you going to just start doing this? … A lot of the best programs start with no budget, just dedication and passion for the work. … Resources From the Same Author(s) Perspectives on Safety Safety Culture

1283. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49732/psn-pdf
      May 01, 2015 - Blood cultures were drawn, and she received levofloxacin (administered approximately 3 hours after presentation … Twenty-four hours after admission, her blood cultures were growing methicillin-resistant Staphylococcus … performed by Rivers and colleagues (5), the bundle includes measuring serum lactate levels, drawing blood cultures … Regardless, certain bundle elements, such as checking a lactate, ordering blood cultures, and starting … has increased from less than 5% to near 80%, and sepsis mortality in our institution has fallen from just

1284. First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit | PSNet
      psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
      October 30, 2019 - Ridout, unpublished data, 2019) Caregivers enjoy a culture of recognition and respect, a culture in which … That's just our norm. There are no alarm bells. … Similarly, in other parts of the world where things are much worse, people just normalize how things … labor whose labor is taking much longer than average in the face of a lot of ambiguous data, or to just … We found in our own research that it's not just the physician that matters, it's the nurse.

1285. 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 … Simulation-based training is not just for novices. … currently no true neonatal human patient simulator available on the market; all “infant” simulators are just … Culture change and resource acquisition require the cooperation of those controlling people, space and

1286. Safety In Dentistry | PSNet
      psnet.ahrq.gov/perspective/safety-dentistry
      August 01, 2016 - in the dental ecosystem.( 20 ) As challenging as it has been to establish a safety culture in medicine … Is ambulatory patient safety just like hospital safety, only without the "stat"? … Open wide: looking into the safety culture of dental school clinics. J Dent Educ. 2014;78:745-756. … We are aware that the information we have is just a small part of the total. … September 6, 2017 Open wide: looking into the safety culture of dental school clinics

1287. In Conversation With… Christopher P. Landrigan, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
      April 01, 2013 - There is no way to enforce someone sleeping just because they are provided with time off work. … Just as we would expect our colleagues not to show up to work drunk, we should expect them to show up … : Well, the ACGME certainly had it right that this is a complicated thing to do and that you can't just … This means that the local context (not just the schedules but the quality of the residents, the culture … Do certain schedules, or other matters of culture, information technology, and leadership, lead to better

1288. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73526/psn-pdf
      July 28, 2021 - ://psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-key-just-culture … The Differences Between Human Error, At-Risk Behavior, and Reckless Behavior Are Key to a Just Culture

1289. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33741/psn-pdf
      November 01, 2012 - Just beneath the patient's right ear, quick inward pulsations of the soft tissues are conspicuous, beating … .(10) In patients with ankle or knee trauma, validated "stop rules" (known as Ottawa rules), based just … 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

1290. Can Research Help Us Improve the Medical Liability System? | PSNet
      psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
      March 01, 2012 - culture … Moreover, the stigma felt by providers who have been sued runs counter to just culture principles that … My feeling was that this was just common sense. … First with the culture change: peer review, for instance, has traditionally meant that we wait until … So we have to move this culture in tandem. We have to convince people that we care about them.

1291. In Conversation with… Edward Tenner, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
      June 01, 2011 - Editor's note: Edward Tenner is an independent writer, speaker, and consultant on technology and culture … that is that organizations can start to deviate from established procedures and bend them if in their culture … The culture created at the top is more important than any number of experts that you have there. … Japan's culture made it harder to discuss the risk. … Here are just a few examples.

1292. Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula | PSNet
      psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
      February 01, 2019 - We have learned that creating such a transparent and just culture does not automatically result from … The larger health care system and culture must embrace and contribute to this shift for sustainable success … Only then will we achieve the level of transformation to create a culture of safety and to improve patient … Ensure that leaders establish and sustain a safety culture 2. … April 4, 2018 Changing the "working while sick" culture.

1293. Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective | PSNet
      psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
      June 01, 2016 - It wasn't just the notion that culture has an impact on safety, but that it could be quantified or measured … Just focusing on joy and meaning without really looking at culture and leadership is also going to be … And that's not just physicians; the same is true of nursing. … The truth is that today we're getting more cross-fertilization, not just at the university level but … Just like we see in other fields, we're going to have individuals who are working in the area who are

1294. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33700/psn-pdf
      October 01, 2010 - We just published in the BMJ that our Michigan results have now sustained for more than 3 years. … It was culture change on a couple of levels. … So we're okay questioning each other because we know it's just ensuring that we're doing what's right … We also ask them to tell us the strength of their belief that those actions will improve outcomes using … It's not going to happen just by encouraging people to do better.

1295. When it's surgery, don't get it wrong. | PSNet
      psnet.ahrq.gov/issue/when-its-surgery-dont-get-it-wrong
      August 18, 2010 - August 18, 2010 The safety culture in a children's hospital. … December 21, 2016 Care transitions know-how not just for clinicians. … November 21, 2016 When a surgeon should just say 'I'm sorry'.

1296. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33632/psn-pdf
      April 01, 2006 - RW: A lot of discussion in the patient safety world is about how to change the culture of physicians … But it's not just the financial rewards; I think there's great satisfaction in it. … I have personally seen a change, just in working with the committees that I'm on. … //patientsafety.pa.gov/pst/Pages/PSAPatientSafetyTopicList.aspx RW: These days, people talk about culture … I just was quiet, and he said, "We're talking about you."

1297. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33726/psn-pdf
      March 01, 2012 - They're very simply, if we hurt somebody through inappropriate medical care, it is the ethic and culture … My feeling was that this was just common sense. … First with the culture change: peer review, for instance, has traditionally meant that we wait until … So we have to move this culture in tandem. We have to convince people that we care about them. … a few years ago—that we should not look at personal accountability but instead create a blameless culture—was

1298. In Conversation With… Susan E. Skochelak, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
      February 01, 2019 - We have learned that creating such a transparent and just culture does not automatically result from … The larger health care system and culture must embrace and contribute to this shift for sustainable success … Only then will we achieve the level of transformation to create a culture of safety and to improve patient … PubMed] Table Institute for Healthcare Improvement Recommendations for a Systems Approach to a Culture … Ensure that leaders establish and sustain a safety culture 2.

1299. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46352/psn-pdf
      October 15, 2018 - Topics covered include high reliability, teamwork, communication, and patient-centered culture. … psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety https://psnet.ahrq.gov/issue/hospital-not-just-factory-complex-adaptive-system-implications-perioperative-care

1300. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33793/psn-pdf
      November 01, 2015 - We should have a no- blame culture. We should ban certain abbreviations. … Maybe it's just a slight inconvenience for some doctors. … I do wonder, even though I shied away from this 10 years ago, if culture, communication, and teamwork … One of my colleagues and I just wrote a piece about this too. … There's just too much, even on a weekly or biweekly basis.