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1441. Patient as a Team Member in Clinical Care | PSNet
      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 … Just under 10% of respondents reported an incident, and 62% of these were confirmed by the study team

1442. One Toxic Drug Is Not Like Another | PSNet
      psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
      October 02, 2019 - Currently, renewal of a medical license mostly involves just passing a criminal background check and … 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.

1443. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852807/psn-pdf
      August 30, 2023 - associated with physician burnout.26,27 Attending physicians are frequently expected to work long shifts, just … 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

1444. 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 - associated with physician burnout. 26,27 Attending physicians are frequently expected to work long shifts, just … 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

1445. In Conversation with... Christie Allen about Maternal Safety and Perinatal Mental Health | PSNet
      psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
      March 29, 2023 - Can you please tell us just a little bit about yourself and your current role? … Celebrities have spoken about it, and the culture of social media has normalized talking about mental … I experienced a perinatal mental health condition myself, and I remember thinking that I must just not

1446. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49584/psn-pdf
      April 01, 2009 - could also create a river of information that would flood clinicians with massive amounts of data, not just … Ross Koppel, PhD Principal Investigator Study of Hospital Workplace Culture and Medication Errors Center

1447. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49579/psn-pdf
      March 21, 2009 - The paramedics had just arrived in the ED with a critically ill patient.

1448. Safety Considerations in Building a Point-of-Care Ultrasound Program | PSNet
      psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
      June 01, 2018 - While this form factor and price arguably brings disruption to a new level, it represents just the latest … These are just two examples of decreasing ionizing radiation exposure, which is especially important … I just finished your book, The Digital Doctor , and I loved it. RW : Thank you. … One will be using the ultrasound and capture an image just below the liver edge. … August 1, 2012 Perspectives on Safety Safety Culture

1449. The Perils of Cross Coverage | PSNet
      psnet.ahrq.gov/web-mm/perils-cross-coverage
      September 22, 2010 - Blood cultures were positive for E. coli, and appropriate antibiotic therapy was initiated. … of intraventricular gentamycin with resolution of ventriculitis as documented by negative E. coli cultures … they do.( 11 ) Therefore, in handoffs, senders underestimate how much information receivers need, not just

1450. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33629/psn-pdf
      March 01, 2006 - any chance of developing new and optimal teamwork patterns that become deeply ingrained in the work culture … is very important that participants have a chance to actually "deploy" the skills being taught, not just

1451. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841305/psn-pdf
      January 27, 2023 - intention is a broad definition, including people, knowledge, equipment, physical spaces, protocols, culture … including all the components of socio-technical systems, the physical environment, the protocols, the culture … We just concluded awarding a series of Diagnostic Centers of Excellence grants that specifically solicited

1452. The Literature on Health Care Simulation Education: What Does It Show? | PSNet
      psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
      March 01, 2013 - with the CRM approach was very helpful in getting simulation to be recognized as more powerful than just … We don't need to go all the way to that other side; we just need to be somewhere in the middle to reap … We are believers in the Nike philosophy of "Just do it." … RW : Is the main obstacle then that we are left with just fear of looking bad? … stressful there would probably be no reason for doing it with relatively experienced people and we'd just

1453. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. | PSNet
      psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
      February 21, 2020 - loose ends left at the time of discharge, therefore, must be clearly defined in the discharge summary just … WebM&M Cases Delayed Recognition of a Positive Blood Culture

1454. Poor Prognosis | PSNet
      psnet.ahrq.gov/web-mm/poor-prognosis
      March 15, 2016 - 1, 2003 Second victims need emotional support after adverse events: even in a just … safety culture.

1455. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49419/psn-pdf
      October 01, 2003 - The trainee informed the attending that he had just reviewed the chart and learned that the positive

1456. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49472/psn-pdf
      March 01, 2005 - Just as important, given a potentially transmissible disease, the case provides an opportunity to examine … system that flags a positive lab result (eg, a high titer syphilis serology, or a positive gonococcal culture

1457. In Conversation with...Eric Coleman, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
      December 01, 2007 - coming in for follow-up, only for them to berate me about the terrible episode of care that they had just … Then there's a series of two or three phone calls after that, just to see how things went and whether … I would argue that a good hospital discharge transition is just as important as a thorough admission

1458. Transfusion "Slip" | PSNet
      psnet.ahrq.gov/web-mm/transfusion-slip
      June 14, 2011 - importance of careful design, but the cautious monitoring of the effects of change as well.( 14 ) Just … May 1, 2013 Staff attitudes about event reporting and patient safety culture in hospital

1459. 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

1460. Multifactorial Medication Mishap | PSNet
      psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
      September 01, 2016 - 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 of safety Table 2.