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Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations.
J Health Organ Manag
January 2025
Department of Quality, Safety and Clinical Adoption, University Health Network, Toronto, Canada.
Purpose: Despite robust quality improvement efforts in healthcare, learning from patient safety incidents remains difficult. Our study explores counter-vailing powers shaping learning processes and possibilities in healthcare organizations, with a focus on social, political and organizational dynamics of learning.
Design/methodology/approach: Deploying concepts of situated curriculum, boundary work and interconnected knowledge practices, we interviewed staff and physicians ( = 15) in a large Academic Health Science Centre in Canada about their experiences of incident investigations and resultant information sharing.
Intermittent High-Degree AV Block, Rash, and Facial Droop with Negative Lyme PCR.
J Emerg Med
August 2024
Department of Emergency Medicine, University of Kentucky, Lexington, Kentucky.
Background: Lyme disease is the most common tick-borne illness in the United States, and cases of Lyme disease have nearly doubled since the early 2000s. Symptoms and presentation vary based on severity of illness, with more serious complications of disease consisting of neurologic and cardiac dysfunction. Testing is often unreliable, which can lead to delayed diagnosis and management.
View Article and Find Full Text PDFAnaerobic and aerobic sequential process, a promising strategy for breaking the stagnate of biological reductive dechlorination.
Chemosphere
January 2025
MOE Key Laboratory of Pollution Processes and Environmental Criteria, College of Environmental Science and Engineering, Nankai University, Tianjin 300350, China.
Trichloroethylene (TCE) is a common chlorinated hydrocarbon contaminant in soil and groundwater, and reductive dechlorination is a biological remediation. However, the TCE reductive dechlorination often stagnates in the stage of cis-1,2-dichloroethylene (cDCE) and chloroethylene (VC). Anaerobic/aerobic sequential degradation provides a new approach for the complete detoxification of TCE, while there has been no systematic summary of bacteria, enzymes, and pathways in the synergistic process.
View Article and Find Full Text PDFCarrion in Bomas: Multiple Observations of Cheetah () Scavenging Events and Potential Causes in Managed Populations.
Ecol Evol
January 2025
Department of Conservation Management Nelson Mandela University, George Campus George Western Cape South Africa.
Facultative scavenging can be observed across a large range of carnivorous mammals but is an uncommon behavioural trait in cheetahs (). Very few incidents of cheetahs scavenging have been reported, with no explanation given as to why it may occur. In this paper, we provide three more observations of cheetahs scavenging between 2019 and 2023 in three different protected areas in South Africa and Malawi.
View Article and Find Full Text PDFVoxel-based lesion symptom mapping localizes residual visual function in hemianopia.
J Neurosci
January 2025
Wellcome Centre for Integrative Neuroimaging; Nuffield Department of Clinical Neuroscience, University of Oxford.
Damage to the primary visual cortex (V1) results in visual field deficits on the contralateral side of the world corresponding to the damaged region. Patients with such loss nonetheless show varying residual vision within this apparently blind region, with the neural mechanisms underlying this ability obscured by small study populations. We identified lesions on structural scans from 39 patients (12 female) with hemianopia and occipital lobe damage.
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