At a time of unprecedented turbulence and challenge for healthcare organizations, maintaining healthy work environments is of paramount importance. Such environments support the day-to-day work of an organization and link its mission to customer service strategies and goals. We describe an unhealthy work culture and outline a practical approach that healthcare managers and clinical leaders can use to facilitate and sustain cultural transformation. The model is built on the core principles of ownership and investment in service outcomes as well as the life of the organization.

Attitude of Health Personnel↗

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Weighing the evidence.

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Equipment and Supplies, Hospital↗

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Prevalence of isolated urethral asymptomatic Chlamydia trachomatis infection in the absence of cervical infection in incarcerated adolescent girls.

BACKGROUND AND OBJECTIVES: Adolescent girls may have isolated asymptomatic urethral Chlamydia trachomatis infection. GOAL OF THIS STUDY: To determine if a single direct fluorescent antibody (DFA) slide can detect as many urethral and cervical infections as the use of separate slides and to determine if isolated urethral infection occurs. STUDY DESIGN: During pelvic examinations upon admission, DFA slides were prepared from the cervix, from the urethra, and with cells from both sites. RESULTS: Of 125 girls, 17 had C. trachomatis infection: 4 in the urethra only (24%), 5 in the cervical sample only (31%), 5 in both sites (31%), 3 had positive results only on the combined slide, and 1 had a positive result on the cervical slide and an inadequate urethral slide. CONCLUSION: Isolated urethral C. trachomatis infection occurs frequently, and sampling both sites as opposed to sampling the cervix alone increases the number of cases found by 24% (P < 0.002). Using a single slide to detect infection in both sites detects as many infections as using two separate slides.

Adolescent↗

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