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They must provide opportunities for staff to remain connected to patients’ experiences so that their perceptions are not dulled by routine exposure. And they must equip staff with the skills to enable them to speak up: teaching them how to challenge in a constructive and non-blaming way; helping them to work in teams to establish a common cause and shared responsibility for standards; being clear that the intent behind any challenge is to improve care; and approaching colleagues with an attitude of curiosity rather than blame. To create a culture in which people acknowledge that there is a risk of things going wrong, teams need to establish routines for understanding their own performance, and need time to reflect on what it means for their work.
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St. Louis Federal Reserve President James Bullard said thecentral bank needs to gather more evidence that the economy isimproving and inflation heading higher before deciding to taperits bond buying.
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