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.

Also in eTable 9 in the Supplement, 1 for sertraline vs CBT, the RR of remission should be 1.00 (95% CI, 0.77-1.29) and not 0.57 (95% CI, 0.48-0.69), and the RR of response should be 0.92 (95% CI, 0.75-1.33) and not 0.97 (95% CI, 0.80-1.17).Other errors regarding the number of patients in the same study included in the meta-analysis was introduced during the manuscript editing and publishing process, when a figure was created from a table of data. In Figure 1, 1 the number of patients in the arm evaluating CBT + sertraline vs CBT should be 279 and not 41, and the number of patients in the arm evaluating CBT + sertraline vs sertraline should be 273 and not 272. The same errors occurred in Figure 2 and eTable 9 in the Supplement. 1 Another error relates to the omission or incorrect reporting of the quality of evidence for a few of the studies. In Figure 1 and eTable 9 in the Supplement, 1 for "SSRI vs pill placebo: primary anxiety, child report," the quality of evidence should have been rated as low. For "CBT vs attention control/treatment as usual: primary anxiety, clinician report," the quality of evidence should also have been rated as low. In Figure 2 and eTable 9 in the Supplement, 1 the quality of evidence for CBT + sertraline vs sertraline for remission should have been rated as moderate. In eTable 9 in the Supplement, for sertraline vs CBT, the entry in the "Factors that affect the quality of evidence" column should read, "Severe imprecision (wide CIs and small sample size)," and the overall quality of evidence should be rated as low.Finally, these numerical errors led to an incorrect wording in the text. In the Results section of the Abstract, the sentence that reads "Cognitive behavioral therapy reduced primary anxiety symptoms more than fluoxetine and improved remission more than sertraline" should not include "and improved remission more than sertraline." 1 In the Results section of the main article, under the heading "Combination of CBT and Medications," the second sentence should read, "The combination of sertraline and CBT significantly reduced primary anxiety symptoms by clinician report and improved treatment response and remission more than either treatment alone (moderate QOE [quality of evidence]) (Figure 1 and Figure 2)." 1 Under the heading "CBT vs Medications," the third sentence should read, "No significant difference was found between CBT and sertraline (class: SSRI) (eTable 9 in the Supplement)." In the Discussion section, in the first paragraph, the seventh sentence should read, "The combination of SSRIs and CBT reduced primary anxiety symptoms and improved treatment response and remission compared with either approach alone."We regret and take responsibility for the errors that were published. We have reviewed the original article and confirm that there are no other errors and that the corrections to the numbers and analysis do not change the overall conclusions that evidence supports the effectiveness of CBT and SSRIs for reducing childhood anxiety symptoms. We have requested that rel...

IntroductionChildren with Autism Spectrum Disorder (ASD) struggle with communication, sensory sensitivities and social interaction. These difficulties can make hospital visits challenging. Every child with ASD is unique, and as such, some children can do well in clinical settings with minimal supports while others may require environmental modifications to achieve optimal care. ASD is prevalent worldwide and cultural differences can lead to varied care. Several hospitals, including Boston Medical Center in USA and Sidra Medicine and Research Center in Qatar, have attempted to address these challenges by developing strategies to create an ‘Autism Friendly’ environment.ObjectivesThis workshop will 1. Describe the 4 domains of an “Autism Friendly” environment 2. Describe practical steps for successful implementation of interventions and modifications to consider based on setting and culture.MethodsDidactic section 1 will describe the 4 domains for greating an ‘Autism Friendly environment’. Didactic section 2 will describe implementation in an inpatient and outpatient setting focusing on modifications based on environmental differences. These didactic presentations will be followed by a hands on, interactive section where participants will break out in small groups to learn specific implementation skills.ResultsParticipants will learn how to improve care offered to children with ASD during hospital visits. Participants will develop the skills to implement similar interventions in their home institutions.ConclusionsHospitals can create an Autism Friendly environment by using 4 domains of intervention which could help improve provider skills and patient and family experience.

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