SlideShare a Scribd company logo
1 of 13
Culture of Safety at
Downstate CT Surgery
Survey Results from 7/5/18
46% positive
46% positive
46% positive 33% positive
NATIONAL AVERAGESDOWNSTATE RESPONSES
46% positive
53% positive
67% positive
40% positive
NATIONAL AVERAGES
DOWNSTATE RESPONSES
53% positive
33% positive
40% positive
NATIONAL AVERAGES
DOWNSTATE RESPONSES
26% positive
46% positive
26% positive
NATIONAL AVERAGESDOWNSTATE RESPONSES
33% positive
33% positive
67% positive
NATIONAL AVERAGESDOWNSTATE RESPONSES
26% positive
46% positive
40% positive
33% positive
NATIONAL AVERAGESDOWNSTATE RESPONSES
53% positive
47% positive
60% positive
NATIONAL AVERAGESDOWNSTATE RESPONSES
20% positive
26% positive
47% positive
13% positive
NATIONAL AVERAGES
DOWNSTATE RESPONSES
33% positive
27% positive
60% positive
47% positive
NATIONAL AVERAGES
DOWNSTATE RESPONSES
27% positive
47% positive
20% positive
6% positive
NATIONAL AVERAGESDOWNSTATE RESPONSES
13% positive
20% positive
20% positive
NATIONAL AVERAGES
DOWNSTATE RESPONSES
DOWNSTATE: 0% 20% 47% 27% 0%
TEAMWORK FEATURES
Coaching
• Overlook safety errors
• Mistakes don’t prompt change
• Need better system of safety
Communication
• Overall excellent
• Learn from mistakes
Mutual Support
• Shift change is a problem
• Punitive response to error
• Poor cooperation with other units
Sense of urgency
• Staff forced to work in crisis mode
NATIONAL AVERAGES

More Related Content

Similar to Culture of safety for Downstate ct surgery

Similar to Culture of safety for Downstate ct surgery (20)

Case Study Based Survey
Case Study Based SurveyCase Study Based Survey
Case Study Based Survey
 
L17 munné (1)
L17 munné (1)L17 munné (1)
L17 munné (1)
 
munné (2) pgs
  munné (2)  pgs  munné (2)  pgs
munné (2) pgs
 
L17 munné (2)
L17 munné (2)L17 munné (2)
L17 munné (2)
 
L17 munné
L17 munnéL17 munné
L17 munné
 
ART for women over 40 years of age.pdf
ART for women over  40 years of age.pdfART for women over  40 years of age.pdf
ART for women over 40 years of age.pdf
 
Rectal cancer 2
Rectal cancer 2Rectal cancer 2
Rectal cancer 2
 
Knl wells
Knl wellsKnl wells
Knl wells
 
Pre genetic screen (1)pgs
Pre genetic screen (1)pgsPre genetic screen (1)pgs
Pre genetic screen (1)pgs
 
Pre genetic screen pgs
Pre genetic screen  pgsPre genetic screen  pgs
Pre genetic screen pgs
 
Pre genetic screen
Pre genetic screenPre genetic screen
Pre genetic screen
 
pgs munne Pre genetic screen (1)
pgs   munne  Pre genetic screen (1)pgs   munne  Pre genetic screen (1)
pgs munne Pre genetic screen (1)
 
Arterial remodeling in stable versus unstable coronary syndromes
Arterial remodeling in stable versus unstable coronary syndromesArterial remodeling in stable versus unstable coronary syndromes
Arterial remodeling in stable versus unstable coronary syndromes
 
Arterial remodeling paul sch
Arterial remodeling   paul schArterial remodeling   paul sch
Arterial remodeling paul sch
 
3.Edward A. Sickles_Surveillance Imaging for Probably Benign Findings: Benefi...
3.Edward A. Sickles_Surveillance Imaging for Probably Benign Findings: Benefi...3.Edward A. Sickles_Surveillance Imaging for Probably Benign Findings: Benefi...
3.Edward A. Sickles_Surveillance Imaging for Probably Benign Findings: Benefi...
 
Curso de imersão em medicina reprodutiva Arte Academy - Aula no Arte Academy ...
Curso de imersão em medicina reprodutiva Arte Academy - Aula no Arte Academy ...Curso de imersão em medicina reprodutiva Arte Academy - Aula no Arte Academy ...
Curso de imersão em medicina reprodutiva Arte Academy - Aula no Arte Academy ...
 
Mu (1)
Mu (1)Mu (1)
Mu (1)
 
Mu (2)
Mu (2)Mu (2)
Mu (2)
 
Mu
MuMu
Mu
 
Mu
MuMu
Mu
 

More from Robert Poston

SUNY-Downstate CT Surgery Results
SUNY-Downstate CT Surgery ResultsSUNY-Downstate CT Surgery Results
SUNY-Downstate CT Surgery ResultsRobert Poston
 
Surgery Grand Rounds - Downstate 2018
Surgery Grand Rounds - Downstate 2018Surgery Grand Rounds - Downstate 2018
Surgery Grand Rounds - Downstate 2018Robert Poston
 
Invited Presentation at the Eastern Cardiothoracic Surgical Society 2018
Invited Presentation at the Eastern Cardiothoracic Surgical Society 2018Invited Presentation at the Eastern Cardiothoracic Surgical Society 2018
Invited Presentation at the Eastern Cardiothoracic Surgical Society 2018Robert Poston
 
Outcomes for cardiac surgery at Mt. View 2017
Outcomes for cardiac surgery at Mt. View 2017Outcomes for cardiac surgery at Mt. View 2017
Outcomes for cardiac surgery at Mt. View 2017Robert Poston
 
Team training for robotic heart surgery at Downstate
Team training for robotic heart surgery at DownstateTeam training for robotic heart surgery at Downstate
Team training for robotic heart surgery at DownstateRobert Poston
 
Dr. Poston's surgical laser training
Dr. Poston's surgical laser trainingDr. Poston's surgical laser training
Dr. Poston's surgical laser trainingRobert Poston
 
Dr. Poston's robotic training
Dr. Poston's robotic trainingDr. Poston's robotic training
Dr. Poston's robotic trainingRobert Poston
 
Cardiac Surgery at Mountain View Medical Center 2017
Cardiac Surgery at Mountain View Medical Center 2017Cardiac Surgery at Mountain View Medical Center 2017
Cardiac Surgery at Mountain View Medical Center 2017Robert Poston
 
Support group at St. Francis
Support group at St. FrancisSupport group at St. Francis
Support group at St. FrancisRobert Poston
 
Grand Rounds: Univ of Chicago Cardiology
Grand Rounds: Univ of Chicago CardiologyGrand Rounds: Univ of Chicago Cardiology
Grand Rounds: Univ of Chicago CardiologyRobert Poston
 
Invited Presentation: Hybrid coronary revascularization, ISMICS
Invited Presentation: Hybrid coronary revascularization, ISMICSInvited Presentation: Hybrid coronary revascularization, ISMICS
Invited Presentation: Hybrid coronary revascularization, ISMICSRobert Poston
 
Abstract presentation - Bleeding and patient satisfaction
Abstract presentation - Bleeding and patient satisfactionAbstract presentation - Bleeding and patient satisfaction
Abstract presentation - Bleeding and patient satisfactionRobert Poston
 
Society of Laparoscopic Surgery, Invited Presentation, Aug 2015
Society of Laparoscopic Surgery, Invited Presentation, Aug 2015Society of Laparoscopic Surgery, Invited Presentation, Aug 2015
Society of Laparoscopic Surgery, Invited Presentation, Aug 2015Robert Poston
 
Summary of UA CT Surgery 2011-14
Summary of UA CT Surgery 2011-14Summary of UA CT Surgery 2011-14
Summary of UA CT Surgery 2011-14Robert Poston
 
Invited Presentation: Ex Vivo Storage of Vein Grafts
Invited Presentation: Ex Vivo Storage of Vein GraftsInvited Presentation: Ex Vivo Storage of Vein Grafts
Invited Presentation: Ex Vivo Storage of Vein GraftsRobert Poston
 

More from Robert Poston (19)

SUNY-Downstate CT Surgery Results
SUNY-Downstate CT Surgery ResultsSUNY-Downstate CT Surgery Results
SUNY-Downstate CT Surgery Results
 
Surgery Grand Rounds - Downstate 2018
Surgery Grand Rounds - Downstate 2018Surgery Grand Rounds - Downstate 2018
Surgery Grand Rounds - Downstate 2018
 
Invited Presentation at the Eastern Cardiothoracic Surgical Society 2018
Invited Presentation at the Eastern Cardiothoracic Surgical Society 2018Invited Presentation at the Eastern Cardiothoracic Surgical Society 2018
Invited Presentation at the Eastern Cardiothoracic Surgical Society 2018
 
Outcomes for cardiac surgery at Mt. View 2017
Outcomes for cardiac surgery at Mt. View 2017Outcomes for cardiac surgery at Mt. View 2017
Outcomes for cardiac surgery at Mt. View 2017
 
Team training for robotic heart surgery at Downstate
Team training for robotic heart surgery at DownstateTeam training for robotic heart surgery at Downstate
Team training for robotic heart surgery at Downstate
 
Dr. Poston's surgical laser training
Dr. Poston's surgical laser trainingDr. Poston's surgical laser training
Dr. Poston's surgical laser training
 
Dr. Poston's robotic training
Dr. Poston's robotic trainingDr. Poston's robotic training
Dr. Poston's robotic training
 
Cardiac Surgery at Mountain View Medical Center 2017
Cardiac Surgery at Mountain View Medical Center 2017Cardiac Surgery at Mountain View Medical Center 2017
Cardiac Surgery at Mountain View Medical Center 2017
 
Data.sts.sfmc2016
Data.sts.sfmc2016Data.sts.sfmc2016
Data.sts.sfmc2016
 
Pima society
Pima societyPima society
Pima society
 
Support group at St. Francis
Support group at St. FrancisSupport group at St. Francis
Support group at St. Francis
 
Grand Rounds: Univ of Chicago Cardiology
Grand Rounds: Univ of Chicago CardiologyGrand Rounds: Univ of Chicago Cardiology
Grand Rounds: Univ of Chicago Cardiology
 
Invited Presentation: Hybrid coronary revascularization, ISMICS
Invited Presentation: Hybrid coronary revascularization, ISMICSInvited Presentation: Hybrid coronary revascularization, ISMICS
Invited Presentation: Hybrid coronary revascularization, ISMICS
 
Abstract presentation - Bleeding and patient satisfaction
Abstract presentation - Bleeding and patient satisfactionAbstract presentation - Bleeding and patient satisfaction
Abstract presentation - Bleeding and patient satisfaction
 
Society of Laparoscopic Surgery, Invited Presentation, Aug 2015
Society of Laparoscopic Surgery, Invited Presentation, Aug 2015Society of Laparoscopic Surgery, Invited Presentation, Aug 2015
Society of Laparoscopic Surgery, Invited Presentation, Aug 2015
 
Summary of UA CT Surgery 2011-14
Summary of UA CT Surgery 2011-14Summary of UA CT Surgery 2011-14
Summary of UA CT Surgery 2011-14
 
Invited Presentation: Ex Vivo Storage of Vein Grafts
Invited Presentation: Ex Vivo Storage of Vein GraftsInvited Presentation: Ex Vivo Storage of Vein Grafts
Invited Presentation: Ex Vivo Storage of Vein Grafts
 
Sfmc.2015results
Sfmc.2015resultsSfmc.2015results
Sfmc.2015results
 
Ems.presentation
Ems.presentationEms.presentation
Ems.presentation
 

Recently uploaded

bhubaneswar Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
bhubaneswar Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetbhubaneswar Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
bhubaneswar Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
(Big Boobs Indian Girls) 💓 9257276172 💓High Profile Call Girls Jaipur You Can...
(Big Boobs Indian Girls) 💓 9257276172 💓High Profile Call Girls Jaipur You Can...(Big Boobs Indian Girls) 💓 9257276172 💓High Profile Call Girls Jaipur You Can...
(Big Boobs Indian Girls) 💓 9257276172 💓High Profile Call Girls Jaipur You Can...Joya Singh
 
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetBhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
surat Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
surat Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetsurat Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
surat Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Chandigarh
 
Patna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Patna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetPatna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Patna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Rajkot Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Rajkot Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetRajkot Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Rajkot Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...Ahmedabad Call Girls
 
Sangli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Sangli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetSangli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Sangli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Top 20 Famous Indian Female Pornstars Name List 2024
Top 20 Famous Indian Female Pornstars Name List 2024Top 20 Famous Indian Female Pornstars Name List 2024
Top 20 Famous Indian Female Pornstars Name List 2024Sheetaleventcompany
 
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali Punjab
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali PunjabCall Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali Punjab
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali PunjabSheetaleventcompany
 
Bareilly Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Bareilly Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetBareilly Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Bareilly Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Sambalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Sambalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetSambalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Sambalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Ernakulam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Ernakulam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetErnakulam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Ernakulam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Chandigarh
 
Tirupati Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Tirupati Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetTirupati Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Tirupati Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
kochi Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
kochi Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetkochi Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
kochi Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
raisen Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
raisen Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetraisen Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
raisen Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
palanpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
palanpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetpalanpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
palanpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Kolkata Call Girls Miss Inaaya ❤️ at @30% discount Everyday Call girl
Kolkata Call Girls Miss Inaaya ❤️ at @30% discount Everyday Call girlKolkata Call Girls Miss Inaaya ❤️ at @30% discount Everyday Call girl
Kolkata Call Girls Miss Inaaya ❤️ at @30% discount Everyday Call girlonly4webmaster01
 

Recently uploaded (20)

bhubaneswar Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
bhubaneswar Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetbhubaneswar Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
bhubaneswar Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
(Big Boobs Indian Girls) 💓 9257276172 💓High Profile Call Girls Jaipur You Can...
(Big Boobs Indian Girls) 💓 9257276172 💓High Profile Call Girls Jaipur You Can...(Big Boobs Indian Girls) 💓 9257276172 💓High Profile Call Girls Jaipur You Can...
(Big Boobs Indian Girls) 💓 9257276172 💓High Profile Call Girls Jaipur You Can...
 
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetBhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
surat Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
surat Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetsurat Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
surat Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Patna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Patna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetPatna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Patna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Rajkot Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Rajkot Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetRajkot Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Rajkot Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
 
Sangli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Sangli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetSangli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Sangli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Top 20 Famous Indian Female Pornstars Name List 2024
Top 20 Famous Indian Female Pornstars Name List 2024Top 20 Famous Indian Female Pornstars Name List 2024
Top 20 Famous Indian Female Pornstars Name List 2024
 
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali Punjab
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali PunjabCall Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali Punjab
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali Punjab
 
Bareilly Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Bareilly Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetBareilly Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Bareilly Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Sambalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Sambalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetSambalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Sambalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Ernakulam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Ernakulam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetErnakulam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Ernakulam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Tirupati Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Tirupati Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetTirupati Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Tirupati Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
kochi Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
kochi Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetkochi Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
kochi Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Punjab Call Girls Contact Number +919053,900,678 Punjab Call Girls
Punjab Call Girls Contact Number +919053,900,678 Punjab Call GirlsPunjab Call Girls Contact Number +919053,900,678 Punjab Call Girls
Punjab Call Girls Contact Number +919053,900,678 Punjab Call Girls
 
raisen Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
raisen Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetraisen Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
raisen Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
palanpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
palanpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetpalanpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
palanpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Kolkata Call Girls Miss Inaaya ❤️ at @30% discount Everyday Call girl
Kolkata Call Girls Miss Inaaya ❤️ at @30% discount Everyday Call girlKolkata Call Girls Miss Inaaya ❤️ at @30% discount Everyday Call girl
Kolkata Call Girls Miss Inaaya ❤️ at @30% discount Everyday Call girl
 

Culture of safety for Downstate ct surgery