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6601. Distracted practice: a concept analysis. | PSNet
      psnet.ahrq.gov/issue/distracted-practice-concept-analysis
      February 27, 2009 - Review Distracted practice: a concept analysis. Citation Text: D'Esmond LK. Distracted Practice: A Concept Analysis. Nurs Forum. 2016;51(4):275-285. doi:10.1111/nuf.12153. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

6602. Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. | PSNet
      psnet.ahrq.gov/issue/engagement-leadership-quality-improvement-initiatives-executive-quality-improvement-survey
      October 04, 2006 - Study Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. Citation Text: Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. Vaughn T, Koepke M, Kroch E, et al. J Patient Saf…

6603. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. | PSNet
      psnet.ahrq.gov/issue/ensuring-medication-safety-consumers-ethnic-minority-backgrounds-need-address-unconscious
      July 29, 2020 - Commentary Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. Citation Text: Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscio…

6604. Telehealth. | PSNet
      psnet.ahrq.gov/issue/telehealth
      January 27, 2019 - Commentary Telehealth. Citation Text: Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…

6605. What can we learn from coroners’ reports on preventable deaths? | PSNet
      psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
      October 28, 2020 - Commentary What can we learn from coroners’ reports on preventable deaths? Citation Text: Jeraj S. What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

6606. Events that inspired change: the importance of sharing what happened to stop it from happening again. | PSNet
      psnet.ahrq.gov/issue/events-inspired-change-importance-sharing-what-happened-stop-it-happening-again
      August 07, 2024 - Commentary Events that inspired change: the importance of sharing what happened to stop it from happening again. Citation Text: Myers E, Allen C. Events that inspired change: the importance of sharing what happened to stop it from happening again. Patient Saf. 2023;5(1):62-63. doi:10.339…

6607. Exploring the barriers to learning from crisis: organizational learning and crisis. | PSNet
      psnet.ahrq.gov/issue/exploring-barriers-learning-crisis-organizational-learning-and-crisis
      January 08, 2025 - Review Exploring the barriers to learning from crisis: organizational learning and crisis. Citation Text: Smith D, Elliott D. Exploring the Barriers to Learning from Crisis. Manag Learn. 2007;38(5):519-538. doi:10.1177/1350507607083205. Copy Citation Format: DOI Google Sc…

6608. Finding and fixing diagnosis errors: can triggers help? | PSNet
      psnet.ahrq.gov/issue/finding-and-fixing-diagnosis-errors-can-triggers-help
      January 31, 2024 - Commentary Finding and fixing diagnosis errors: can triggers help? Citation Text: Schiff GD. Finding and fixing diagnosis errors: can triggers help? BMJ Qual Saf. 2011;21(2):89-92. doi:10.1136/bmjqs-2011-000590. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

6609. Improving diagnostic decision support through deliberate reflection: a proposal. | PSNet
      psnet.ahrq.gov/issue/improving-diagnostic-decision-support-through-deliberate-reflection-proposal
      September 23, 2020 - Commentary Improving diagnostic decision support through deliberate reflection: a proposal. Citation Text: Schmidt HG, Mamede S. Improving diagnostic decision support through deliberate reflection: a proposal. Diagnosis (Berl). 2023;10(1):38-42. doi:10.1515/dx-2022-0062. Copy Citation …

6610. Patient safety professionals as the third victims of adverse events. | PSNet
      psnet.ahrq.gov/issue/patient-safety-professionals-third-victims-adverse-events
      July 07, 2021 - Commentary Patient safety professionals as the third victims of adverse events. Citation Text: Holden J, Card AJ. Patient safety professionals as the third victims of adverse events. J Patient Saf Risk Manag. 2019;24(4):166-175. doi:10.1177/2516043519850914. Copy Citation Format: …

6611. Building a highway to quality health care. | PSNet
      psnet.ahrq.gov/issue/building-highway-quality-health-care
      February 14, 2017 - Commentary Building a highway to quality health care. Citation Text: Watson S, Pronovost P. Building a Highway to Quality Health Care. J Patient Saf. 2016;12(3):165-6. doi:10.1097/PTS.0000000000000074. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

6612. Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure. | PSNet
      psnet.ahrq.gov/issue/pursuit-endpoint-diagnoses-cognitive-forcing-strategy-avoid-premature-diagnostic-closure
      November 02, 2022 - Commentary Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure. Citation Text: Kaplan HM, Birnbaum JF, Kulkarni PA. Pursuit of “endpoint diagnoses” as a cognitive forcing strategy to avoid premature diagnostic closure. Diagnosis (Berl). 2…

6613. Diagnostic reasoning and cognitive biases of nurse practitioners. | PSNet
      psnet.ahrq.gov/issue/diagnostic-reasoning-and-cognitive-biases-nurse-practitioners
      October 19, 2022 - Review Diagnostic reasoning and cognitive biases of nurse practitioners. Citation Text: Lawson TN. Diagnostic Reasoning and Cognitive Biases of Nurse Practitioners. J Nurs Educ. 2018;57(4):203-208. doi:10.3928/01484834-20180322-03. Copy Citation Format: DOI Google Scholar P…

6614. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. | PSNet
      psnet.ahrq.gov/issue/diagnostic-safety-across-transitions-care-throughout-healthcare-system-current-state-and-call
      September 13, 2023 - Book/Report Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Citation Text: Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Santhosh L, Cornell E, Rojas JC…

6615. Risk factors of missed colorectal lesions after colonoscopy. | PSNet
      psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-after-colonoscopy
      March 25, 2020 - Study Risk factors of missed colorectal lesions after colonoscopy. Citation Text: Lee J, Park SW, Kim YS, et al. Risk factors of missed colorectal lesions after colonoscopy. Medicine (Baltimore). 2017;96(27):e7468. doi:10.1097/MD.0000000000007468. Copy Citation Format: DOI …

6616. Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. | PSNet
      psnet.ahrq.gov/issue/patient-safety-implications-electronic-alerts-and-alarms-maternal-fetal-status-during-labor
      January 19, 2022 - Review Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. Citation Text: Simpson KR, Lyndon A, Davidson LA. Patient Safety Implications of Electronic Alerts and Alarms of Maternal - Fetal Status During Labor. Nurs Womens Health. 2016;20(4):…

6617. Quality and Safety Between Ward and Board: a Biography of Artefacts Study. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-between-ward-and-board-biography-artefacts-study
      April 19, 2017 - Government Resource Quality and Safety Between Ward and Board: a Biography of Artefacts Study. Citation Text: Quality and Safety Between Ward and Board: a Biography of Artefacts Study. Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals…

6618. Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-comparative-views-patient-safety-specialists-workforce-staff-and
      March 23, 2011 - Study Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers. Citation Text: Braithwaite J, Westbrook MT, Robinson M, et al. Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.…

6619. Rethinking medical ward quality. | PSNet
      psnet.ahrq.gov/issue/rethinking-medical-ward-quality
      November 03, 2015 - Commentary Rethinking medical ward quality. Citation Text: Pannick S, Wachter R, Vincent CA, et al. Rethinking medical ward quality. BMJ. 2016;355:i5417. doi:10.1136/bmj.i5417. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

6620. Teamwork behaviours and errors during neonatal resuscitation. | PSNet
      psnet.ahrq.gov/issue/teamwork-behaviours-and-errors-during-neonatal-resuscitation
      September 13, 2011 - Study Teamwork behaviours and errors during neonatal resuscitation. Citation Text: Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care. 2010;19(1):60-4. doi:10.1136/qshc.2007.025320. Copy Citation Format…