-
psnet.ahrq.gov/node/44143/psn-pdf
April 15, 2016 - psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine
Cognition has been recognized as a human factor
-
psnet.ahrq.gov/node/44007/psn-pdf
April 01, 2015 - time-tackle-diagnostic-errors-physicians-blame-patient-treadmill-missed-calls
Highlighting time pressure as a factor
-
psnet.ahrq.gov/node/852746/psn-pdf
August 23, 2023 - the testing, assessment, and follow-up phases, with
human factors as the most common contributing factor
-
psnet.ahrq.gov/node/837308/psn-pdf
June 01, 2022 - e.g., lack of standardized processes, procedures not followed correctly) was the largest contributing factor
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psnet.ahrq.gov/node/60277/psn-pdf
January 01, 2021 - and physiologic monitoring cases listing communication failures among
providers as a contributing factor
-
psnet.ahrq.gov/node/73955/psn-pdf
October 13, 2021 - efficacy-mindful-practice-improving-diagnosis-healthcare-systematic-review-
and-evidence
Cognition is a recognized human factor
-
psnet.ahrq.gov/node/74061/psn-pdf
November 10, 2021 - Imaging misinterpretation was the
primary contributing factor.
-
psnet.ahrq.gov/node/843085/psn-pdf
January 25, 2023 - indicating
possible misidentification or it could be paired with other indicator systems as part of a multi-factor
-
psnet.ahrq.gov/node/73656/psn-pdf
September 01, 2021 - adults were dispensed at least one opioid prescription; nearly half of those
included at least one factor
-
psnet.ahrq.gov/node/73190/psn-pdf
April 28, 2021 - flaw-medicine-addressing-racial-and-gender-disparities-critical-care
https://psnet.ahrq.gov/issue/your-diagnosis-was-wrong-could-doctor-bias-have-been-factor
-
psnet.ahrq.gov/node/60637/psn-pdf
July 01, 2020 - impact-pharmacist-administered-deprescribing-intervention-nursing-home-
residents-randomized
Polypharmacy is one risk factor
-
psnet.ahrq.gov/node/42995/psn-pdf
September 12, 2016 - the intensive care unit after surgery and found that failure to detect severity of illness was one
factor
-
psnet.ahrq.gov/node/42518/psn-pdf
January 07, 2015 - Computerized provider order entry users felt that the usability of the system was the most important factor
-
psnet.ahrq.gov/node/41169/psn-pdf
May 19, 2014 - variability in patient-reported errors, with poor care coordination
being the single greatest risk factor
-
psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging
June 16, 2011 - Opportunities for improvement in nursing homes: variance of six patient safety climate factor … June 16, 2011
Use of a safety climate questionnaire in UK health care: factor structure
-
psnet.ahrq.gov/node/42880/psn-pdf
January 22, 2014 - applying-ethnography-study-context-healthcare-quality-and-safety
Context has been identified as an important factor
-
psnet.ahrq.gov/node/40808/psn-pdf
January 12, 2012 - prevalence-polypharmacy-exposure-among-hospitalized-children-united-states
Polypharmacy (prescribing multiple, often similar medications) has been shown to be a risk factor
-
psnet.ahrq.gov/node/41822/psn-pdf
November 07, 2012 - physician-patient-communication-failure-facilitates-medication-errors-older-polymedicated
https://psnet.ahrq.gov/issue/adverse-drug-reactions-and-therapeutic-errors-older-adults-hazard-factor-analysis-poison
-
psnet.ahrq.gov/node/39369/psn-pdf
March 17, 2010 - paediatric-nurses-understanding-process-and-procedure-double-checking-medications
https://psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor
-
psnet.ahrq.gov/node/40621/psn-pdf
July 20, 2011 - comparison-broselow-tape-measurements-versus-physician-estimations-
pediatric-weights
This study compares common tools to estimate pediatric weight, a key factor