-
psnet.ahrq.gov/node/36107/psn-pdf
September 28, 2010 - authors conclude that pathologist reluctance to
change or challenge a peer's reading is a contributing factor
-
psnet.ahrq.gov/node/43274/psn-pdf
September 27, 2016 - https://psnet.ahrq.gov/issue/distractions-operating-room
https://psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
-
psnet.ahrq.gov/node/842423/psn-pdf
January 11, 2023 - The impact
of the event was associated with growth in nurses, but no factor was associated with growth
-
psnet.ahrq.gov/node/60057/psn-pdf
March 18, 2020 - Perceived usefulness was the primary factor
associated with use (69%); nurse anesthetists and anesthesiologists
-
psnet.ahrq.gov/node/61098/psn-pdf
November 04, 2020 - nursing-home-staff-turnover-and-perceived-patient-safety-culture-results-
national-survey
Nurse staffing is an important factor
-
psnet.ahrq.gov/node/74258/psn-pdf
January 19, 2022 - , nurse manager capability,
leadership support, and nurse-physician relationships) is an important factor
-
psnet.ahrq.gov/node/34659/psn-pdf
April 07, 2010 - creating a powerful enough guiding coalition, lacking a clear vision,
under-communicating the vision by a factor
-
psnet.ahrq.gov/node/46592/psn-pdf
December 19, 2017 - psnet.ahrq.gov/primer/simulation-training
https://psnet.ahrq.gov/issue/tempos-management-primary-care-key-factor-classifying-adverse-events-and-improving-quality
-
psnet.ahrq.gov/node/42404/psn-pdf
October 08, 2013 - examines risks related to caring for patients with dementia in a hospital setting and includes a
seven-factor
-
psnet.ahrq.gov/node/38544/psn-pdf
September 02, 2009 - A prior study found that communication failures were a contributing factor to errors in this
situation
-
psnet.ahrq.gov/node/38737/psn-pdf
July 13, 2009 - this commentary, AHRQ Director Carolyn Clancy discusses effective patient discharge as an important
factor
-
psnet.ahrq.gov/node/45052/psn-pdf
June 08, 2016 - mean-girls-er-alarming-nurse-culture-bullying-and-hazing
Disruptive behaviors are receiving increased attention as a cultural factor
-
psnet.ahrq.gov/node/42100/psn-pdf
March 13, 2013 - duplicate records (a single patient having multiple medical records within the same
system) is a risk factor
-
psnet.ahrq.gov/node/40219/psn-pdf
December 29, 2014 - ://psnet.ahrq.gov/issue/adapting-new-technologies-operating-room
https://psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
-
psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results
November 13, 2019 - Incomplete or delayed test result communication is a known factor in diagnostic error.
-
psnet.ahrq.gov/issue/role-human-factors-neonatal-patient-safety
August 04, 2021 - Human factors are frequently an important contributing factor to patient safety events.
-
psnet.ahrq.gov/node/844549/psn-pdf
February 15, 2023 - Failures in communication was the most common contributing factor.
-
psnet.ahrq.gov/node/36926/psn-pdf
September 09, 2011 - distracting-communications-operating-theatre
Prior research has implicated poor communication between team members as a possible factor
-
psnet.ahrq.gov/node/40894/psn-pdf
December 10, 2014 - high-incidence-medication-documentation-errors-swiss-university-hospital-due-
handwritten
Illegible handwriting has been cited as a major factor
-
psnet.ahrq.gov/node/60228/psn-pdf
April 15, 2020 - how-safety-compromised-when-hospital-equipment-poor-fit-patients-who-are-
obese
Prior research conducted in the United Kingdom found that obesity is a contributing factor