-
psnet.ahrq.gov/issue/matching-identifiers-electronic-health-records-implications-duplicate-records-and-patient
October 13, 2015 - duplicate records (a single patient having multiple medical records within the same system) is a risk factor
-
psnet.ahrq.gov/node/33860/psn-pdf
June 01, 2018 - While this form factor and price arguably brings disruption to a
new level, it represents just the latest … POCUS Point Person
Given the variability and complexity of issues above, probably the most important factor … However,
investing in and supporting this person is probably the single most important factor in safely
-
psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement
October 07, 2008 - All of the organizations identified culture change as the most important factor in promoting safety,
-
psnet.ahrq.gov/issue/role-cognition-generating-and-mitigating-clinical-errors
January 07, 2015 - Cognition has been recognized as a human factor that can contribute to failures in health care.
-
psnet.ahrq.gov/issue/randomized-crossover-study-evaluating-effect-hand-sanitizer-dispenser-frequency-hand-hygiene
November 09, 2015 - disappointingly low among physicians and nurses, despite appropriate handwashing being an essential factor
-
psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - For example, an individual-level factor such as being rushed or taking shortcuts in making a diagnosis … While a full discussion of clinical decision making is beyond the scope of this essay, it is a factor … Communication as a Factor in Misdiagnosis
Clinician-centered misdiagnosis is only a part of overall … Interpersonal communication skills may therefore be an individual level factor that can mitigate or contribute
-
psnet.ahrq.gov/issue/what-causes-adverse-events-prehospital-care-human-factors-approach
July 26, 2023 - May 1, 2015
Use of a safety climate questionnaire in UK health care: factor structure
-
psnet.ahrq.gov/issue/adherence-medication-safety-protocol-current-practice-labeling-medications-and-solutions
July 19, 2023 - November 29, 2023
Inappropriate hospital admission as a risk factor for the subsequent
-
psnet.ahrq.gov/issue/pediatric-perioperative-medication-errors
July 10, 2024 - September 27, 2023
Inappropriate hospital admission as a risk factor for the subsequent
-
psnet.ahrq.gov/issue/surviving-bad-diagnosis
January 19, 2022 - Could doctor bias have been a factor?
-
psnet.ahrq.gov/issue/my-patient-almost-died-mistake-i-made-i-apologized-and-it-changed-my-life
October 23, 2019 - Could doctor bias have been a factor?
-
psnet.ahrq.gov/issue/deprescribing-guidelines-special-section-symposium-results
July 31, 2019 - June 9, 2021
Operationalizing occupational fatigue in pharmacists: an exploratory factor
-
psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present-use-and-future
October 27, 2021 - Related Resources
The effectiveness of improving healthcare teams' human factor
-
psnet.ahrq.gov/node/49415/psn-pdf
September 01, 2003 - The steps in the process are listed in Table 1, and a checklist for contributory factor
analysis is … In addition, we took the creative license to include an additional putative contributory
factor (that … Perform a Contributory Factor Analysis using a checklist of items (see Table 2).
4. … Contributory Factors in Medical Event Investigations (and, specifically,
in this case)
Contributory Factor … financial constraints (could limit staff
training time)
B
Goals, policies, and standards Probably not a factor
-
psnet.ahrq.gov/issue/safety-numbers
November 11, 2015 - June 19, 2007
Medical malpractice: the fear factor.
-
psnet.ahrq.gov/node/43862/psn-pdf
March 20, 2015 - burned out, and more than
15% met clinical criteria for depression, which was an independent risk factor
-
psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - For example, an individual-level factor such as being rushed or taking shortcuts in making
a diagnosis … what-can-we-learn-depth-analysis-human-errors-resulting-diagnostic-errors-emergency
While a full discussion of clinical decision making is beyond the scope of this essay, it is a factor … Communication as a Factor in Misdiagnosis
Clinician-centered misdiagnosis is only a part of overall … filling-gap-safety-metrics-development-patient-centred-framework-identify-and-categorise
Interpersonal communication skills may therefore be an individual level factor
-
psnet.ahrq.gov/issue/medication-safety-community-pharmacy-qualitative-study-sociotechnical-context
February 06, 2019 - safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor
-
psnet.ahrq.gov/issue/resilient-actions-diagnostic-process-and-system-performance
November 13, 2024 - December 30, 2014
'Tempos' management in primary care: a key factor for classifying adverse
-
psnet.ahrq.gov/issue/aviation-pediatric-surgery
January 12, 2022 - January 19, 2011
Inappropriate hospital admission as a risk factor for the subsequent