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psnet.ahrq.gov/node/34998/psn-pdf
June 22, 2009 - In the majority of cases, investigators identified at least one preventable factor, with
communication … failures serving as the most common factor associated with adverse events.
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psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
November 18, 2020 - popular wisdom" about the role of systems in patient safety and advocate for greater attention to human factor … October 23, 2019
Surgery is in itself a risk factor for the patient.
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psnet.ahrq.gov/node/44730/psn-pdf
December 08, 2015 - associations-between-perceived-crisis-mode-work-climate-and-poor-information-exchange-within
https://psnet.ahrq.gov/primer/teamwork-training
https://psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain … https://psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
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psnet.ahrq.gov/issue/balancing-safety-comfort-and-fall-risk-intervention-limit-opioid-and-benzodiazepine
November 09, 2022 - urgent care due to a fall who receive an opioid prescription, particularly those with at least one risk factor … patients received a prescription for an opioid and/or benzodiazepine, and 11% had at least one risk factor
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psnet.ahrq.gov/issue/time-tackle-diagnostic-errors-physicians-blame-patient-treadmill-missed-calls
April 22, 2016 - Highlighting time pressure as a factor in diagnostic error , this magazine article describes efforts … September 29, 2017
The human factor.
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psnet.ahrq.gov/node/38749/psn-pdf
April 08, 2011 - Prior research has identified low health literacy as a prominent risk factor for misinterpreting prescription … found that limited numeracy (the ability to apply arithmetic operations to
everyday tasks) was a risk factor
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psnet.ahrq.gov/issue/how-does-who-surgical-safety-checklist-fit-existing-perioperative-risk-management-strategies
March 18, 2020 - Perceived usefulness was the primary factor associated with use (69%); nurse anesthetists and anesthesiologists … July 31, 2013
Surgical checklists: the human factor.
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psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-obstetrics-and-gynecology
April 05, 2017 - In the majority of cases, investigators identified at least one preventable factor, with communication … failures serving as the most common factor associated with adverse events.
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psnet.ahrq.gov/issue/death-handwriting
October 19, 2022 - September 18, 2024
Factor structure and construct validity of a hospital survey on patient … safety culture using exploratory factor analysis.
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psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
August 24, 2016 - August 24, 2016
'Alarm fatigue’ a factor in 2nd death. … January 18, 2012
'Alarm fatigue’ a factor in 2nd death.
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psnet.ahrq.gov/issue/parental-misinterpretations-over-counter-pediatric-cough-and-cold-medication-labels
May 04, 2012 - Prior research has identified low health literacy as a prominent risk factor for misinterpreting prescription … found that limited numeracy (the ability to apply arithmetic operations to everyday tasks) was a risk factor
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psnet.ahrq.gov/issue/time-out-analysis
October 19, 2022 - April 24, 2024
Factor structure and construct validity of a hospital survey on patient … safety culture using exploratory factor analysis.
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psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors
October 05, 2011 - Copy Citation
Related Resources From the Same Author(s)
'Alarm fatigue’ a factor … November 16, 2016
'Alarm fatigue’ a factor in 2nd death.
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psnet.ahrq.gov/issue/primary-care-patient-safe-setting-prevalence-severity-nature-and-causes-adverse-events
November 08, 2023 - March 9, 2022
Inappropriate hospital admission as a risk factor for the subsequent development … July 28, 2021
Surgery is in itself a risk factor for the patient.
-
psnet.ahrq.gov/issue/relationship-between-hospital-patient-safety-culture-and-performance-centers-medicare
December 11, 2024 - 10, 2018
Comparative performance of pediatric weight estimation techniques: a human factor … April 17, 2024
Inter-hospital transfer is an independent risk factor for hospital-associated
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psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced-medical-students-during
September 11, 2024 - June 3, 2020
Factor structure and construct validity of a hospital survey on patient … safety culture using exploratory factor analysis.
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psnet.ahrq.gov/issue/factors-influencing-witnesses-perception-patient-safety-during-pre-hospital-health-care
March 09, 2022 - August 9, 2023
Inappropriate hospital admission as a risk factor for the subsequent development … March 5, 2025
Surgery is in itself a risk factor for the patient.
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psnet.ahrq.gov/issue/digital-health-interventions-and-patient-safety-abdominal-surgery-systematic-review-and-meta
April 06, 2022 - March 18, 2011
Inappropriate hospital admission as a risk factor for the subsequent development … June 14, 2019
Surgery is in itself a risk factor for the patient.
-
psnet.ahrq.gov/issue/factors-influencing-perception-feeling-safe-pre-hospital-emergency-care-mixed-methods
February 14, 2024 - March 9, 2022
Inappropriate hospital admission as a risk factor for the subsequent development … May 17, 2023
Surgery is in itself a risk factor for the patient.
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psnet.ahrq.gov/issue/evaluating-new-rapid-response-team-np-led-versus-intensivist-led-comparisons
October 19, 2022 - September 20, 2011
Factor structure and construct validity of a hospital survey on patient … safety culture using exploratory factor analysis.