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psnet.ahrq.gov/node/860385/psn-pdf
January 10, 2024 - Factors affecting medical residents' decisions to work
after call. … Factors affecting medical residents' decisions to work after call. … https://psnet.ahrq.gov/issue/factors-affecting-medical-residents-decisions-work-after-call
Accreditation … This study assessed which
factors influence residents to take a post-call day (PCD) off as described … The most important
factors were the attending and chief resident feedback regarding PCDs.
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psnet.ahrq.gov/node/862602/psn-pdf
February 14, 2024 - Prevalence, contributing factors, and interventions to
reduce medication errors in outpatient and ambulatory … Prevalence, contributing factors, and interventions to reduce
medication errors in outpatient and ambulatory … https://psnet.ahrq.gov/issue/prevalence-contributing-factors-and-interventions-reduce-medication-errors … e.g., dosing errors) are the most common type of medication error and are
often attributed to latent factors … https://psnet.ahrq.gov/issue/prevalence-contributing-factors-and-interventions-reduce-medication-errors-outpatient-and
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psnet.ahrq.gov/node/866908/psn-pdf
October 09, 2024 - Risk factors for wrong-site surgery: a study of 1,166
reports of informed consent and schedule errors … Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent
and schedule errors … https://psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and- … Risk factors for consent
and schedule errors included low health literacy and nonstandardized forms … https://psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
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psnet.ahrq.gov/node/865710/psn-pdf
May 01, 2024 - Managers' perceptions of the factors affecting resident
and patient safety work in residential settings … Managers' perceptions of the factors affecting resident and
patient safety work in residential settings … https://psnet.ahrq.gov/issue/managers-perceptions-factors-affecting-resident-and-patient-safety-work- … Physical and human
resources, and national regulations and networks emerged as pivotal factors in promoting … https://psnet.ahrq.gov/issue/managers-perceptions-factors-affecting-resident-and-patient-safety-work-residential-settings
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psnet.ahrq.gov/node/73136/psn-pdf
April 14, 2021 - Nurse's Achilles Heel: using big data to determine
workload factors that impact near misses. … Nurse's Achilles Heel: using big data to determine workload
factors that impact near misses. … https://psnet.ahrq.gov/issue/nurses-achilles-heel-using-big-data-determine-workload-factors-impact-near … interventions addressing medication administration errors should be tailored to individual
nurse risk factors … https://psnet.ahrq.gov/issue/nurses-achilles-heel-using-big-data-determine-workload-factors-impact-near-misses
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psnet.ahrq.gov/node/846758/psn-pdf
March 29, 2023 - Evaluating patient identification practices during
intrahospital transfers: a human factors approach … Evaluating patient identification practices during intrahospital
transfers: a human factors approach … psnet.ahrq.gov/issue/evaluating-patient-identification-practices-during-intrahospital-transfers-human-
factors … Systems Engineering for Patient
Safety (SEIPS) framework, this qualitative study explored systems factors … Miscommunication and lack of key patient information were common factors contributing to identification
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psnet.ahrq.gov/node/836959/psn-pdf
April 20, 2022 - Safety of elderly fallers: identifying associated risk
factors for 30-day unplanned readmissions using … Safety of elderly fallers: identifying associated risk factors for 30-
day unplanned readmissions using … https://psnet.ahrq.gov/issue/safety-elderly-fallers-identifying-associated-risk-factors-30-day-unplanned … This study identified patient-level
risk factors among patients 75 years or older who were initially … Risk
factors included being a male, abnormal concentration of C-reactive protein, and anemia.
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psnet.ahrq.gov/node/61120/psn-pdf
November 11, 2020 - Application of human factors methods to understand
missed follow-up of abnormal test results. … Application of human factors methods to understand missed follow-up
of abnormal test results. … https://psnet.ahrq.gov/issue/application-human-factors-methods-understand-missed-follow-abnormal-test … This study used human factors methods to understand lack of timely
follow-up of abnormal test results … Through interviews with the ordering physicians,
the researchers identified several contributing factors
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psnet.ahrq.gov/node/72637/psn-pdf
January 13, 2021 - Identifying factors leading to harm in English general
practices: a mixed-methods study based on patient … Identifying Factors Leading to Harm in English
General Practices: A Mixed-Methods Study Based on Patient … https://psnet.ahrq.gov/issue/identifying-factors-leading-harm-english-general-practices-mixed-methods … This cross-sectional study across primary care clinics
in England explored the main factors contributing … Factors included
incidents related to communication, care coordination, and incorrect or delayed; diagnosis
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psnet.ahrq.gov/node/860716/psn-pdf
January 17, 2024 - Nurses' perception of medication administration errors
and factors associated with their reporting in … Nurses’ perception of medication administration errors
and factors associated with their reporting in … https://psnet.ahrq.gov/issue/nurses-perception-medication-administration-errors-and-factors-associated … reason
for not reporting MAE was leadership placing blame on the individual instead of on system-level factors … https://psnet.ahrq.gov/issue/nurses-perception-medication-administration-errors-and-factors-associated-their-reporting
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psnet.ahrq.gov/node/862131/psn-pdf
February 07, 2024 - Prospective study of the multisite spread of a medication
safety intervention: factors common to hospitals … Prospective study of the multisite spread of a medication
safety intervention: factors common to hospitals … https://psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors … This qualitative study identified several contextual factors impacting the implementation of the pharmacist … https://psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors-common-hospitals
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psnet.ahrq.gov/node/60680/psn-pdf
July 15, 2020 - Contributing factors for pediatric ambulatory diagnostic
process errors: Project RedDE. … Contributing factors for pediatric ambulatory diagnostic process
errors: Project RedDE. … https://psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project … previous
work, this study used root cause analyses to identify the failure points and contributing factors … Factors
contributing most commonly to these errors were patient volume, inadequate staffing, clinic
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psnet.ahrq.gov/node/60643/psn-pdf
July 01, 2020 - Human factors considerations in using personal
protective equipment in the COVID-19 pandemic context … Human Factors Considerations in Using Personal Protective
Equipment in the COVID-19 Pandemic Context … https://psnet.ahrq.gov/issue/human-factors-considerations-using-personal-protective-equipment-covid-19 … https://psnet.ahrq.gov/issue/human-factors-considerations-using-personal-protective-equipment-covid-19 … -19-pandemic-context-bi
https://psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
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psnet.ahrq.gov/node/860390/psn-pdf
January 10, 2024 - Key factors for effective implementation of healthcare
workers support interventions after patient safety … Key factors for effective implementation of healthcare
workers support interventions after patient safety … https://psnet.ahrq.gov/issue/key-factors-effective-implementation-healthcare-workers-support-interventions … This scoping review of 29 articles identified several factors supporting successful implementation of … https://psnet.ahrq.gov/issue/key-factors-effective-implementation-healthcare-workers-support-interventions-after-patient
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psnet.ahrq.gov/node/837512/psn-pdf
January 01, 2024 - Team cognition in handoffs: relating system factors, team
cognition functions and outcomes in two handoff … Team cognition in handoffs: relating system factors,
team cognition functions and outcomes in two handoff … Hum Factors. 2024;66(1):271-293.
doi:10.1177/00187208221086342. … https://psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and … https://psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
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psnet.ahrq.gov/node/862985/psn-pdf
February 21, 2024 - A qualitative study of systems-level factors that affect
rural obstetric nurses' work during clinical … A qualitative study of systems-level factors that affect rural obstetric
nurses' work during clinical … https://psnet.ahrq.gov/issue/qualitative-study-systems-level-factors-affect-rural-obstetric-nurses-work … In this study, obstetric nurses and
physicians describe unique system factors that affect obstetric … https://psnet.ahrq.gov/issue/qualitative-study-systems-level-factors-affect-rural-obstetric-nurses-work-during-clinical
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psnet.ahrq.gov/node/60703/psn-pdf
January 01, 2021 - Human factors and ergonomics at time of crises: the
Italian experience coping with COVID19. … Human factors and ergonomics at time of crises: the Italian
experience coping with COVID-19. … https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-time-crises-italian-experience-coping-covid19 … In this editorial, the authors discuss the safety culture and the role of human factors and ergonomics … https://psnet.ahrq.gov/issue/overcoming-covid-19-what-can-human-factors-and-ergonomics-offer
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psnet.ahrq.gov/node/853617/psn-pdf
September 20, 2023 - Factors associated with neuroradiologic diagnostic errors
at a large tertiary-care academic medical … Factors associated with neuroradiologic diagnostic errors at a large
tertiary-care academic medical … https://psnet.ahrq.gov/issue/factors-associated-neuroradiologic-diagnostic-errors-large-tertiary-care … -
academic-medical
Like many clinical areas, a variety of system factors can influence diagnostic error … https://psnet.ahrq.gov/issue/factors-associated-neuroradiologic-diagnostic-errors-large-tertiary-care-academic-medical
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psnet.ahrq.gov/node/854821/psn-pdf
October 25, 2023 - Factors determining safety culture in hospitals: a scoping
review. … Factors determining safety culture in hospitals: a
scoping review. … https://psnet.ahrq.gov/issue/factors-determining-safety-culture-hospitals-scoping-review
Research has … This review sought to identify the factors measured by safety culture instruments
in hospitals. … Important factors include organizational, professional, and patient and
family participation, although
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psnet.ahrq.gov/node/866440/psn-pdf
August 07, 2024 - https://psnet.ahrq.gov/issue/fixing-patient-safety-are-we-nearly-there-yet
Human factors and ergonomics … This article summarizes ongoing challenges in the use of human factors and ergonomics to address patient … psnet.ahrq.gov/issue/fixing-patient-safety-are-we-nearly-there-yet
https://psnet.ahrq.gov/issue/handbook-human-factors-and-ergonomics-health-care-and-patient-safety … structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety … https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety