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Showing results for "factors".

181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73462/psn-pdf
     July 07, 2021 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … https://psnet.ahrq.gov/issue/root-cause-analysis-identify-contributing-factors-development-hospital- … Through root cause analysis, this geriatric rehabilitation hospital identified factors that contributed … Recommendations for improvement targeted both system- and human-level factors.

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72628/psn-pdf
     January 13, 2021 - Awareness of human factors in the operating theatres during the COVID-19 pandemic. … Awareness of Human Factors in the operating theatres during the COVID-19 pandemic. … https://psnet.ahrq.gov/issue/awareness-human-factors-operating-theatres-during-covid-19-pandemic The … https://psnet.ahrq.gov/issue/awareness-human-factors-operating-theatres-during-covid-19-pandemic https … ://psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety https://psnet.ahrq.gov/issue/

183. Psn-Pdf (pdf file)
     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

184. Psn-Pdf (pdf file)
     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

185. Psn-Pdf (pdf file)
     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

186. Psn-Pdf (pdf file)
     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

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47761/psn-pdf
     May 22, 2019 - Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: … Clinicians' perceptions of opioid error-contributing factors in inpatient palliative care services: … https://psnet.ahrq.gov/issue/clinicians-perceptions-opioid-error-contributing-factors-inpatient-palliative-care … - services This focus group study of Australian palliative care providers examined risk factors for … identified clinician inexperience, the drug preparation environment, and poor communication as contributory factors

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838012/psn-pdf
     September 07, 2022 - The physiology of failure: identifying risk factors for mortality in emergency general surgery patients … The physiology of failure: identifying risk factors for mortality in emergency general surgery patients … https://psnet.ahrq.gov/issue/physiology-failure-identifying-risk-factors-mortality-emergency-general-surgery … This study used a regional electronic health record (EHR) to examine clinical risk factors associated … Risk factors for both inpatient and 1-year mortality included older age, underweight, neutropenia, and

189. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840481/psn-pdf
     November 30, 2022 - Psychosocial factors and safety in high-risk industries: a systematic literature review. … Psychosocial factors and safety in high-risk industries: a systematic literature review. … https://psnet.ahrq.gov/issue/psychosocial-factors-and-safety-high-risk-industries-systematic-literature … - review Work-related psychosocial factors may increase or decrease the risk of accidents in high-risk … Most studies report on the link between psychosocial factors and safety behavior (e.g., job stress or

190. Psn-Pdf (pdf file)
     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

191. Psn-Pdf (pdf file)
     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

192. Psn-Pdf (pdf file)
     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

193. Psn-Pdf (pdf file)
     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

194. Psn-Pdf (pdf file)
     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

195. Psn-Pdf (pdf file)
     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

196. Psn-Pdf (pdf file)
     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.

197. Psn-Pdf (pdf file)
     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

198. Psn-Pdf (pdf file)
     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

199. Improving Diagnostic Safety and Quality | PSNet
     psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
     January 31, 2024 - and that the synergy of these factors was associated with diagnostic error. … these factors, play a role in diagnostic error. … , but often without consistency in these factors from study to study. … Furthermore, the causal chain for misdiagnosis may span multiple factors. … System-Level Factors Diagnostic safety is complex and sensitive to context.

200. Psn-Pdf (pdf file)
     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