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psnet.ahrq.gov/node/847722/psn-pdf
April 19, 2023 - Factors associated with diagnostic error: an analysis of
closed medical malpractice claims. … Factors associated with diagnostic error: an analysis of
closed medical malpractice claims. … https://psnet.ahrq.gov/issue/factors-associated-diagnostic-error-analysis-closed-medical-malpractice-claims … No
singular factor was identified; instead multiple contributing factors were implicated along the diagnostic … https://psnet.ahrq.gov/issue/factors-associated-diagnostic-error-analysis-closed-medical-malpractice-claims
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psnet.ahrq.gov/node/60890/psn-pdf
September 09, 2020 - The enabling, enacting, and elaborating factors of safety
culture associated with patient safety: a … The enabling, enacting, and elaborating factors of safety culture associated with
patient safety: a … https://psnet.ahrq.gov/issue/enabling-enacting-and-elaborating-factors-safety-culture-associated-patient … The researchers found that all 11 safety culture factors
were associated with nurse-perceived patient … https://psnet.ahrq.gov/issue/enabling-enacting-and-elaborating-factors-safety-culture-associated-patient-safety-multilevel
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psnet.ahrq.gov/node/50626/psn-pdf
November 06, 2019 - Prevalence of medication transfer errors in nephrology
patients and potential risk factors. … Prevalence of medication transfer errors in nephrology patients
and potential risk factors. … psnet.ahrq.gov/issue/prevalence-medication-transfer-errors-nephrology-patients-and-potential-risk-
factors … This
study sought to identify risk factors for error in nephrology patients in the ambulatory care setting … //psnet.ahrq.gov/issue/prevalence-medication-transfer-errors-nephrology-patients-and-potential-risk-factors
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psnet.ahrq.gov/node/60292/psn-pdf
May 06, 2020 - Overcoming COVID-19: what can human factors and
ergonomics offer? … Overcoming COVID-19: what can human factors and
ergonomics offer? … https://psnet.ahrq.gov/issue/overcoming-covid-19-what-can-human-factors-and-ergonomics-offer
This commentary … describes how human factors and ergonomics can contribute to the COVID-19 pandemic
response, using … https://psnet.ahrq.gov/issue/overcoming-covid-19-what-can-human-factors-and-ergonomics-offer
https://
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psnet.ahrq.gov/node/50776/psn-pdf
January 08, 2020 - Application of human factors to improve usability of
clinical decision support for diagnostic decision-making … Application of human factors to improve usability of clinical
decision support for diagnostic decision-making … https://psnet.ahrq.gov/issue/application-human-factors-improve-usability-clinical-decision-support- … diagnostic-decision
This simulation study assessed whether integrating human factors engineering into … https://psnet.ahrq.gov/issue/application-human-factors-improve-usability-clinical-decision-support-diagnostic-decision
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - and that the synergy of these factors was associated with diagnostic error. … of 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.
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psnet.ahrq.gov/node/837668/psn-pdf
July 13, 2022 - Factors associated with malpractice claim payout: an
analysis of closed emergency department claims. … Factors associated with malpractice claim payout: an
analysis of closed emergency department claims. … https://psnet.ahrq.gov/issue/factors-associated-malpractice-claim-payout-analysis-closed-emergency- … Subcategories and contributing factors are also discussed. … https://psnet.ahrq.gov/issue/factors-associated-malpractice-claim-payout-analysis-closed-emergency-department-claims
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psnet.ahrq.gov/node/837428/psn-pdf
June 15, 2022 - The authors outline several possible
contributing factors (i.e., equipment and resource factors, team … factors, work environment factors, and
organizational and management factors) discuss recommendations … operating-room-hazards-and-approaches-improve-patient-safety
https://psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors
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psnet.ahrq.gov/node/838315/psn-pdf
October 12, 2022 - issue/contributors-diagnostic-error-or-delay-acute-care-setting-survey-clinical-
stakeholders
Various factors … – including organizational, interpersonal clinician, and patient factors – can contribute to
diagnostic … This survey of 220 clinicians explored the perceived frequency of different
factors contributing to … Findings suggest that system and processes,
care team interactions, provider factors, cognitive factors … , and patient factors were perceived to contribute
to diagnostic error and delay with similar frequency
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psnet.ahrq.gov/node/73624/psn-pdf
August 25, 2021 - System factors affecting patient safety in the OR: an
analysis of safety threats and resiliency. … System factors affecting patient safety in the OR: an
analysis of safety threats and resiliency. … https://psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and- … https://psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and-resiliency … https://psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and-resiliency
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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/72727/psn-pdf
February 10, 2021 - System factors affecting intraoperative risk and
resilience: applying a novel integrated approach to … System Factors Affecting Intraoperative Risk and Resilience. … https://psnet.ahrq.gov/issue/system-factors-affecting-intraoperative-risk-and-resilience-applying-novel … https://psnet.ahrq.gov/issue/system-factors-affecting-intraoperative-risk-and-resilience-applying-novel-integrated … https://psnet.ahrq.gov/issue/system-factors-affecting-intraoperative-risk-and-resilience-applying-novel-integrated
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psnet.ahrq.gov/node/845072/psn-pdf
February 22, 2023 - A systems analysis of work-related violence in hospitals:
stakeholders, contributory factors, and leverage … A systems analysis of work-related violence in hospitals:
stakeholders, contributory factors, and leverage … //psnet.ahrq.gov/issue/systems-analysis-work-related-violence-hospitals-stakeholders-contributory-
factors-and … three systems thinking methods (ActorMap, AcciMap, and PreventiMap) and
stakeholder input to identify factors … https://psnet.ahrq.gov/issue/systems-analysis-work-related-violence-hospitals-stakeholders-contributory-factors-and
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psnet.ahrq.gov/node/47607/psn-pdf
February 13, 2019 - Infection prevention in long-term care: re-evaluating the
system using a human factors engineering approach … Infection prevention in long-term care: re-evaluating the system using a human
factors engineering approach … https://psnet.ahrq.gov/issue/infection-prevention-long-term-care-re-evaluating-system-using-human-factors … The authors recommend
applying a human factors engineering model in these settings to reduce risks of … https://psnet.ahrq.gov/issue/infection-prevention-long-term-care-re-evaluating-system-using-human-factors-engineering
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psnet.ahrq.gov/node/73218/psn-pdf
January 01, 2022 - Work-related factors, cognitive skills, unsafe behavior
and safety incident involvement among emergency … Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among
emergency … https://psnet.ahrq.gov/issue/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident … of 131
emergency medical services (EMS) crew members identified a relationship between work-related factors … https://psnet.ahrq.gov/issue/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident-involvement-among
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psnet.ahrq.gov/node/50430/psn-pdf
September 04, 2019 - Association of electronic health record design and use
factors with clinician stress and burnout. … Association of electronic health record design and use factors
with clinician stress and burnout. … https://psnet.ahrq.gov/issue/association-electronic-health-record-design-and-use-factors-clinician-stress … However, other work environment factors (such as clinician workload) were
more strongly predictive of … https://psnet.ahrq.gov/issue/association-electronic-health-record-design-and-use-factors-clinician-stress-and-burnout
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psnet.ahrq.gov/node/849325/psn-pdf
January 01, 2024 - Medication safety event reporting: factors that contribute
to safety events during times of organizational … Medication safety event reporting: factors that contribute to
safety events during times of organizational … https://psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during … https://psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during-times … https://psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during-times
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psnet.ahrq.gov/node/862129/psn-pdf
February 07, 2024 - prevention-medical
Human Factor Analysis and Classification System (HFACS) in healthcare is used to identify human factors … application-human-factor-analysis-and-classification-system-hfacs-model-prevention-medical
https://psnet.ahrq.gov/issue/human-factors-analysis-classification-system-hfacs-applied-health-care … https://psnet.ahrq.gov/primer/human-factors-engineering
https://psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical
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psnet.ahrq.gov/node/840255/psn-pdf
November 16, 2022 - Using Human Factors Engineering and the SEIPS Model
to Advance Patient Safety in Care Transitions
November … Using Human Factors Engineering and the SEIPS Model to
Advance Patient Safety in Care Transitions . … Handbook of Human Factors and Ergonomics. 5th ed. Wiley; 2021.
3. Cabán TZ, White J. … Human factors systems approach to healthcare
quality and patient safety. … Hum Factors. 2022:187208221092847.
https://doi.org/10.1177/00187208221092847
10.
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psnet.ahrq.gov/node/837143/psn-pdf
January 01, 2023 - Understanding the factors influencing implementation of
a new national patient safety policy in England … Understanding the factors influencing implementation of a new national
patient safety policy in England … https://psnet.ahrq.gov/issue/understanding-factors-influencing-implementation-new-national-patient-safety … and senior clinicians responsible for implementing the policy, this study reports on how
contextual factors … https://psnet.ahrq.gov/issue/understanding-factors-influencing-implementation-new-national-patient-safety-policy-england