-
psnet.ahrq.gov/node/44062/psn-pdf
September 09, 2015 - How to make medication error reporting systems
work—factors associated with their successful
development … How to make medication error reporting systems work--
Factors associated with their successful development … https://psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their … -
successful
A survey of 16 international medication safety experts identified the critical factors … https://psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their-successful
-
psnet.ahrq.gov/node/43968/psn-pdf
April 24, 2015 - Mental models: a basic concept for human factors design
in infection prevention. … Mental models: a basic concept for human factors design in infection prevention. … https://psnet.ahrq.gov/issue/mental-models-basic-concept-human-factors-design-infection-prevention
Mental … efforts to improve hand hygiene in
health care, this commentary recommends designing around human factors … https://psnet.ahrq.gov/issue/mental-models-basic-concept-human-factors-design-infection-prevention
https
-
psnet.ahrq.gov/node/43111/psn-pdf
November 04, 2014 - E-prescribing errors in community pharmacies: exploring
consequences and contributing factors. … E-prescribing errors in community pharmacies: exploring consequences
and contributing factors. … psnet.ahrq.gov/issue/e-prescribing-errors-community-pharmacies-exploring-consequences-and-
contributing-factors … Contributing factors included poor inter-operability between pharmacy and clinic
systems, inadequate … psnet.ahrq.gov/issue/e-prescribing-errors-community-pharmacies-exploring-consequences-and-contributing-factors
-
psnet.ahrq.gov/node/41466/psn-pdf
June 20, 2012 - Factors predicting change in hospital safety climate and
capability in a multi-site patient safety collaborative … Factors predicting change in hospital safety climate and capability in a
multi-site patient safety collaborative … https://psnet.ahrq.gov/issue/factors-predicting-change-hospital-safety-climate-and-capability-multi-site … This article also discusses the program implementation factors that appeared to be
associated with improved … https://psnet.ahrq.gov/issue/factors-predicting-change-hospital-safety-climate-and-capability-multi-site-patient-safety
-
psnet.ahrq.gov/node/33932/psn-pdf
May 27, 2011 - Preventable anesthesia mishaps: a study of human
factors. … Preventable anesthesia mishaps: a study of human factors.
Anesthesiology. 1978;49(6):399-406. … https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors
This study reports on … https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors
https://psnet.ahrq.gov … /primer/human-factors-engineering
-
psnet.ahrq.gov/node/40024/psn-pdf
December 21, 2014 - Risk factors and outcomes for foreign body left during a
procedure: analysis of 413 incidents after … Risk factors and outcomes for foreign body left during a procedure:
analysis of 413 incidents after … https://psnet.ahrq.gov/issue/risk-factors-and-outcomes-foreign-body-left-during-procedure-analysis-413 … Although these errors are rare, prior studies in adults have defined risk factors for retained
instruments … https://psnet.ahrq.gov/issue/risk-factors-and-outcomes-foreign-body-left-during-procedure-analysis-413
-
psnet.ahrq.gov/node/47331/psn-pdf
October 17, 2018 - Description and factors associated with missed nursing
care in an acute care community hospital. … Description and factors associated with missed nursing care in an acute care
community hospital. … https://psnet.ahrq.gov/issue/description-and-factors-associated-missed-nursing-care-acute-care-
community-hospital … reduced nurse staffing, lower job satisfaction, and decreased
satisfaction with teamwork were important factors … https://psnet.ahrq.gov/issue/description-and-factors-associated-missed-nursing-care-acute-care-community-hospital
-
psnet.ahrq.gov/node/46101/psn-pdf
January 01, 2018 - Factors associated with barcode medication
administration technology that contribute to patient
safety … Factors Associated With Barcode Medication Administration
Technology That Contribute to Patient Safety … https://psnet.ahrq.gov/issue/factors-associated-barcode-medication-administration-technology-contribute … This review highlights factors that contribute to such failures, including lack of effective training … https://psnet.ahrq.gov/issue/factors-associated-barcode-medication-administration-technology-contribute-patient-safety
-
psnet.ahrq.gov/node/46862/psn-pdf
February 21, 2018 - Considering human factors and developing systems-
thinking behaviours to ensure patient safety. … February 21, 2018
Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical Human Factors Special Interest … https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-
ensure-patient-safety … The authors suggest that the health care workforce
develop human factors engineering competencies to … https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
-
psnet.ahrq.gov/node/44199/psn-pdf
September 09, 2015 - Raising the alarm: a cross-sectional study exploring the
factors affecting patients' willingness to … Raising the Alarm: A Cross-Sectional Study Exploring the Factors
Affecting Patients' Willingness to … https://psnet.ahrq.gov/issue/raising-alarm-cross-sectional-study-exploring-factors-affecting-patients … -
willingness-escalate
This cross-sectional study at three London hospitals evaluated factors related … https://psnet.ahrq.gov/issue/raising-alarm-cross-sectional-study-exploring-factors-affecting-patients-willingness-escalate
-
psnet.ahrq.gov/node/43383/psn-pdf
August 13, 2014 - Risk factors for retained surgical items: a meta-analysis
and proposed risk stratification system. … Risk factors for retained surgical items: a meta-analysis
and proposed risk stratification system. … https://psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-
stratification-system … This meta-analysis identified factors that increase risk of retained foreign objects, including clinical … https://psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system
-
psnet.ahrq.gov/node/40179/psn-pdf
February 02, 2011 - A human factors framework and study of the effect of
nursing workload on patient safety and employee … A human factors framework and study of the effect of nursing
workload on patient safety and employee … https://psnet.ahrq.gov/issue/human-factors-framework-and-study-effect-nursing-workload-patient-safety … -
and-employee-quality
This study applied a human factors model to nursing workload and found interesting … https://psnet.ahrq.gov/issue/human-factors-framework-and-study-effect-nursing-workload-patient-safety-and-employee-quality
-
psnet.ahrq.gov/node/45280/psn-pdf
September 01, 2018 - Fighting MRSA infections in hospital care: how
organizational factors matter. … Fighting MRSA Infections in Hospital Care: How Organizational Factors
Matter. … https://psnet.ahrq.gov/issue/fighting-mrsa-infections-hospital-care-how-organizational-factors-matter … infection control training, and a safety culture conducive to error reporting are the organizational
factors … https://psnet.ahrq.gov/issue/fighting-mrsa-infections-hospital-care-how-organizational-factors-matter
-
psnet.ahrq.gov/node/41443/psn-pdf
July 11, 2012 - Human factors, nursing and patient safety.
July 11, 2012
Nurs Stand. Apr-May 2012;26. … https://psnet.ahrq.gov/issue/human-factors-nursing-and-patient-safety
This series explores how nurses … can use human factors to enhance safety in their daily practice. … https://psnet.ahrq.gov/issue/human-factors-nursing-and-patient-safety
https://psnet.ahrq.gov/primer/human-factors-engineering
-
psnet.ahrq.gov/node/40706/psn-pdf
August 17, 2011 - The National Center for Human Factors Engineering in
Healthcare. … https://psnet.ahrq.gov/issue/national-center-human-factors-engineering-healthcare
This Web site hosts … information on human factors engineering and describes how it can improve health
care quality and safety … https://psnet.ahrq.gov/issue/national-center-human-factors-engineering-healthcare
https://psnet.ahrq.gov … /primer/human-factors-engineering
-
psnet.ahrq.gov/issue/improving-medication-management-through-redesign-hospital-code-cart-medication-drawer
October 31, 2018 - Human Factors: The Journal of the Human Factors and Ergonomics Society. 2011;53(6). doi:10.1177/0018720811426427 … Human Factors: The Journal of the Human Factors and Ergonomics Society . 2011; 53 (6) . … Human Factors: The Journal of the Human Factors and Ergonomics Society. 2011;53(6). doi:10.1177/0018720811426427 … October 31, 2018
Surgical never events and contributing human factors. … June 25, 2018
Human factors and simulation in emergency medicine.
-
psnet.ahrq.gov/node/47007/psn-pdf
May 02, 2018 - Workarounds to intended use of health information
technology: a narrative review of the human factors … Workarounds to Intended Use of Health Information Technology: A Narrative Review of the
Human Factors … Hum Factors. 2018;60(3):281-292.
doi:10.1177/0018720818762546. … psnet.ahrq.gov/issue/workarounds-intended-use-health-information-technology-narrative-review-
human-factors … /psnet.ahrq.gov/issue/workarounds-intended-use-health-information-technology-narrative-review-human-factors
-
psnet.ahrq.gov/node/47376/psn-pdf
November 02, 2018 - Assessing information sources to elucidate diagnostic
process errors in radiologic imaging—a human factors … Assessing information sources to elucidate diagnostic process errors
in radiologic imaging - a human factors … This study utilized human factors engineering
approaches to characterize the information sources used … Most potential errors were related to
person-related factors, such as inadequate communication between … clinicians, rather than technological
factors.
-
psnet.ahrq.gov/node/41719/psn-pdf
November 27, 2012 - A systematic review of the effectiveness, compliance, and
critical factors for implementation of safety … A systematic review of the effectiveness, compliance, and
critical factors for implementation of safety … https://psnet.ahrq.gov/issue/systematic-review-effectiveness-compliance-and-critical-factors-
implementation-safety … This systematic review
evaluated the effectiveness and critical factors for successful implementation … https://psnet.ahrq.gov/issue/systematic-review-effectiveness-compliance-and-critical-factors-implementation-safety
-
psnet.ahrq.gov/node/47566/psn-pdf
January 30, 2019 - Important factors for effective patient safety governance
auditing: a questionnaire survey. … Important factors for effective patient safety governance
auditing: a questionnaire survey. … https://psnet.ahrq.gov/issue/important-factors-effective-patient-safety-governance-auditing-questionnaire … and hospital leaders from 89 acute care hospitals in the Netherlands, researchers sought to identify factors … https://psnet.ahrq.gov/issue/important-factors-effective-patient-safety-governance-auditing-questionnaire-survey