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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46220/psn-pdf
    August 09, 2017 - Patient, provider, and system factors contributing to patient safety events during medical and surgical … Patient, provider, and system factors contributing to patient safety events during medical and surgical … https://psnet.ahrq.gov/issue/patient-provider-and-system-factors-contributing-patient-safety-events-during … Numerous patient, provider, and systems factors were correlated with adverse events. … https://psnet.ahrq.gov/issue/patient-provider-and-system-factors-contributing-patient-safety-events-during-medical-and
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45770/psn-pdf
    January 25, 2017 - Understanding patient-centred readmission factors: a multi-site, mixed-methods study. … Understanding patient-centred readmission factors: a multi-site, mixed-methods study. … https://psnet.ahrq.gov/issue/understanding-patient-centred-readmission-factors-multi-site-mixed-methods … https://psnet.ahrq.gov/issue/understanding-patient-centred-readmission-factors-multi-site-mixed-methods-study … https://psnet.ahrq.gov/issue/understanding-patient-centred-readmission-factors-multi-site-mixed-methods-study
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35013/psn-pdf
    March 22, 2015 - Using Human Factors Engineering to Improve Patient Safety, Second edition. … https://psnet.ahrq.gov/issue/using-human-factors-engineering-improve-patient-safety-second-edition This … book provides a general introduction to human factors engineering and uses case studies to illustrate … https://psnet.ahrq.gov/issue/using-human-factors-engineering-improve-patient-safety-second-edition https … ://psnet.ahrq.gov/primer/human-factors-engineering
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42690/psn-pdf
    October 23, 2013 - Around the Patient Bed: Human Factors and Safety in Health Care. … https://psnet.ahrq.gov/issue/around-patient-bed-human-factors-and-safety-health-care This publication … uses case studies to explore human factors in health care and describes an approach to augment quality … https://psnet.ahrq.gov/issue/around-patient-bed-human-factors-and-safety-health-care https://psnet.ahrq.gov … /primer/human-factors-engineering
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39686/psn-pdf
    June 15, 2011 - Patient safety: latent risk factors. June 15, 2011 van Beuzekom M, Boer F, Akerboom S, et al. … Patient safety: latent risk factors. Br J Anaesth. 2010;105(1):52-9. doi:10.1093/bja/aeq135. … https://psnet.ahrq.gov/issue/patient-safety-latent-risk-factors This review discusses the importance … of identifying latent factors that contribute to errors and applying a systems approach to rectify … https://psnet.ahrq.gov/issue/patient-safety-latent-risk-factors https://psnet.ahrq.gov//#latenterror
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36997/psn-pdf
    June 29, 2011 - Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. … Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. … https://psnet.ahrq.gov/issue/dispensing-errors-community-pharmacy-perceived-influence-sociotechnical- factors … https://psnet.ahrq.gov/issue/dispensing-errors-community-pharmacy-perceived-influence-sociotechnical-factors … https://psnet.ahrq.gov/issue/dispensing-errors-community-pharmacy-perceived-influence-sociotechnical-factors
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47105/psn-pdf
    August 10, 2018 - A systems approach to identify factors influencing adverse drug events in nursing homes. … A Systems Approach to Identify Factors Influencing Adverse Drug Events in Nursing Homes. … https://psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing … https://psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing-homes … https://psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing-homes
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37623/psn-pdf
    April 18, 2011 - Human factors in anaesthetic practice: insights from a task analysis. … Human factors in anaesthetic practice: insights from a task analysis. … https://psnet.ahrq.gov/issue/human-factors-anaesthetic-practice-insights-task-analysis Human factors … https://psnet.ahrq.gov/issue/human-factors-anaesthetic-practice-insights-task-analysis https://psnet.ahrq.gov
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40975/psn-pdf
    December 07, 2011 - Factors associated with misdiagnosis of acute stroke in young adults. … Factors associated with misdiagnosis of acute stroke in young adults. … https://psnet.ahrq.gov/issue/factors-associated-misdiagnosis-acute-stroke-young-adults This study describes … factors that contribute to diagnostic errors in young patients with a stroke. … https://psnet.ahrq.gov/issue/factors-associated-misdiagnosis-acute-stroke-young-adults https://psnet.ahrq.gov
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41665/psn-pdf
    September 12, 2012 - Risk factors associated with incorrect surgical counts. September 12, 2012 Rowlands A. … Risk factors associated with incorrect surgical counts. AORN J. 2012;96(3):272-84. … https://psnet.ahrq.gov/issue/risk-factors-associated-incorrect-surgical-counts This study explored factors … https://psnet.ahrq.gov/issue/risk-factors-associated-incorrect-surgical-counts https://psnet.ahrq.gov
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37002/psn-pdf
    September 14, 2011 - Factors influencing nurses' decisions to raise concerns about care quality. … Factors influencing nurses' decisions to raise concerns about care quality. … https://psnet.ahrq.gov/issue/factors-influencing-nurses-decisions-raise-concerns-about-care-quality … The author interviewed nurses and identified several factors, such as fear of negative repercussions … https://psnet.ahrq.gov/issue/factors-influencing-nurses-decisions-raise-concerns-about-care-quality
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36744/psn-pdf
    August 02, 2011 - Nurses relate the contributing factors involved in medication errors. … Nurses relate the contributing factors involved in medication errors. … https://psnet.ahrq.gov/issue/nurses-relate-contributing-factors-involved-medication-errors The investigators … They found that personal neglect, heavy workload, and new staff were the main factors. … https://psnet.ahrq.gov/issue/nurses-relate-contributing-factors-involved-medication-errors
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39770/psn-pdf
    August 18, 2010 - Comparison of potential risk factors for medication errors with and without patient harm. … Comparison of potential risk factors for medication errors with and without patient harm. … https://psnet.ahrq.gov/issue/comparison-potential-risk-factors-medication-errors-and-without-patient-harm … This case-control study attempted to identify factors that predicted whether patient harm resulted … https://psnet.ahrq.gov/issue/comparison-potential-risk-factors-medication-errors-and-without-patient-harm
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41282/psn-pdf
    April 11, 2012 - Analysis of risk factors for adverse drug events in critically ill patients. … Analysis of risk factors for adverse drug events in critically ill patients*. … https://psnet.ahrq.gov/issue/analysis-risk-factors-adverse-drug-events-critically-ill-patients This … cohort study identified patient- and drug-specific factors that increased the risk of adverse drug events … https://psnet.ahrq.gov/issue/analysis-risk-factors-adverse-drug-events-critically-ill-patients
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42745/psn-pdf
    October 31, 2014 - The mechanism for this finding is unknown and could be due to health care system factors (i.e., lower … weekend staffing and availability of clinical services) or patient factors (i.e., those admitted on … New South Wales, Australia sought to determine the contribution of health care system and patient factors … Other diagnoses, such as stroke, showed a mixed pattern of system and patient factors. … By providing a nuanced view of the types of diagnoses and factors associated with the weekend effect
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34621/psn-pdf
    September 27, 2017 - Human Factors and Medical Devices. … https://psnet.ahrq.gov/issue/human-factors-and-medical-devices Human factors engineering (HFE) helps … https://psnet.ahrq.gov/issue/human-factors-and-medical-devices https://psnet.ahrq.gov/primer/human-factors-engineering
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35263/psn-pdf
    June 29, 2009 - A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. … A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. … https://psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit … authors reviewed anonymous adverse event reports from an intensive care unit and analyzed the systemic factors … https://psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44700/psn-pdf
    March 23, 2016 - Factors that drive team participation in surgical safety checks: a prospective study. … Factors that drive team participation in surgical safety checks: a prospective study. … https://psnet.ahrq.gov/issue/factors-drive-team-participation-surgical-safety-checks-prospective-study … Analyzing approximately 35 hours of field observations, these researchers identified various interlinked factors … https://psnet.ahrq.gov/issue/factors-drive-team-participation-surgical-safety-checks-prospective-study
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38937/psn-pdf
    September 23, 2009 - Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults … Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults … https://psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events- hospitalized-older-adults … https://psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults … https://psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40293/psn-pdf
    April 17, 2011 - Cognitive performance-altering effects of electronic medical records: an application of the human factors … Cognitive performance-altering effects of electronic medical records: An application of the human factors … psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application- human-factors … psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application-human-factors … psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application-human-factors

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