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psnet.ahrq.gov/node/43386/psn-pdf
January 20, 2016 - The influence of organizational factors on patient safety:
examining successful handoffs in health care … The influence of organizational factors on patient safety: Examining
successful handoffs in health care … https://psnet.ahrq.gov/issue/influence-organizational-factors-patient-safety-examining-successful-handoffs … AHRQ Hospital Survey of Patient
Safety Culture sought to determine how perceptions of organizational factors … https://psnet.ahrq.gov/issue/influence-organizational-factors-patient-safety-examining-successful-handoffs-health-care
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psnet.ahrq.gov/node/44176/psn-pdf
August 21, 2015 - Patient and carer identified factors which contribute to
safety incidents in primary care: a qualitative … Patient and carer identified factors which contribute to safety incidents
in primary care: a qualitative … https://psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary … This Australian study used qualitative
methodology to examine patient and caregiver perceptions of factors … https://psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care
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psnet.ahrq.gov/node/45385/psn-pdf
January 03, 2017 - prevention of catheter-associated urinary tract
infection as a system: using systems engineering and
human factors … Prevention of Catheter-Associated Urinary Tract Infection as a
System: Using Systems Engineering and Human Factors … In this quality improvement program, principles of human factors engineering were applied to
reduce … Investigators utilized systems approaches to examine the
factors related to CAUTI at their institution … The authors suggest that their results support the use of
human factors engineering to decrease health
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psnet.ahrq.gov/node/46913/psn-pdf
May 09, 2018 - Factors associated with the use of cognitive aids in
operating room crises: a cross-sectional study … Factors associated with the use of cognitive aids in
operating room crises: a cross-sectional study … https://psnet.ahrq.gov/issue/factors-associated-use-cognitive-aids-operating-room-crises-cross-sectional … This implementation study examined factors related to checklist use in the
operating room for crises … https://psnet.ahrq.gov/issue/factors-associated-use-cognitive-aids-operating-room-crises-cross-sectional-study-us
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psnet.ahrq.gov/issue/pursuing-patient-safety-intersection-design-systems-engineering-and-health-care-delivery
June 25, 2018 - Again
June 1, 2011
Communication failure: basic components, contributing factors … December 5, 2018
Inpatient Notes: human factors engineering and inpatient care—new ways … April 26, 2017
Using human factors design principles and industrial engineering methods … September 27, 2016
Human factors systems approach to healthcare quality and patient safety … December 18, 2013
State of science: human factors and ergonomics in healthcare.
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psnet.ahrq.gov/node/44049/psn-pdf
September 12, 2016 - A systematic review to identify the factors that affect
failure to rescue and escalation of care in … A systematic review to identify the factors that affect failure to rescue
and escalation of care in … https://psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care … https://psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery … https://psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery
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psnet.ahrq.gov/node/42992/psn-pdf
July 03, 2014 - Adverse drug event nonrecognition in emergency
departments: an exploratory study on factors related … Adverse drug event nonrecognition in emergency departments:
an exploratory study on factors related … ://psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-
study-factors-related … https://psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related … https://psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
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psnet.ahrq.gov/node/46761/psn-pdf
February 14, 2018 - Development of a theoretical framework of factors
affecting patient safety incident reporting: a theoretical … Development of a theoretical framework of factors affecting patient safety
incident reporting: a theoretical … https://psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident … https://psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident-reporting … https://psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident-reporting
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psnet.ahrq.gov/node/43257/psn-pdf
August 14, 2014 - Barriers and success factors to the implementation of a
multi-site prospective adverse event surveillance … Barriers and success factors to the implementation of a multi-site
prospective adverse event surveillance … https://psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse … https://psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance … https://psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance
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psnet.ahrq.gov/node/41607/psn-pdf
January 03, 2017 - Using a risk assessment approach to determine which
factors influence whether partially bilingual physicians … Using a risk assessment approach to determine which factors
influence whether partially bilingual physicians … https://psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether … https://psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual … https://psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual
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psnet.ahrq.gov/node/43499/psn-pdf
September 03, 2014 - Older folks in hospitals: the contributing factors and
recommendations for incident prevention. … Older folks in hospitals: the contributing factors and
recommendations for incident prevention. … https://psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident- … https://psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident-prevention … https://psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident-prevention
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psnet.ahrq.gov/node/44489/psn-pdf
November 10, 2015 - Frequency of and risk factors for medication errors by
pharmacists during order verification in a tertiary … Frequency of and risk factors for medication errors by
pharmacists during order verification in a tertiary … https://psnet.ahrq.gov/issue/frequency-and-risk-factors-medication-errors-pharmacists-during-order- … https://psnet.ahrq.gov/issue/frequency-and-risk-factors-medication-errors-pharmacists-during-order-verification-tertiary … https://psnet.ahrq.gov/issue/frequency-and-risk-factors-medication-errors-pharmacists-during-order-verification-tertiary
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psnet.ahrq.gov/node/46879/psn-pdf
September 24, 2018 - Epidemiology of and risk factors for harmful anti-infective
medication errors in a pediatric hospital … Epidemiology of and Risk Factors for Harmful Anti-Infective Medication
Errors in a Pediatric Hospital … https://psnet.ahrq.gov/issue/epidemiology-and-risk-factors-harmful-anti-infective-medication-errors- … https://psnet.ahrq.gov/issue/epidemiology-and-risk-factors-harmful-anti-infective-medication-errors-pediatric-hospital … https://psnet.ahrq.gov/issue/epidemiology-and-risk-factors-harmful-anti-infective-medication-errors-pediatric-hospital
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psnet.ahrq.gov/node/45250/psn-pdf
July 27, 2016 - Risk factors for i.v. compounding errors when using an
automated workflow management system. … Risk factors for i.v. compounding errors when using an automated workflow
management system. … https://psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-
management-system … https://psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system … https://psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
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psnet.ahrq.gov/node/46924/psn-pdf
March 07, 2018 - Factors influencing the reporting of adverse medical
device events: qualitative interviews with physicians … Factors influencing the reporting of adverse medical device events:
qualitative interviews with physicians … https://psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative- … https://psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians … https://psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians
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psnet.ahrq.gov/node/43669/psn-pdf
November 12, 2014 - Multiple interacting factors influence adherence, and
outcomes associated with surgical safety checklists … Multiple interacting factors influence adherence, and
outcomes associated with surgical safety checklists … https://psnet.ahrq.gov/issue/multiple-interacting-factors-influence-adherence-and-outcomes-associated … https://psnet.ahrq.gov/issue/multiple-interacting-factors-influence-adherence-and-outcomes-associated-surgical-safety … https://psnet.ahrq.gov/issue/multiple-interacting-factors-influence-adherence-and-outcomes-associated-surgical-safety
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psnet.ahrq.gov/node/35784/psn-pdf
March 22, 2006 - Human factors in pediatric anesthesia incidents.
March 22, 2006
Marcus R. … https://psnet.ahrq.gov/issue/human-factors-pediatric-anesthesia-incidents
The author studied pediatric … anesthesia incidents from a human factors perspective and found the most
common were errors in judgment … https://psnet.ahrq.gov/issue/human-factors-pediatric-anesthesia-incidents
https://psnet.ahrq.gov//#humanfactors
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
September 01, 2003 - Five Stages in Reviewing an Error: Human Factors Approach
Contact event reporter to gather complete … Five Stages in Reviewing an Error: Human Factors Approach
3. … Prioritize contributory factors that pose significant threat based on the risk analysis matrix
5. … Hum Factors. 1995;37:20-31.
Endsley MR. Hum Factors. 1995;37:65-84.
Endsley MR. … Human Factors. 1995;37:20-31.
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psnet.ahrq.gov/node/38157/psn-pdf
October 22, 2008 - Contributing factors identified by hospital incident report
narratives. … Contributing factors identified by hospital incident report
narratives. … https://psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
The … paper-based incident reports from two hospitals sought to classify the underlying system and
human factors … https://psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
https
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psnet.ahrq.gov/node/46201/psn-pdf
September 27, 2017 - Risk factors for patient-reported errors during cancer
follow-up: results from a national survey in … Risk factors for patient-reported errors during cancer follow-
up: Results from a national survey in … https://psnet.ahrq.gov/issue/risk-factors-patient-reported-errors-during-cancer-follow-results-national … https://psnet.ahrq.gov/issue/risk-factors-patient-reported-errors-during-cancer-follow-results-national-survey-denmark … https://psnet.ahrq.gov/issue/risk-factors-patient-reported-errors-during-cancer-follow-results-national-survey-denmark