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psnet.ahrq.gov/node/848810/psn-pdf
May 10, 2023 - Factors contributing to preventing operating room "never
events": a machine learning analysis. … Factors contributing to preventing operating room “never events”: a
machine learning analysis. … https://psnet.ahrq.gov/issue/factors-contributing-preventing-operating-room-never-events-machine-
learning-analysis … Using machine learning, this study identified 24
contributing factors to two types of surgical never … number and type of staff present, and the type and length of surgery were identified
contributing factors
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psnet.ahrq.gov/node/44985/psn-pdf
January 01, 2020 - Human factors and quality improvement in the emergency
department: reducing potential errors in blood … Human Factors and Quality Improvement in the Emergency
Department: Reducing Potential Errors in Blood … This pre-post study found that a human factors approach improved blood collection procedures in the … This
demonstrates the benefits of applying human factors engineering in patient safety efforts across … https://psnet.ahrq.gov/primer/human-factors-engineering
https://psnet.ahrq.gov/web-mm/transfusion-overload
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psnet.ahrq.gov/node/60823/psn-pdf
August 19, 2020 - Disaster ergonomics: human factors in COVID-19
pandemic emergency management. … Disaster ergonomics: human factors in COVID-19 pandemic
emergency management. … Hum Factors. 2020;62(7):1061-1068. doi:10.1177/0018720820939428. … https://psnet.ahrq.gov/issue/disaster-ergonomics-human-factors-covid-19-pandemic-emergency-
management … This article discusses the role of human factors and ergonomics in disaster management and mitigating
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psnet.ahrq.gov/node/48073/psn-pdf
June 19, 2019 - Special Section on Human Factors and Ergonomics in the
Operating Room: Contributions That Advance Surgical … https://psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions … This special issue features the
work of multidisciplinary research teams that explored human factors … https://psnet.ahrq.gov/issue/integrating-human-factors-research-and-surgery-review
https://psnet.ahrq.gov … /primer/human-factors-engineering
https://psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery
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psnet.ahrq.gov/node/863224/psn-pdf
February 28, 2024 - February 28, 2024
Hum Factors. 2024;66(3):633-769. … The 2021 International
Ergonomics Association conference examined applications of human factors core … technologies, workarounds, and nontechnical skills measurement are
discussed through the lens of human factors … psnet.ahrq.gov/issue/special-section-iea-health-care-2021
https://psnet.ahrq.gov/issue/handbook-human-factors-and-ergonomics-health-care-and-patient-safety … -2nd-ed
https://psnet.ahrq.gov/primer/human-factors-engineering
//psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned
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psnet.ahrq.gov/node/845350/psn-pdf
March 01, 2023 - Implementing human factors in anaesthesia: guidance for
clinicians, departments and hospitals: Guidelines … Implementing human factors in anaesthesia: guidance for clinicians,
departments and hospitals: Guidelines … https://psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments- … and-hospitals
Human factors engineering has the potential to mitigate failures by designing workspaces … https://psnet.ahrq.gov/issue/human-factors-anaesthesia-narrative-review
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/60349/psn-pdf
May 20, 2020 - Health care provider factors associated with patient-
reported adverse events and harm. … Health care provider factors associated with patient-reported
adverse events and harm. … https://psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and … a national online questionnaire to determine
the association between patient-reported contributory factors … These patient-reported contributory factors increased the likelihood of reporting any type of harm.
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psnet.ahrq.gov/node/867228/psn-pdf
December 04, 2024 - Risk factors for wrong-patient medication orders in the
emergency department. … Risk factors for wrong-patient medication orders in the
emergency department. … https://psnet.ahrq.gov/issue/risk-factors-wrong-patient-medication-orders-emergency-department
Wrong-patient … Other factors, such as patient name, birthdate, and age, were not
significantly associated with RaR … https://psnet.ahrq.gov/issue/risk-factors-wrong-patient-medication-orders-emergency-department
https:
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psnet.ahrq.gov/node/60836/psn-pdf
August 26, 2020 - Factors associated with workarounds in barcode-assisted
medication administration in hospitals. … Factors associated with workarounds in barcode?assisted medication
administration in hospitals. … https://psnet.ahrq.gov/issue/factors-associated-workarounds-barcode-assisted-medication-administration … Potential risk factors identified include the timing of medication rounds, the route of administration … Future quality improvement measures could focus on
modifiable risk factors including nurse workload
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psnet.ahrq.gov/node/854990/psn-pdf
November 01, 2023 - Identifying contributing factors associated with dental
adverse events through a pragmatic electronic … Identifying contributing factors associated with dental adverse
events through a pragmatic electronic … https://psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through … -
pragmatic
Understanding factors that contribute to adverse events (AE) is key to preventing them … Person-related factors (e.g., supervision, fatigue) were the most
common contributing factors.
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psnet.ahrq.gov/node/72814/psn-pdf
March 10, 2021 - Implementing a human factors approach to RCA(2) :
tools, processes and strategies. … Implementing a human factors approach to RCA(2) : tools,
processes and strategies. … https://psnet.ahrq.gov/issue/implementing-human-factors-approach-rca2-tools-processes-and-strategies … The authors provide an overview
of the Human Factors Analysis and Classification System (HFACS), the … https://psnet.ahrq.gov/issue/implementing-human-factors-approach-rca2-tools-processes-and-strategies
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psnet.ahrq.gov/node/848318/psn-pdf
May 03, 2023 - Teamwork, clinical leadership skills and environmental
factors that influence missed nursing care - … Teamwork, clinical leadership skills and environmental
factors that influence missed nursing care – … https://psnet.ahrq.gov/issue/teamwork-clinical-leadership-skills-and-environmental-factors-influence- … missed-nursing-care
Myriad factors contribute to missed nursing care including staffing, team and … wards; informal teaching and communication; influence of formal and informal leaders; and influencing
factors
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psnet.ahrq.gov/node/72685/psn-pdf
January 27, 2021 - Human Factors and Ergonomics in Healthcare. …
https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare
Human factors approaches … Articles in this special supplement examine the role of human factors engineering and
ergonomics in … https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare
https://psnet.ahrq.gov/primer/human-factors-engineering … pandemic-transform-infection-prevention-and-control-surgery-seeking-leverage
https://psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
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psnet.ahrq.gov/node/866167/psn-pdf
June 19, 2024 - Risk factors associated with medication administration
errors in children: a prospective direct observational … Risk factors associated with medication administration errors in
children: a prospective direct observational … https://psnet.ahrq.gov/issue/risk-factors-associated-medication-administration-errors-children-prospective … The analysis identified several
significant risk factors for medication administration errors, including … https://psnet.ahrq.gov/issue/risk-factors-associated-medication-administration-errors-children-prospective-direct
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psnet.ahrq.gov/node/861280/psn-pdf
January 24, 2024 - Factors influencing diagnostic accuracy among intensive
care unit clinicians - an observational study … Factors influencing diagnostic accuracy among intensive care unit
clinicians – an observational study … https://psnet.ahrq.gov/issue/factors-influencing-diagnostic-accuracy-among-intensive-care-unit-clinicians … Contextual factors of self-reported confidence in the diagnosis, stress levels, and perception of
patient's … https://psnet.ahrq.gov/issue/factors-influencing-diagnostic-accuracy-among-intensive-care-unit-clinicians-observational
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psnet.ahrq.gov/node/849124/psn-pdf
May 17, 2023 - Human factors and safety analysis methods used in the
design and redesign of electronic medication … Human factors and safety analysis methods used in the design and
redesign of electronic medication management … Human factors and safety analysis methods can be used to increase
the safety of new technologies, ideally … This review identifies human factors and
safety analysis methods applied to EMMS. … Increased inclusion of human factors specialists could increase the use of
safety-oriented methods of
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psnet.ahrq.gov/node/852746/psn-pdf
August 23, 2023 - Common contributing factors of diagnostic error: a
retrospective analysis of 109 serious adverse event … Common contributing factors of diagnostic error: a
retrospective analysis of 109 serious adverse event … https://psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109- … serious-adverse-event
Diagnostic errors are common and have many contributing factors. … https://psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-
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psnet.ahrq.gov/node/862602/psn-pdf
February 14, 2024 - Prevalence, contributing factors, and interventions to
reduce medication errors in outpatient and ambulatory … Prevalence, contributing factors, and interventions to reduce
medication errors in outpatient and ambulatory … https://psnet.ahrq.gov/issue/prevalence-contributing-factors-and-interventions-reduce-medication-errors … e.g., dosing errors) are the most common type of medication error and are
often attributed to latent factors … https://psnet.ahrq.gov/issue/prevalence-contributing-factors-and-interventions-reduce-medication-errors-outpatient-and
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psnet.ahrq.gov/node/864857/psn-pdf
March 20, 2024 - Safety on the ground: using critical incident technique to
explore the factors influencing medical registrars … Safety on the ground: using critical incident technique to explore the
factors influencing medical registrars … https://psnet.ahrq.gov/issue/safety-ground-using-critical-incident-technique-explore-factors-influencing … The researchers concluded that incidents could generally be attributed to one of four
factors – individual … https://psnet.ahrq.gov/issue/safety-ground-using-critical-incident-technique-explore-factors-influencing-medical
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psnet.ahrq.gov/node/860385/psn-pdf
January 10, 2024 - Factors affecting medical residents' decisions to work
after call. … Factors affecting medical residents' decisions to work after call. … https://psnet.ahrq.gov/issue/factors-affecting-medical-residents-decisions-work-after-call
Accreditation … This study assessed which
factors influence residents to take a post-call day (PCD) off as described … The most important
factors were the attending and chief resident feedback regarding PCDs.