-
psnet.ahrq.gov/node/846758/psn-pdf
March 29, 2023 - Evaluating patient identification practices during
intrahospital transfers: a human factors approach … Evaluating patient identification practices during intrahospital
transfers: a human factors approach … psnet.ahrq.gov/issue/evaluating-patient-identification-practices-during-intrahospital-transfers-human-
factors … Systems Engineering for Patient
Safety (SEIPS) framework, this qualitative study explored systems factors … Miscommunication and lack of key patient information were common factors contributing to identification
-
psnet.ahrq.gov/node/836959/psn-pdf
April 20, 2022 - Safety of elderly fallers: identifying associated risk
factors for 30-day unplanned readmissions using … Safety of elderly fallers: identifying associated risk factors for 30-
day unplanned readmissions using … https://psnet.ahrq.gov/issue/safety-elderly-fallers-identifying-associated-risk-factors-30-day-unplanned … This study identified patient-level
risk factors among patients 75 years or older who were initially … Risk
factors included being a male, abnormal concentration of C-reactive protein, and anemia.
-
psnet.ahrq.gov/node/72637/psn-pdf
January 13, 2021 - Identifying factors leading to harm in English general
practices: a mixed-methods study based on patient … Identifying Factors Leading to Harm in English
General Practices: A Mixed-Methods Study Based on Patient … https://psnet.ahrq.gov/issue/identifying-factors-leading-harm-english-general-practices-mixed-methods … This cross-sectional study across primary care clinics
in England explored the main factors contributing … Factors included
incidents related to communication, care coordination, and incorrect or delayed; diagnosis
-
psnet.ahrq.gov/node/61120/psn-pdf
November 11, 2020 - Application of human factors methods to understand
missed follow-up of abnormal test results. … Application of human factors methods to understand missed follow-up
of abnormal test results. … https://psnet.ahrq.gov/issue/application-human-factors-methods-understand-missed-follow-abnormal-test … This study used human factors methods to understand lack of timely
follow-up of abnormal test results … Through interviews with the ordering physicians,
the researchers identified several contributing factors
-
psnet.ahrq.gov/node/862131/psn-pdf
February 07, 2024 - Prospective study of the multisite spread of a medication
safety intervention: factors common to hospitals … Prospective study of the multisite spread of a medication
safety intervention: factors common to hospitals … https://psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors … This qualitative study identified several contextual factors impacting the implementation of the pharmacist … https://psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors-common-hospitals
-
psnet.ahrq.gov/node/860716/psn-pdf
January 17, 2024 - Nurses' perception of medication administration errors
and factors associated with their reporting in … Nurses’ perception of medication administration errors
and factors associated with their reporting in … https://psnet.ahrq.gov/issue/nurses-perception-medication-administration-errors-and-factors-associated … reason
for not reporting MAE was leadership placing blame on the individual instead of on system-level factors … https://psnet.ahrq.gov/issue/nurses-perception-medication-administration-errors-and-factors-associated-their-reporting
-
digital.ahrq.gov/principal-investigator/zayas-caban-teresa
January 01, 2023 - Zayas-Caban, Teresa
Human factors and ergonomics in home care. … Human factors and ergonomics in home care. In: Carayon P, ed. … Handbook of human factors and ergonomics in healthcare and patient safety. 2nd ed. … Principal Investigator
Zayas-Caban, Teresa
Using human factors to guide the … Health information management in the home: a human factors assessment.
-
psnet.ahrq.gov/node/60680/psn-pdf
July 15, 2020 - Contributing factors for pediatric ambulatory diagnostic
process errors: Project RedDE. … Contributing factors for pediatric ambulatory diagnostic process
errors: Project RedDE. … https://psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project … previous
work, this study used root cause analyses to identify the failure points and contributing factors … Factors
contributing most commonly to these errors were patient volume, inadequate staffing, clinic
-
psnet.ahrq.gov/node/60643/psn-pdf
July 01, 2020 - Human factors considerations in using personal
protective equipment in the COVID-19 pandemic context … Human Factors Considerations in Using Personal Protective
Equipment in the COVID-19 Pandemic Context … https://psnet.ahrq.gov/issue/human-factors-considerations-using-personal-protective-equipment-covid-19 … https://psnet.ahrq.gov/issue/human-factors-considerations-using-personal-protective-equipment-covid-19 … -19-pandemic-context-bi
https://psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
-
psnet.ahrq.gov/node/860390/psn-pdf
January 10, 2024 - Key factors for effective implementation of healthcare
workers support interventions after patient safety … Key factors for effective implementation of healthcare
workers support interventions after patient safety … https://psnet.ahrq.gov/issue/key-factors-effective-implementation-healthcare-workers-support-interventions … This scoping review of 29 articles identified several factors supporting successful implementation of … https://psnet.ahrq.gov/issue/key-factors-effective-implementation-healthcare-workers-support-interventions-after-patient
-
psnet.ahrq.gov/node/837512/psn-pdf
January 01, 2024 - Team cognition in handoffs: relating system factors, team
cognition functions and outcomes in two handoff … Team cognition in handoffs: relating system factors,
team cognition functions and outcomes in two handoff … Hum Factors. 2024;66(1):271-293.
doi:10.1177/00187208221086342. … https://psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and … https://psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
-
psnet.ahrq.gov/node/862985/psn-pdf
February 21, 2024 - A qualitative study of systems-level factors that affect
rural obstetric nurses' work during clinical … A qualitative study of systems-level factors that affect rural obstetric
nurses' work during clinical … https://psnet.ahrq.gov/issue/qualitative-study-systems-level-factors-affect-rural-obstetric-nurses-work … In this study, obstetric nurses and
physicians describe unique system factors that affect obstetric … https://psnet.ahrq.gov/issue/qualitative-study-systems-level-factors-affect-rural-obstetric-nurses-work-during-clinical
-
psnet.ahrq.gov/node/60703/psn-pdf
January 01, 2021 - Human factors and ergonomics at time of crises: the
Italian experience coping with COVID19. … Human factors and ergonomics at time of crises: the Italian
experience coping with COVID-19. … https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-time-crises-italian-experience-coping-covid19 … In this editorial, the authors discuss the safety culture and the role of human factors and ergonomics … https://psnet.ahrq.gov/issue/overcoming-covid-19-what-can-human-factors-and-ergonomics-offer
-
digital.ahrq.gov/ahrq-funded-projects/startsmarttm-health-information-technology-improve-adherence-prenatal
January 01, 2023 - throughout pregnancy and to generate individualized, evidence-based recommendations for these factors … The researchers hope that the tool can aid providers in addressing pregnancy risk and protective factors … to improve perinatal outcomes is not consistently done
Many conditions and lifestyle factors during … In addition, protective factors including immunizations, nutrition, physical activity, and sleep can … influence pregnancy outcomes; however, pregnant women are not consistently counseled on these factors
-
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
-
psnet.ahrq.gov/node/854821/psn-pdf
October 25, 2023 - Factors determining safety culture in hospitals: a scoping
review. … Factors determining safety culture in hospitals: a
scoping review. … https://psnet.ahrq.gov/issue/factors-determining-safety-culture-hospitals-scoping-review
Research has … This review sought to identify the factors measured by safety culture instruments
in hospitals. … Important factors include organizational, professional, and patient and
family participation, although
-
psnet.ahrq.gov/node/72796/psn-pdf
March 03, 2021 - Factors for and perceived consequences
of nursing errors by nursing staff in home care services. … Factors for and perceived consequences of
nursing errors by nursing staff in home care services. … https://psnet.ahrq.gov/issue/patient-safety-factors-and-perceived-consequences-nursing-errors-nursing … -
staff-home-care
This survey of home care nurses in Germany identified several factors they perceived … https://psnet.ahrq.gov/issue/patient-safety-factors-and-perceived-consequences-nursing-errors-nursing-staff-home-care
-
psnet.ahrq.gov/node/852281/psn-pdf
August 09, 2023 - Factors influencing the perception of feeling safe in pre-
hospital emergency care: a mixed-methods … Factors influencing the
perception of feeling safe in pre?hospital emergency care: a mixed? … https://psnet.ahrq.gov/issue/factors-influencing-perception-feeling-safe-pre-hospital-emergency-care- … from the
emergency medical system, competence of EMS personnel, the setting of care/environmental factors … https://psnet.ahrq.gov/issue/factors-influencing-perception-feeling-safe-pre-hospital-emergency-care-mixed-methods
-
psnet.ahrq.gov/node/850355/psn-pdf
June 14, 2023 - Using a human factors framework to assess clinician
perceptions of and barriers to high reliability … Using a human factors framework to assess clinician
perceptions of and barriers to high reliability … https://psnet.ahrq.gov/issue/using-human-factors-framework-assess-clinician-perceptions-and-barriers- … https://psnet.ahrq.gov/issue/using-human-factors-framework-assess-clinician-perceptions-and-barriers-high-reliability-hand … https://psnet.ahrq.gov/issue/using-human-factors-framework-assess-clinician-perceptions-and-barriers-high-reliability-hand
-
ce.effectivehealthcare.ahrq.gov/chsp/about-chsp/centers/dartmouth.html
July 01, 2019 - They are exploring how market and organizational factors influence the implementation of biomedical, … Develop measures of integration and identify how environmental factors influence the adoption of new … Identify factors that influence the successful deployment of effective biomedical innovations, factors … Evaluate factors that influence decisions to adopt healthcare delivery innovations and identify ways … Studying how the influence of these factors varies across different types of organizations.