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psnet.ahrq.gov/node/42625/psn-pdf
November 08, 2013 - Miscount incidents: a novel approach to exploring risk
factors for unintentionally retained surgical … Miscount incidents: a novel approach to exploring risk factors for
unintentionally retained surgical … https://psnet.ahrq.gov/issue/miscount-incidents-novel-approach-exploring-risk-factors-unintentionally … retained-surgical
Case duration and the number of providers involved in a given operation were independent risk factors … https://psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery
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psnet.ahrq.gov/node/40094/psn-pdf
December 22, 2010 - The use of human factors methods to identify and
mitigate safety issues in radiation therapy. … The use of human factors methods to identify and mitigate safety
issues in radiation therapy. … https://psnet.ahrq.gov/issue/use-human-factors-methods-identify-and-mitigate-safety-issues-radiation- … therapy
This ethnographic field study demonstrated the opportunities to apply human factors methods … https://psnet.ahrq.gov/issue/use-human-factors-methods-identify-and-mitigate-safety-issues-radiation-therapy
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psnet.ahrq.gov/node/37606/psn-pdf
January 10, 2017 - Enhancing healthcare process design with human factors
engineering and reliability science, part 2: … Enhancing healthcare process design with human factors engineering and
reliability science, part 2: … https://psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-
reliability-science-part … -2
Building on part 1, this article describes how to apply human factors concepts to the design of clinical … https://psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part
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psnet.ahrq.gov/node/39157/psn-pdf
June 09, 2011 - The human factors of home health care: a conceptual
model for examining safety and quality concerns. … The Human Factors of Home Health Care. … https://psnet.ahrq.gov/issue/human-factors-home-health-care-conceptual-model-examining-safety-and-
quality-concerns … This article introduces a five-tier conceptual framework recognizing both active and latent human factors … https://psnet.ahrq.gov/primer/human-factors-engineering
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psnet.ahrq.gov/node/35524/psn-pdf
October 06, 2016 - :
Using human factors engineering to find a balance
between provider and patient needs. … https://psnet.ahrq.gov/issue/does-patient-centered-design-guarantee-patient-safety-using-human-factors … The investigators begin with a detailed discussion of the contextual factors involved in their hospital … redesign, drawing on human factors approaches in safety interventions. … some unanticipated
consequences of the redesign efforts but ultimately reinforced the need for human factors
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psnet.ahrq.gov/node/41816/psn-pdf
September 26, 2016 - Designing for distractions: a human factors approach to
decreasing interruptions at a centralised medication … Designing for distractions: a human factors approach to decreasing
interruptions at a centralised medication … https://psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions- … To minimize interruptions while preserving a patient-centered
environment, this study used a human factors … This study
provides an excellent example of how human factors principles can be used to improve the
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psnet.ahrq.gov/node/35060/psn-pdf
November 04, 2015 - Risk factors for adverse drug events: a 10-year analysis. … Risk factors for adverse drug events: a 10-year analysis. Ann
Pharmacother. 2005;39(7-8):1161-8. … https://psnet.ahrq.gov/issue/risk-factors-adverse-drug-events-10-year-analysis
Many medications remain … This study examined more than 4300 ADEs to determine potential risk factors, such as
specific patient … The article includes detailed tables
outlining ADEs captured and risk factors by drug category.
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psnet.ahrq.gov/node/43480/psn-pdf
January 01, 2015 - Speaking up: factors and issues in nurses advocating for
patients when patients are in jeopardy. … Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. … https://psnet.ahrq.gov/issue/speaking-factors-and-issues-nurses-advocating-patients-when-patients-are … -
jeopardy
This review discusses factors that influence nurses' willingness to raise concerns about … https://psnet.ahrq.gov/issue/speaking-factors-and-issues-nurses-advocating-patients-when-patients-are-jeopardy
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psnet.ahrq.gov/node/39514/psn-pdf
June 09, 2011 - Human factors in patient safety as an innovation.
June 9, 2011
Carayon P. … Human factors in patient safety as an innovation. Appl Ergon. 2010;41(5):657-65. … https://psnet.ahrq.gov/issue/human-factors-patient-safety-innovation
This commentary discusses human … factors as a strategy for patient safety improvement. … https://psnet.ahrq.gov/issue/human-factors-patient-safety-innovation
https://psnet.ahrq.gov/primer/human-factors-engineering
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psnet.ahrq.gov/node/42711/psn-pdf
October 31, 2014 - Characterising the complexity of medication safety using
a human factors approach: an observational … Characterising the complexity of medication safety using a
human factors approach: an observational … https://psnet.ahrq.gov/issue/characterising-complexity-medication-safety-using-human-factors-approach … the patient safety field matures, there is increasing recognition of the need to incorporate human factors … https://psnet.ahrq.gov/primer/human-factors-engineering
https://psnet.ahrq.gov/primer/human-factors-engineering
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psnet.ahrq.gov/node/46643/psn-pdf
January 10, 2018 - The role of checklists and human factors for improved
patient safety in plastic surgery. … The Role of Checklists and Human Factors for Improved Patient Safety in
Plastic Surgery. … https://psnet.ahrq.gov/issue/role-checklists-and-human-factors-improved-patient-safety-plastic-surgery … Human factors perspectives can inform design and implementation of safety interventions in health care … This commentary summarizes the role of human factors engineering and checklists as safety improvement
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psnet.ahrq.gov/node/40826/psn-pdf
October 05, 2011 - Patient Safety: A Human Factors Approach.
October 5, 2011
Dekker S. … https://psnet.ahrq.gov/issue/patient-safety-human-factors-approach
This book explores the complexity … of patient safety improvement through the lens of human factors
engineering and provides practical … https://psnet.ahrq.gov/issue/patient-safety-human-factors-approach
https://psnet.ahrq.gov/primer/human-factors-engineering … https://psnet.ahrq.gov/primer/human-factors-engineering
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psnet.ahrq.gov/node/36030/psn-pdf
June 09, 2011 - Human factors of complex sociotechnical systems.
June 9, 2011
Carayon P. … Human factors of complex sociotechnical systems. Appl Ergon. 2006;37(4):525-35. … https://psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
In this AHRQ–funded study, … perspective
https://psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
https://psnet.ahrq.gov … /primer/human-factors-engineering
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psnet.ahrq.gov/node/35231/psn-pdf
June 09, 2011 - Human factors considerations relevant to CPOE
implementations.
June 9, 2011
Saathoff A. … Human factors considerations relevant to CPOE implementations. … https://psnet.ahrq.gov/issue/human-factors-considerations-relevant-cpoe-implementations
The author reviews … the literature on computerized provider order entry (CPOE) implementation and
outlines human factors … /primer/computerized-provider-order-entry
https://psnet.ahrq.gov/primer/human-factors-engineering
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psnet.ahrq.gov/node/41257/psn-pdf
April 22, 2012 - Development of an evidence-based framework of factors
contributing to patient safety incidents in hospital … Development of an evidence-based framework of factors
contributing to patient safety incidents in hospital … https://psnet.ahrq.gov/issue/development-evidence-based-framework-factors-contributing-patient-safety … This systematic review analyzed nearly 100 articles to establish a contributory factors framework
that … A set of 20 domains were ultimately
outlined with most studies identifying individual factors, communication
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psnet.ahrq.gov/node/40114/psn-pdf
December 21, 2014 - A human factors curriculum for surgical clerkship
students. … A human factors curriculum for surgical clerkship students. … https://psnet.ahrq.gov/issue/human-factors-curriculum-surgical-clerkship-students
A one-day course on … human factors for medical students resulted in improved communication between the
students and both … /primer/human-factors-engineering
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psnet.ahrq.gov/node/43628/psn-pdf
October 29, 2014 - Factors associated with post-intensive care unit adverse
events: a clinical validation study. … Factors associated with post-intensive care unit adverse events: a
clinical validation study. … https://psnet.ahrq.gov/issue/factors-associated-post-intensive-care-unit-adverse-events-clinical-validation … -
study
This study sought to validate 25 factors that critical care nurses perceived to be associated … Patient complexity was most commonly linked to post-ICU adverse events, while specific system
factors
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psnet.ahrq.gov/node/45524/psn-pdf
January 03, 2017 - Using human factors design principles and industrial
engineering methods to improve accuracy and speed … Using Human Factors Design Principles and Industrial
Engineering Methods to Improve Accuracy and Speed … https://psnet.ahrq.gov/issue/using-human-factors-design-principles-and-industrial-engineering-methods … This commentary describes an initiative that applied human factors engineering methods to enlist nurses … https://psnet.ahrq.gov/issue/design-everyday-things
https://psnet.ahrq.gov/primer/human-factors-engineering
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psnet.ahrq.gov/node/43856/psn-pdf
March 18, 2015 - Factors contributing to Registered Nurse medication
administration error: a narrative review. … Factors contributing to registered nurse medication administration error: a
narrative review. … https://psnet.ahrq.gov/issue/factors-contributing-registered-nurse-medication-administration-error-narrative … As the studies identified focused primarily on environmental factors and few discussed
how behaviors … https://psnet.ahrq.gov/issue/factors-contributing-registered-nurse-medication-administration-error-narrative-review
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psnet.ahrq.gov/node/42364/psn-pdf
September 18, 2013 - The pursuit of better diagnostic performance: a human
factors perspective. … The pursuit of better diagnostic performance: a human factors perspective. … explores how principles from human factors can be applied to reduce diagnostic errors. … https://psnet.ahrq.gov/issue/pursuit-better-diagnostic-performance-human-factors-perspective
https:// … psnet.ahrq.gov/primer/human-factors-engineering
https://psnet.ahrq.gov/primer/diagnostic-errors