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psnet.ahrq.gov/node/35043/psn-pdf
June 22, 2009 - Human factors engineering: a tool for medical device
evaluation in hospital procurement decision-making … Human factors engineering: a tool for medical device evaluation in hospital procurement
decision-making … https://psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-
procurement-decision-making … The investigators conducted a human factors evaluation of three infusion pumps, combining heuristic … https://psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making
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psnet.ahrq.gov/node/40844/psn-pdf
January 04, 2012 - Intensive care unit readmissions in U.S. hospitals: patient
characteristics, risk factors, and outcomes … Intensive care unit readmissions in U.S. hospitals: patient
characteristics, risk factors, and outcomes … //psnet.ahrq.gov/issue/intensive-care-unit-readmissions-us-hospitals-patient-characteristics-risk-
factors-and … The risk of readmission was associated with several
clinical factors, including overall severity and … https://psnet.ahrq.gov/issue/intensive-care-unit-readmissions-us-hospitals-patient-characteristics-risk-factors-and
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psnet.ahrq.gov/node/42552/psn-pdf
January 14, 2014 - Interprofessional care in intensive care settings and the
factors that impact it: results from a scoping … Interprofessional care in intensive care settings and the factors that
impact it: results from a scoping … https://psnet.ahrq.gov/issue/interprofessional-care-intensive-care-settings-and-factors-impact-it-results … review found that little is still understood about the processes, relationships, and organizational factors … https://psnet.ahrq.gov/issue/interprofessional-care-intensive-care-settings-and-factors-impact-it-results-scoping-review
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psnet.ahrq.gov/node/37399/psn-pdf
March 28, 2012 - Factors affecting incident reporting by registered nurses:
the relationship of perceptions of the environment … Factors affecting incident reporting by registered nurses: the relationship of
perceptions of the environment … https://psnet.ahrq.gov/issue/factors-affecting-incident-reporting-registered-nurses-relationship-perceptions … -
environment
This survey examined factors influencing nurses' willingness to use incident reporting … https://psnet.ahrq.gov/issue/factors-affecting-incident-reporting-registered-nurses-relationship-perceptions-environment
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psnet.ahrq.gov/node/33958/psn-pdf
December 18, 2008 - A review of the literature examining linkages between
organizational factors, medical errors, and patient … A review of the literature examining linkages between organizational
factors, medical errors, and patient … https://psnet.ahrq.gov/issue/review-literature-examining-linkages-between-organizational-factors-medical … -
errors-and
An exploration of the role that organizational factors play in achieving patient safety … https://psnet.ahrq.gov/issue/review-literature-examining-linkages-between-organizational-factors-medical-errors-and
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psnet.ahrq.gov/node/36691/psn-pdf
January 18, 2011 - The burden and risk factors for adverse drug events in
older patients--a prospective cross-sectional … The burden and risk factors for adverse drug events in older patients--a
prospective cross-sectional … https://psnet.ahrq.gov/issue/burden-and-risk-factors-adverse-drug-events-older-patients-prospective-cross … events (ADEs) in older patients presenting to a South African
emergency department and identified factors … https://psnet.ahrq.gov/issue/burden-and-risk-factors-adverse-drug-events-older-patients-prospective-cross-sectional-study
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psnet.ahrq.gov/node/38294/psn-pdf
March 01, 2011 - Factors associated with unanticipated day of surgery
deaths in Department of Veterans Affairs hospitals … Factors associated with unanticipated day of surgery deaths in
Department of Veterans Affairs hospitals … https://psnet.ahrq.gov/issue/factors-associated-unanticipated-day-surgery-deaths-department-veterans- … contributors to unexpected deaths in low-risk surgical patients, and concludes that
patient and surgical factors … https://psnet.ahrq.gov/issue/factors-associated-unanticipated-day-surgery-deaths-department-veterans-affairs-hospitals
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psnet.ahrq.gov/node/38105/psn-pdf
February 15, 2011 - Frequency of and risk factors for preventable medication-
related hospital admissions in the Netherlands … Frequency of and risk factors for preventable medication-
related hospital admissions in the Netherlands … https://psnet.ahrq.gov/issue/frequency-and-risk-factors-preventable-medication-related-hospital-
admissions-netherlands … The study further elucidates patient factors (e.g., impaired cognition,
co-morbidities) associated with … https://psnet.ahrq.gov/issue/frequency-and-risk-factors-preventable-medication-related-hospital-admissions-netherlands
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psnet.ahrq.gov/node/40255/psn-pdf
March 02, 2011 - Medication details documented on hospital discharge:
cross-sectional observational study of factors … Medication details documented on hospital discharge: cross-
sectional observational study of factors … psnet.ahrq.gov/issue/medication-details-documented-hospital-discharge-cross-sectional-
observational-study-factors … This study analyzed the patient- and medication-specific factors
associated with medication reconciliation … psnet.ahrq.gov/issue/medication-details-documented-hospital-discharge-cross-sectional-observational-study-factors
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psnet.ahrq.gov/node/44764/psn-pdf
February 10, 2016 - Human factors—recognising and minimising errors in our
day to day practice. … Human factors--recognising and minimising errors in our day to day
practice. … https://psnet.ahrq.gov/issue/human-factors-recognising-and-minimising-errors-our-day-day-practice
Human … This review
provides an introduction to human factors engineering and discusses fatigue, physical performance … https://psnet.ahrq.gov/issue/human-factors-recognising-and-minimising-errors-our-day-day-practice
https
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psnet.ahrq.gov/node/42458/psn-pdf
February 13, 2014 - Human factors and ergonomics as a patient safety
practice. … Human factors and ergonomics as a patient safety practice. … https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety-practice
As the field of patient … Integrating human factors
engineering (HFE) principles is central to this effort. … https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety-practice
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/40695/psn-pdf
December 31, 2014 - Factors contributing to an increase in duplicate
medication order errors after CPOE implementation. … Factors contributing to an increase in duplicate medication
order errors after CPOE implementation. … https://psnet.ahrq.gov/issue/factors-contributing-increase-duplicate-medication-order-errors-after-cpoe … Analysis by a physician and a human factors engineer identified several contributing causes. … https://psnet.ahrq.gov/issue/factors-contributing-increase-duplicate-medication-order-errors-after-cpoe-implementation
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psnet.ahrq.gov/node/42502/psn-pdf
October 07, 2013 - Patient safety in the cardiac operating room: human
factors and teamwork: a scientific statement from … Patient Safety in the Cardiac Operating Room: Human Factors
and Teamwork. … https://psnet.ahrq.gov/issue/patient-safety-cardiac-operating-room-human-factors-and-teamwork-scientific … every procedure, teamwork training and other approaches to
enhance safety culture, applying human factors … https://psnet.ahrq.gov/issue/patient-safety-cardiac-operating-room-human-factors-and-teamwork-scientific-statement
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psnet.ahrq.gov/node/44062/psn-pdf
September 09, 2015 - How to make medication error reporting systems
work—factors associated with their successful
development … How to make medication error reporting systems work--
Factors associated with their successful development … https://psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their … -
successful
A survey of 16 international medication safety experts identified the critical factors … https://psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their-successful
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psnet.ahrq.gov/node/43968/psn-pdf
April 24, 2015 - Mental models: a basic concept for human factors design
in infection prevention. … Mental models: a basic concept for human factors design in infection prevention. … https://psnet.ahrq.gov/issue/mental-models-basic-concept-human-factors-design-infection-prevention
Mental … efforts to improve hand hygiene in
health care, this commentary recommends designing around human factors … https://psnet.ahrq.gov/issue/mental-models-basic-concept-human-factors-design-infection-prevention
https
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psnet.ahrq.gov/node/43111/psn-pdf
November 04, 2014 - E-prescribing errors in community pharmacies: exploring
consequences and contributing factors. … E-prescribing errors in community pharmacies: exploring consequences
and contributing factors. … psnet.ahrq.gov/issue/e-prescribing-errors-community-pharmacies-exploring-consequences-and-
contributing-factors … Contributing factors included poor inter-operability between pharmacy and clinic
systems, inadequate … psnet.ahrq.gov/issue/e-prescribing-errors-community-pharmacies-exploring-consequences-and-contributing-factors
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psnet.ahrq.gov/node/41466/psn-pdf
June 20, 2012 - Factors predicting change in hospital safety climate and
capability in a multi-site patient safety collaborative … Factors predicting change in hospital safety climate and capability in a
multi-site patient safety collaborative … https://psnet.ahrq.gov/issue/factors-predicting-change-hospital-safety-climate-and-capability-multi-site … This article also discusses the program implementation factors that appeared to be
associated with improved … https://psnet.ahrq.gov/issue/factors-predicting-change-hospital-safety-climate-and-capability-multi-site-patient-safety
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psnet.ahrq.gov/node/33932/psn-pdf
May 27, 2011 - Preventable anesthesia mishaps: a study of human
factors. … Preventable anesthesia mishaps: a study of human factors.
Anesthesiology. 1978;49(6):399-406. … https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors
This study reports on … https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors
https://psnet.ahrq.gov … /primer/human-factors-engineering
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psnet.ahrq.gov/node/40024/psn-pdf
December 21, 2014 - Risk factors and outcomes for foreign body left during a
procedure: analysis of 413 incidents after … Risk factors and outcomes for foreign body left during a procedure:
analysis of 413 incidents after … https://psnet.ahrq.gov/issue/risk-factors-and-outcomes-foreign-body-left-during-procedure-analysis-413 … Although these errors are rare, prior studies in adults have defined risk factors for retained
instruments … https://psnet.ahrq.gov/issue/risk-factors-and-outcomes-foreign-body-left-during-procedure-analysis-413
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psnet.ahrq.gov/node/47331/psn-pdf
October 17, 2018 - Description and factors associated with missed nursing
care in an acute care community hospital. … Description and factors associated with missed nursing care in an acute care
community hospital. … https://psnet.ahrq.gov/issue/description-and-factors-associated-missed-nursing-care-acute-care-
community-hospital … reduced nurse staffing, lower job satisfaction, and decreased
satisfaction with teamwork were important factors … https://psnet.ahrq.gov/issue/description-and-factors-associated-missed-nursing-care-acute-care-community-hospital