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psnet.ahrq.gov/issue/applying-human-factors-patient-safety-reliability-and-investigation-healthcare-seips-action
October 11, 2021 - The application of human factors and ergonomics methods to healthcare process design results in proactive … Copy Citation
Related Resources
Improving Patient Safety with Human Factors Methods
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psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementation-rfid
February 27, 2019 - A new method to guard inpatient medication safety by the implementation of RFID. … A new method to guard inpatient medication safety by the implementation of RFID. … May 31, 2023
Hospital and procedure incidence of pediatric retained surgical items. … Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures … December 3, 2014
Does an insulin double-checking procedure improve patient safety?
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psnet.ahrq.gov/web-mm/what-was-those-platelets
October 20, 2023 - The procedure went well, and he was stable and transferred to a general surgical ward postoperatively … and new procedures remain under development ( Table 3 ). … Methods to Interdict Platelet Bacterial Contamination. ( 20 )
Methods Currently in Use in the … United States
Method
Mechanism
Discarding the first 20-30cc of … Methods Under Investigation
Method
Mechanism
A system that uses
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psnet.ahrq.gov/issue/medication-safety-emergency-medical-services-approaching-evidence-based-method-verification
September 28, 2022 - Medication safety in emergency medical services: approaching an evidence-based method … Medication safety in emergency medical services: approaching an evidence-based method of verification … Medication safety in emergency medical services: approaching an evidence-based method of verification … Response to Injury, a Large-Scale Collaborative Project: patient-oriented research core—standard operating procedures … March 30, 2011
Systematic review of medication safety assessment methods.
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psnet.ahrq.gov/issue/medication-double-checking-procedures-clinical-practice-cross-sectional-survey-oncology
March 21, 2018 - Study
Medication double-checking procedures in clinical practice: a cross-sectional … Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses … April 1, 2020
The impact of type of manual medication cart filling method on the frequency … Differences in medication reconciliation interventions between six hospitals: a mixed method … November 22, 2017
Impact of interruptions, distractions, and cognitive load on procedure
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psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events
November 21, 2018 - Using a Safety-II framework, the authors used a mixed-methods approach to retrospectively analyze … A mixed methods study of 15 organisations in England. … November 14, 2012
Current teaching and evaluation methods in critical care medicine: … April 26, 2023
Using the Generic Analysis Method to analyze sentinel event reports across … March 1, 2023
Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person
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psnet.ahrq.gov/issue/stroke-hospitalization-after-misdiagnosis-benign-dizziness-lower-specialty-care-general
May 12, 2021 - specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods … specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods … in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method … November 2, 2022
Methods used to obtain pediatric patient weights, their accuracy and … August 17, 2022
Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods,
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psnet.ahrq.gov/issue/assessing-clinical-economic-and-health-resource-utilization-impacts-prefilled-syringes-versus
August 18, 2021 - health resource utilization impacts of prefilled syringes versus conventional medication administration methods … health resource utilization impacts of prefilled syringes versus conventional medication administration methods … December 23, 2020
Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods … September 14, 2011
Incorrect surgical procedures within and outside of the operating … When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures
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psnet.ahrq.gov/issue/unsafe-care-residential-settings-older-adults-content-analysis-accreditation-reports
August 16, 2023 - Nearly 50% of incidents involved clinical processes or procedures, and 25% involved documentation errors … September 26, 2018
Nature of blame in patient safety incident reports: mixed methods … , 2012
Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method … discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method … June 7, 2023
Defining avoidable healthcare-associated harm in prisons: a mixed-method
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psnet.ahrq.gov/periodic-issue/periodic-issue-348
May 16, 2022 - Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures … patients undergoing coronary artery bypass graft (CABG) performed as a surgeons’ first versus non-first procedure … CABG surgery, with increases in adverse events, myocardial infarction, and stroke compared to first procedures … patient being transported from the Emergency Department (ED) to other parts of the hospital for tests or procedures … In one case, the wrong patient was identified before undergoing an unnecessary procedure; in the second
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psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
May 18, 2022 - )-method. … April 6, 2022
Differences between methods of detecting medication errors: a secondary … cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures … September 14, 2022
A systematic review of methods for medical record analysis to detect … July 20, 2022
Medication safety in mental health hospitals: a mixed-methods analysis
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psnet.ahrq.gov/issue/application-human-factors-methods-ensure-appropriate-infant-identification-and-abduction
December 01, 2010 - Commentary
Application of human factors methods to ensure appropriate infant identification … Application of human factors methods to ensure appropriate infant identification and abduction prevention … Application of human factors methods to ensure appropriate infant identification and abduction prevention … June 29, 2022
Application of human factors methods to understand missed follow-up of … Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method
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psnet.ahrq.gov/issue/seniors-managing-multiple-medications-using-mixed-methods-view-home-care-safety-lens
July 29, 2015 - Study
Seniors managing multiple medications: using mixed methods to view the home … Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method … Differences in medication reconciliation interventions between six hospitals: a mixed method … 28, 2020
Experience of learning from everyday work in daily safety huddles: a multi-method … September 2, 2020
A comprehensive method to develop a checklist to increase safety of
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psnet.ahrq.gov/issue/electronic-prescribing-systems-hospitals-improve-medication-safety-multi-methods-research
February 19, 2014 - Electronic prescribing systems in hospitals to improve medication safety: a multi-methods … January 4, 2012
Harms from discharge to primary care: mixed methods analysis of incident … , 2020
Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method … discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method … May 24, 2023
Human factors and safety analysis methods used in the design and redesign
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psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national
December 16, 2015 - patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods … April 1, 2020
Sources of unsafe primary care for older adults: a mixed-methods analysis … , 2013
Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method … May 27, 2020
Patient safety in palliative care: a mixed-methods study of reports to a … April 25, 2018
Medication safety in mental health hospitals: a mixed-methods analysis
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psnet.ahrq.gov/issue/pediatric-patient-safety-events-during-hospitalization-approaches-accounting-institution
June 11, 2008 - The authors use these methods to uncover characteristics associated with the occurrence of patient safety … The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures … 2005
Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures … May 7, 2014
Incorrect surgical procedures within and outside of the operating room. … August 30, 2006
Clinical reasoning assessment methods: a scoping review and practical
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psnet.ahrq.gov/issue/unintended-consequences-computerized-provider-order-entry-findings-mixed-methods-exploration
December 10, 2008 - The unintended consequences of computerized provider order entry: findings from a mixed methods … The unintended consequences of computerized provider order entry: Findings from a mixed methods exploration … The unintended consequences of computerized provider order entry: Findings from a mixed methods exploration … September 29, 2021
Application of human factors methods to understand missed follow-up … 21, 2012
Patient perceptions of receiving test results via online portals: a mixed-methods
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psnet.ahrq.gov/issue/understanding-patient-centred-readmission-factors-multi-site-mixed-methods-study
May 04, 2016 - Study
Understanding patient-centred readmission factors: a multi-site, mixed-methods … Understanding patient-centred readmission factors: a multi-site, mixed-methods study. … Understanding patient-centred readmission factors: a multi-site, mixed-methods study. … 2007
Implementation and sustainability of a medication reconciliation toolkit: a mixed methods … 2019
Medication safety in emergency medical services: approaching an evidence-based method
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psnet.ahrq.gov/issue/utilizing-improvement-science-methods-improve-physician-compliance-proper-hand-hygiene
April 13, 2011 - Study
Utilizing improvement science methods to improve physician compliance with … Utilizing improvement science methods to improve physician compliance with proper hand hygiene. … Utilizing improvement science methods to improve physician compliance with proper hand hygiene. … Related Resources From the Same Author(s)
Utilising improvement science methods … October 21, 2009
Using improvement science methods to increase accuracy of surgical consents
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psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-methods-monitoring-and-measurement
January 16, 2013 - Methods for monitoring and measurement. … Methods for monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8. … Methods for monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8.