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Human Factors Engineering
PATIENT SAFETY PRIMERS
Human Factors Engineering
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Human Factors Engineering
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REVIEW
A review of medical error reporting system design considerations and a proposed cross-level systems research framework.
Holden RJ, Karsh BT. Hum Factors. 2007;49:257-276.
COMMENTARY
Physical environments that promote safe medication use.
Grissinger M. P T. 2012;37:377-378.
BOOK/REPORT
Behind Human Error, Second Edition.
Woods DD, Dekker S, Cook R, Johannesen L, Sarter N. Burlington, VT: Ashgate; 2010. ISBN: 9780754678335.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.
COMMENTARY
Doctors are more dangerous than gun owners: a rejoinder to error counting.
Dekker S. Hum Factors. 2007;49:177-184.
NEWSPAPER/MAGAZINE ARTICLE
Medication errors: a year in review.
Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.
BOOK/REPORT
Health IT and Patient Safety: Building Safer Systems for Better Care.
Committee on Patient Safety and Health Information Technology, Board on Health Care Services, Institute of Medicine. Washington, DC: National Academies Press; 2011. ISBN: 9780309221122.
STUDY
Analysis and prioritization of near-miss adverse events in a radiology department.
Thornton RH, Miransky J, Killen AR, Solomon SB, Brody LA. AJR Am J Roentgenol. 2011;196:1120-1124.
STUDY
Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.
Staggers N, Clark L, Blaz JW, Kapsandoy S. Health Informatics J. 2011;17:209-223.
STUDY
The nature and occurrence of registration errors in the emergency department.
Hakimzada AF, Green RA, Sayan OR, Zhang J, Patel VL. Int J Med Inform. 2008;77:169-175.
STUDY
Improving the usability of intravenous medication labels to support safe medication delivery.
Bauer DT, Guerlain S. Int J Ind Ergon. 2011;41:394-399.
STUDY
Accuracy of computer-generated, Spanish-language medicine labels.
Sharif I, Tse J. Pediatrics. 2010;125:960-965.
STUDY
Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.
Colligan L, Guerlain S, Steck SE, Hoke TR. BMJ Qual Saf. 2012;21:939-947.
STUDY
Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.
Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.
SPECIAL OR THEME ISSUE
Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit.
Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(suppl 6):S83-S264.
STUDY
An intervention to decrease patient identification band errors in a children's hospital.
Hain PD, Joers B, Rush M, et al. Qual Saf Health Care. 2010;19:244-247.
REVIEW
The safety of intravenous drug delivery systems: update on current issues since the 1999 Consensus Development Conference.
Sanborn M, Gabay M, Moody ML. Hosp Pharm. 2009;44:159-164.
STUDY
Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system.
Zheng K, Hanauer DA, Padman R, et al. J Am Med Inform Assoc. 2011;18:883-889.
BOOK/REPORT
Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process.
Joseph A, Quan X, Taylor E, Jelen M. Concord, CA: Center for Health Design; 2012.
STUDY
Improving general practice computer systems for patient safety: qualitative study of key stakeholders.
Avery AJ, Savelyich BSP, Sheikh A, Morris CJ, Bowler I, Teasdale S. Qual Saf Health Care. 2007;16:28-33.
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