AHRQ Patient Safety Network

The Collection > Human Factors Engineering

PATIENT SAFETY PRIMERS
Human Factors Engineering

Narrow By

clear selections

Safety Target

•Device-related Complications (50)

•Diagnostic Errors (21)

•Identification Errors (24)

•Discontinuities, Gaps, and Hand-Off Problems (34)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (191)

•Medical Complications (43)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (73)

•Transfusion Complications (2)

•Psychological and Social Complications (9)

Origin/Sponsor

•Asia (8)

•Australia and New Zealand (21)

•Central and South America (1)

Resource Types

•Journal Article (315)

•Legislation/Regulation (11)

•Meeting/Conference (2)

•Newspaper/Magazine Article (53)

•Press Release/Announcement (8)

•Special or Theme Issue (19)

•Tools/Toolkit (3)

•Web Resource (4)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (72)

•Active Errors (113)

•Latent Errors (51)

•Near Miss (8)

Approach to Improving Safety
< All

Human Factors Engineering

•Forcing Functions (12)

•Medical Device Design (26)

•Medical Alarm Design (19)

•Checklists (51)

•Failure Mode Effects Analysis (1)

Clinical Areas

•Allied Health Services (1)

•Medicine (297)

•Nursing (62)

•Pharmacy (76)

Target Audience

•Health Care Providers (306)

•Health Care Executives and Administrators (404)

•Non-Health Care Professionals (201)

•Patients (13)

Setting of Care

•Hospitals (272)

•Psychiatric Facilities (1)

•Residential Facilities (6)

•Ambulatory Care (30)

•Outpatient Surgery (4)

•Patient Transport (3)

1 - 20 of 446

Show ExcerptDon't Show Excerpt

dropdown

STUDY

The influence of formulation and medicine delivery system on medication administration errors in care homes for older people.

Alldred DP, Standage C, Fletcher O, et al. BMJ Qual Saf. 2011;20:397-402.

STUDY

The culture of a trauma team in relation to human factors.

Cole E, Crichton N. J Clin Nurs. 2006;15:1257-1266.

STUDY

Protocol-based computer reminders, the quality of care and the non-perfectability of man.

McDonald CJ. N Engl J Med. 1976;295:1351-1355.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing adverse events caused by emergency electrical power system failures.

Sentinel Event Alert. September 6, 2006;(37):1-3.

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.

BOOK/REPORT

Health Care Comes Home: The Human Factors.

Committee on the Role of Human Factors in Home Health Care. Washington, DC: National Research Council; 2011. ISBN: 9780309212366.

STUDY

Factors influencing doctors' ability to calculate drug doses correctly.

Wheeler DW, Wheeler SJ, Ringrose TR. Int J Clin Pract. 2007;61:189-194.

TOOLKIT

A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook.

Waltham, MA: Masspro, Massachusetts Coalition for the Prevention of Medical Errors, Massachusetts Extended Care Foundation; 2007.

STUDY

Promoting patient safety through prospective risk identification: example from peri-operative care.

Smith A, Boult M, Woods I, Johnson S. Qual Saf Health Care. 2010;19:69-73.

COMMENTARY

Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.

Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.

SPECIAL OR THEME ISSUE

Human Factors and Ergonomics in Healthcare Delivery: A Special Issue on Health Information Technology and Medication Administration Safety.

Garrett SK, Khasawneh MT, eds. Int J Indust Ergon. 2011;41:333-400.

STUDY

Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes.

Neale G, Hogan H, Sevdalis N. Clin Med. 2011;11:317-321.

COMMENTARY

Reducing latent errors, drift errors, and stakeholder dissonance.

Samaras GM. Work: J Prev Assess Rehabil. 2012;41:1948-1955.

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.

COMMENTARY

Should patients have a role in patient safety? A safety engineering view.

Lyons M. Qual Saf Health Care. 2007;16:140-142.

STUDY

Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors.

Scott GPT, Shah P, Wyatt JC, Makubate B, Cross FW. J Am Med Inform Assoc. 2011;18:789-798.

SPECIAL OR THEME ISSUE

CMS 30-minute rule for drug administration needs revision.

ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.

COMMENTARY

Eptifibatide Epilogue

Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.

STUDY

Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting.

Smith AF, Goodwin D, Mort M, Pope C. Br J Anaesth. 2006;96:715-721.

1 2 3 4 5 6 7 8 9 10 11 Next >