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PSNet: Patient Safety Network
Journal Article

Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents.

Russ AL, Militello LG, Glassman PA, et al. J Patient Saf. 2019;15(3):191-197.

Cognitive task analysis is a human factors engineering method used to evaluate individuals' thinking to better understand safety. This study examined medication safety through the lens of cognitive task analysis and concluded that the method identifies actionable safety gaps and should be more widely used in health care.