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Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS).

Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors analysis of nonprocedural significant harm incidents from the National Reporting and Learning System (NRLS). Endoscopy. 2024;56(2):89-99. doi:10.1055/a-2177-4130.

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November 29, 2023
Ravindran S, Matharoo M, Rutter MD, et al. Endoscopy. 2024;56(2):89-99.
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Understanding the influence of human factors on team and system performance can help safety professionals identify opportunities for improvement. In this study, researchers used a large, centralized incident reporting database in the United Kingdom to examine the human factors contributing to non-procedural endoscopy-related patient safety incidents. Based on Human Factors Analysis and Classification System coding, decision-based errors were the most common factor contributing to incidents, but other contributing factors were also identified, including lack of resources and ineffective team communication.

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Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors analysis of nonprocedural significant harm incidents from the National Reporting and Learning System (NRLS). Endoscopy. 2024;56(2):89-99. doi:10.1055/a-2177-4130.

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