Commentary Safety-relevant mode confusions—modelling and reducing them. Citation Text: Bredereke J, Lankenau A. Safety-relevant mode confusions—modelling and reducing them. Reliab Eng Syst Saf. 2004;88(3). doi:10.1016/j.ress.2004.07.020. Copy Citation Format: DOIGoogle ScholarBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL June 1, 2005 Bredereke J, Lankenau A. Reliab Eng Syst Saf. 2004;88(3). View more articles from the same authors. "Mode confusion" occurs when a user’s sense of how a technology works doesn't match its functionality. The authors shape and validate a definition of mode confusion specific to safety-critical systems. Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Bredereke J, Lankenau A. Safety-relevant mode confusions—modelling and reducing them. Reliab Eng Syst Saf. 2004;88(3). doi:10.1016/j.ress.2004.07.020. Copy Citation Format: DOIGoogle ScholarBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. April 28, 2021 Anesthesia medication handling needs a new vision. February 14, 2018 Experience of learning from everyday work in daily safety huddles: a multi-method study. September 14, 2022 Evaluation of older persons' medications: a critical incident technique study exploring healthcare professionals' experiences and actions. June 23, 2021 Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. March 31, 2021 Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. 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Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. April 28, 2021
Experience of learning from everyday work in daily safety huddles: a multi-method study. September 14, 2022
Evaluation of older persons' medications: a critical incident technique study exploring healthcare professionals' experiences and actions. June 23, 2021
Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. March 31, 2021
Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. March 3, 2021
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Embracing the future-is artificial intelligence already better? A comparative study of artificial intelligence performance in diagnostic accuracy and decision-making. February 7, 2024
An investigation of diagnostic accuracy and confidence associated with diagnostic checklists as well as gender biases in relation to mental disorders. December 21, 2016
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Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. October 9, 2019
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Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. July 21, 2021
Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.' June 10, 2009
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Bad things can happen: are medical students aware of patient centered care and safety? January 25, 2023
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Review of medication errors that are new or likely to occur more frequently with electronic medication management systems. July 17, 2019
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Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study. April 26, 2017
Equipped: overcoming barriers to change to improve quality of care (theories of change). March 18, 2015
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Association of low-dose whole-body computed tomography with missed injury diagnoses and radiation exposure in patients with blunt multiple trauma. February 5, 2020
Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. October 2, 2013
Does the patient's payer matter in hospital patient safety?: a study of urban hospitals. January 31, 2007
North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors. October 12, 2005
Defining near misses: towards a sharpened definition based on empirical data about error handling processes. June 23, 2010
Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. December 7, 2022
Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. September 4, 2019
Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. February 21, 2007
Journey to no preventable risk: The Baylor Health Care System patient safety experience. November 3, 2010
Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. August 23, 2017
Am I my brother's keeper? A survey of 10 healthcare professions in the Netherlands about experiences with impaired and incompetent colleagues. January 7, 2015
Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. December 16, 2020
Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department. July 6, 2022
Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons. October 14, 2015
Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. March 27, 2013
The relationship between the learning and patient safety climates of clinical departments and residents' patient safety behaviors. October 17, 2018
For children admitted to hospital, what interventions improve medication safety on ward rounds? March 1, 2023
Safety of the Manchester Triage System to detect critically ill children at the emergency department. August 17, 2016
Using the Targeted Solutions Tool to improve hand hygiene compliance is associated with decreased health care–associated infections. April 6, 2016
Why do doctors make mistakes? A study of the role of salient distracting clinical features. December 11, 2013
Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. November 24, 2021
Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. March 15, 2023
Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. June 22, 2016
Clinical reasoning in the context of active decision support during medication prescribing. April 5, 2017
Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. April 9, 2014
What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. October 21, 2020
What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. May 18, 2022
Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care. August 10, 2022
Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. December 7, 2005
Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital. August 19, 2009
Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort ofcommunity-dwelling oldest old. January 25, 2017
Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. August 5, 2015
Culture change in infection control: applying psychological principles to improve hand hygiene. July 24, 2013
Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. April 5, 2017
Strategies to identify patient risks of prescription opioid addiction when initiating opioids for pain: a systematic review. June 19, 2019
Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. March 12, 2014
Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. November 15, 2023
Patient Safety Innovations Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors September 29, 2021
Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. September 8, 2021
Sleep and errors in a group of Australian hospital nurses at work and during the commute. November 19, 2008
Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment. July 2, 2008
Unexpectedly long hospital stays as an indicator of risk of unsafe care: an exploratory study. June 25, 2014
Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017 June 10, 2020
Statewide identification of adverse events using retrospective nurse review: methods and outcomes. May 7, 2008
A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes. July 6, 2011
A "Do No Harm" novel safety checklist and research approach to determine whether to launch an artificial intelligence-based medical technology: introducing the Biological-Psychological, Economic, and Social (BPES) Framework. July 5, 2023
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Quality and Safety Considerations in Intensity Modulated Radiation Therapy: An ASTRO Safety White Paper Update. May 17, 2023
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Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls. January 25, 2023
Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety. November 16, 2022
Pulse oximeters and their inaccuracies will get FDA scrutiny today. What took so long? November 9, 2022
Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? July 27, 2022
Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. June 22, 2022
FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. February 24, 2022 - February 24, 2022
COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals. September 2, 2020
Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study. September 25, 2019
Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. September 18, 2019
Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary data analysis toward electronic medical record–glucometer interoperability. May 29, 2019
Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety? April 24, 2019
Unintended patient safety risks due to wireless smart infusion pump library update delays. March 13, 2019