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Shah RK, Arjmand E, Roberson DW, Deutsch E, Derkay C. Arch Otolaryngol Head Neck Surg. 2011;137:69-73.
Shah RK ; Arjmand E ; Roberson DW; et al. Variation in surgical time-out and site marking within pediatric otolaryngology. Arch Otolaryngol Head Neck Surg. 2011; 137: 69-73
This study surveyed clinicians and discovered significant variation in their time-out and site-marking procedures in daily practice. The authors highlight the dynamic tension between national regulations and local interpretations of such policies.
Surgical never events and contributing human factors.
Thiels CA, Lal TM, Nienow JM, et al. Surgery. 2015;58:515-521.
Distractions in the operating room.
Feil M. PA-PSRS Patient Saf Advis. June 2014;11:45-52.
Implementing human factors in clinical practice.
Timmons S, Baxendale B, Buttery A, Miles G, Roe B, Browes S. Emerg Med J. 2015;32:368-372.
Integrating human factors research and surgery: a review.
Shouhed D, Gewertz B, Wiegmann D, Catchpole K. Arch Surg. 2012;147:1141-1146.
Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.
Merry AF, Webster CS, Hannam J, et al. BMJ. 2011;343:d5543.
Critical phase distractions in anaesthesia and the sterile cockpit concept.
Broom MA, Capek AL, Carachi P, Akeroyd MA, Hilditch G. Anaesthesia. 2011;66:175-179.
Beyond the count: preventing the retention of foreign objects.
PA-PSRS Patient Saf Advis. June 2009;6:39-45.
Fatal outcome after inadvertent injection of topical epinephrine.
ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2.
A prospective study of patient safety in the operating room.
Christian CK, Gustafson ML, Roth EM, et al. Surgery. 2006;139:159-173.
Team communication in the operating room.
Davies JM. Acta Anaesthesiol Scand. 2005;49:898-901.
Human factor in cardiac surgery: errors and near misses in a high technology medical domain.
Carthey J, de Leval MR, Reason JT. Ann Thorac Surg. 2001;72:300-305.
Behavioral Health—Strategic Facility Design Innovations That Improve Treatment Outcomes, Safety and the Bottom Line Workshop.
The Center for Health Design. September 18, 2019. Hilton Baltimore Inner Harbor, Baltimore, MD.
Patient Safety Certificate Program.
Armstrong Institute for Patient Safety and Quality. June 3–7, 2019; Armstrong Institute for Patient Safety and Quality, Baltimore, MD.
Medicines safety in anaesthetic practice.
Mackay E, Jennings J, Webber S. BJA Education. 2019;19:151-157.
Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth.
Sherman JP, Hedli LC, Kristensen-Cabrera AI, et al; Safety Learning Laboratory for Neonatal and Maternal Care. Am J Perinatol. 2019 Apr 23; [Epub ahead of print].
Evidence-based medicine: a cornerstone for clinical care but not for quality improvement.
Mondoux S, Shojania KG. J Eval Clin Pract. 2019 Apr 11; [Epub ahead of print].
When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer?
Gordon M. Health Shots. National Public Radio. April 10, 2019.
Air pressure: human factors are the key to a safer flight environment.
Erich J. EMS World. April 2019;48:26-31.
Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital.
Dalal AK, Fuller T, Garabedian P, et al. J Am Med Inform Assoc. 2019 Mar 22; [Epub ahead of print].
Will human factors restore faith in the GMC?
Morgan L, Benson D, McCulloch P. BMJ. 2019;364:l1037.
Can we import improvements from industry to healthcare?
Macrae C, Stewart K. BMJ. 2019;364:l1039.
The wicked problem of patient misidentification: how could the technological revolution help address patient safety?
Ferguson C, Hickman L, Macbean C, Jackson D. J Clin Nurs. 2019 Mar 13; [Epub ahead of print].
Blind spots in the science of safety.
Bosk CL, Pedersen KZ. Lancet. 2019;393:978-979.
Your attention please... designing effective warnings.
ISMP Medication Safety Alert! Acute Care Edition. February 28, 2019;24.
Reclaiming the systems approach to paediatric safety.
Cheung R, Roland D, Lachman P. Arch Dis Child. 2019 Feb 23; [Epub ahead of print].
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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