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Gurses AP, Ozok AA, Pronovost PJ. BMJ Qual Saf. 2012;21:347-351.
Gurses AP;Ozok AA;Pronovost PJ. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012; 21: 347-351
Examining how human factors and ergonomics (HFE) concepts can enhance user performance and reduce error, this commentary recommends integrating HFE techniques into health care to improve patient safety.
Patient Safety Certificate Program.
Armstrong Institute for Patient Safety and Quality. December 7-11, 2015; Constellation Energy Building, Baltimore, MD.
The well-defined pediatric ICU: active surveillance using nonmedical personnel to capture less serious safety events.
White WA, Kennedy K, Belgum HS, Payne NR, Kurachek S. Jt Comm J Qual Patient Saf. 2015;41:550-562.
What's in your kit? A safety checkup may be in order.
Paparella SF. J Emerg Nurs. 2015;41:513-515.
The underappreciated role of habit in highly reliable healthcare.
Vogus TJ, Hilligoss B. BMJ Qual Saf. 2015 Sep 2; [Epub ahead of print].
Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster randomized controlled trial.
Murphy DR, Wu L, Thomas EJ, Forjuoh SN, Meyer AND, Singh H. J Clin Oncol. 2015;33:3560-3567.
Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review.
Werner NE, Holden RJ. Appl Ergon. 2015;51:244-254.
The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care.
Sujan M, Spurgeon P, Cooke P. Reliab Eng Syst Saf. 2015;141:54-62.
Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents.
Mitchell RJ, Williamson A, Molesworth B. Safety Sci. 2015;79:163-174.
Heparin-containing medical devices and combination products: recommendations for labeling and safety testing. Draft guidance for industry and Food and Drug Administration staff.
Federal Register. Washington, DC: US Department of Health and Human Services. Baltimore, MD: Food and Drug Administration. July 9, 2015;80:39440-39441.
Why even good physicians do not wash their hands.
Redelmeier DA, Shafir E. BMJ Qual Saf. 2015;24:744-747.
Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign.
Zheng K, Ciemins EL, Lanham HJ, Lindberg C. Rockville, MD: Agency for Healthcare Research and Quality; July 2015. AHRQ Publication No. 15-0058-EF.
In Conversation With… Robert M. Wachter, MD
New Insights on Safety and Health IT
A. Zach Hettinger, MD, MS; Raj Ratwani, PhD; Rollin J. (Terry) Fairbanks, MD, MS
Technology, cognition and error.
Coiera E. BMJ Qual Saf. 2015;24:417-422.
An evaluation of the effects of human factors and ergonomics on health care and patient safety practices: a systematic review.
Mao XY, Jia PL, Zhang LH, Zhao PJ, Chen Y, Zhang MM. PLoS One. 2015;10:e0129948.
Innovative teaching in situational awareness.
Gregory A, Hogg G, Ker J. Clin Teach. 2015;12:331-335.
Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curricula in the UK.
Greig PR, Higham H, Vaux E. BMJ Qual Saf. 2015;24:558-560.
Surgical never events and contributing human factors.
Thiels CA, Lal TM, Nienow JM, et al. Surgery. 2015;58:515-521.
The absence of a drug–disease interaction alert leads to a child's death.
ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4.
FDA cautions about dose confusion and medication errors for antibacterial drug Zerbaxa (ceftolozane and tazobactam).
FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; May 20, 2015.
The husband's story: from tragedy to learning and action.
Bromiley M. BMJ Qual Saf. 2015;24:425-427.
Role of cognition in generating and mitigating clinical errors.
Patel VL, Kannampallil TG, Shortliffe EH. BMJ Qual Saf. 2015;24:468-474.
A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety.
Perlin JB, Mower L, Bushe C. J Healthc Qual. 2015;37:173-188.
Preventing high-alert medication errors in hospital patients.
Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23.
Best practices: an electronic drug alert program to improve safety in an accountable care environment.
Griesbach S, Lustig A, Malsin L, Carley B, Westrich KD, Dubois RW. J Manag Care Spec Pharm. 2015;21:330-336.
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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