U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
Sign up for a Free Account
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.
SEIPS Systems Engineering Initiative for Patient Safety.
University of Florida Center for Simulation, Education, and Safety Research, April 3–7, 2017; The River Club, Jacksonville, FL.
Patient Safety Certificate Program.
Armstrong Institute for Patient Safety and Quality. March 13-17, 2017; Constellation Energy Building, Baltimore, MD.
2017 International Symposium on Human Factors and Ergonomics in Health Care: Improving the Outcomes.
Human Factors and Ergonomics Society. March 5–8, 2017; Sheraton New Orleans, New Orleans, Louisiana.
A Framework for Safe, Reliable, and Effective Care.
Frankel A, Haraden C, Federico F, Lenoci-Edwards J. Cambridge, MA: Institute for Healthcare Improvement and Safe & Reliable Healthcare; 2017.
Patient experience must move beyond bad apples.
Hamedani A, Safdar B, Aaronson E, Lee TH. Ann Intern Med. 2016;165:869-870.
More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England?
Hignett S, Lang A, Pickup L, et al. Ergonomics. 2016 Oct 7; [Epub ahead of print].
Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center.
Rhee C, Phelps ME, Meyer B, Reed WG. Jt Comm J Qual Patient Saf. 2016;42:447-471.
Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays.
Chen DW, Chase VJ, Burkhardt ME, Agulto AZ. Jt Comm J Qual Patient Saf. 2016;42:473-477.
Do work condition interventions affect quality and errors in primary care? Results from the Healthy Work Place Study.
Linzer M, Poplau S, Brown R, et al. J Gen Intern Med. 2017;32:56-61.
Human Factors Engineering
An acetaminophen icon helps reduce medication decision errors in an experimental setting.
Shiffman S, Cotton H, Jessurun C, Rohay JM, Sembower MA. J Am Pharm Assoc (2003). 2016;56:495-503.
Situational awareness—what it means for clinicians, its recognition and importance in patient safety.
Green B, Parry D, Oeppen RS, Plint S, Dale T, Brennan PA. Oral Dis. 2016 Jul 22; [Epub ahead of print].
Center for Health Design.
Safety for all: integrated design for inpatient units.
Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28.
An innovative approach to the surgical time out: a patient-focused model.
Kozusko SD, Elkwood L, Gaynor D, Chagares SA. AORN J. 2016;103:617-622.
FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters.
Institute for Safe Medication Practices. June 2016.
Perioperative safety: learning, not taking, from aviation.
Neuhaus C, Hofer S, Hofmann G, Wächter C, Weigand MA, Lichtenstern C. Anesth Analg. 2016;122:2059-2063.
Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains.
Schroeder SR, Salomon MM, Galanter WL, et al. BMJ Qual Saf. 2016 May 18; [Epub ahead of print].
Nursing strategies to increase medication safety in inpatient settings.
Bravo K, Cochran G, Barrett R. J Nurs Care Qual. 2016;31:335-341.
Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors.
ISMP Medication Safety Alert! Acute Care Edition. February 25, 2016;21:1-5.
Human factors and quality improvement in the emergency department: reducing potential errors in blood collection.
Bashkin O, Caspi S, Swissa A, Amedi A, Zornano S, Stalnikowicz R. J Patient Saf. 2016 Feb 18; [Epub ahead of print].
Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial.
Meeker D, Linder JA, Fox CR, et al. JAMA. 2016;315:562-570.
Why 'Universal Precautions' are needed for medication lists.
Shane R. BMJ Qual Saf. 2016;25:731-732.
Human factors in healthcare: welcome progress, but still scratching the surface.
Waterson P, Catchpole K. BMJ Qual Saf. 2016;25:480-484.
The Swiss cheese model of adverse event occurrence—closing the holes.
Stein JE, Heiss K. Semin Pediatr Surg. 2015;24:278-282.
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.
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364