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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 4-8, 2017; Constellation Energy Building, Baltimore, MD.
Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey.
O'Leary KJ, Johnson JK, Manojlovich M, Astik GJ, Williams MV. Jt Comm J Qual Patient Saf. 2017 Jul 21; [Epub ahead of print].
Administering and monitoring high-alert medications in acute care.
Cajanding JMR. Nurs Stand. 2017;31:42-52.
Pictograms, units and dosing tools, and parent medication errors: a randomized study.
Yin HS, Parker RM, Sanders LM, et al. Pediatrics. 2017;140:e20163237.
Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients.
McDonald KM, Su G, Lisker S, Patterson ES, Sarkar U. Implement Sci. 2017;12:79.
Use of cascading A3s to drive systemwide improvement.
Winner LE, Burroughs TJ, Cady-Reh JA, et al. Jt Comm J Qual Patient Saf. 2017;43:422-428.
Human Factors Engineering
Patient, provider, and system factors contributing to patient safety events during medical and surgical hospitalizations for persons with serious mental illness.
McGinty EE, Thompson DA, Pronovost PJ, et al. J Nerv Ment Dis. 2017;205:495-501.
Workplace factors associated with burnout of family physicians.
Rassolian M, Peterson LE, Fang B, et al. JAMA Intern Med. 2017;177:1036-1038.
Changing the narratives for patient safety.
Pronovost PJ, Sutcliffe KM, Basu L, Dixon-Woods M. Bull World Health Organ. 2017;95:478-480.
Polypharmacy in the elderly—when good drugs lead to bad outcomes: a teachable moment.
Carroll C, Hassanin A. JAMA Intern Med. 2017;177:871.
Inpatient Notes: human factors engineering and inpatient care—new ways to solve old problems.
Clack L, Sax H. Ann Intern Med. 2017;166:HO2-HO3.
The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities for implementation.
Pickup L, Lang A, Atkinson S, Sharples S. Ergonomics. 2017 Mar 17; [Epub ahead of print].
Medication safety in two intensive care units of a community teaching hospital after electronic health record implementation: sociotechnical and human factors engineering considerations.
Carayon P, Wetterneck TB, Cartmill R, et al. J Patient Saf. 2017 Feb 28; [Epub ahead of print].
Managing the patient identification crisis in healthcare and laboratory medicine.
Lippi G, Mattiuzzi C, Bovo C, Favaloro EJ. Clin Biochem. 2017;50:562-567.
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.
Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications.
Counter D, Stewart D, MacLeod J, McLay JS. Br J Clin Pharmacol. 2017;83:1515-1520.
The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking.
Norman GR, Monteiro SD, Sherbino J, Ilgen JS, Schmidt HG, Mamede S. Acad Med. 2017;92:23-30.
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.
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].
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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