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Shouhed D, Gewertz B, Wiegmann D, Catchpole K. Arch Surg. 2012;147:1141-1146.
Shouhed D ; Gewertz B ; Wiegmann D; et al. Integrating human factors research and surgery: a review. Arch Surg. 2012; 147: 1141-1146
Human factors engineering principles have the potential to greatly improve patient safety but are likely underutilized in safety efforts. This thematic review examines how ergonomics principles have been integrated into surgical safety programs.
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.
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.
Variation in surgical time-out and site marking within pediatric otolaryngology.
Shah RK, Arjmand E, Roberson DW, Deutsch E, Derkay C. Arch Otolaryngol Head Neck Surg. 2011;137:69-73.
A prospective study of patient safety in the operating room.
Christian CK, Gustafson ML, Roth EM, et al. Surgery. 2006;139:159-173.
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.
Design for Patient and Staff Safety: A Systems Approach.
The Center for Health Design. June 25–26, 2018; Hyatt Centric Chicago Magnificent Mile, Chicago, IL.
2018 International Symposium on Human Factors and Ergonomics in Health Care.
Human Factors and Ergonomics Society. March 26–28, 2018; Marriott Copley Place, Boston, Massachusetts.
Patient Safety Certificate Program.
Armstrong Institute for Patient Safety and Quality. March 12-16, 2018; Constellation Energy Building, Baltimore, MD.
Considering human factors and developing systems-thinking behaviours to ensure patient safety.
Vosper H, Lim R, Knight C, Bowie P, Edwards B, Hignett S; CIEHF Pharmaceutical Human Factors Special Interest Group. Clinical Pharmacist. 2018;10(2).
FDA Drug Safety Communication: FDA requires labeling changes for prescription opioid cough and cold medicines to limit their use to adults 18 years and older.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 11, 2018.
The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non–hospital-affiliated outpatient settings: a systematic review.
Berglas NF, Battistelli MF, Nicholson WK, Sobota M, Urman RD, Roberts SCM. PLoS ONE. 2018;13:e0190975.
A system-based approach to managing patient safety in ambulatory care (and beyond).
Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017.
To err is human: use of simulation to enhance training and patient safety in anaesthesia.
Higham H, Baxendale B. Br J Anaesth. 2017;119(suppl 1):i106-i114.
Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature.
Prakash S, Mullick P, Kumar A, Pawar M. A A Case Rep. 2017 Nov 27; [Epub ahead of print].
Twelve tips for embedding human factors and ergonomics principles in healthcare education.
Vosper H, Hignett S, Bowie P. Med Teach. 2017 Nov 10; [Epub ahead of print].
Center for Health Care Human Factors.
Armstrong Institute for Patient Safety and Quality.
CVS taps a design legend to reinvent the prescription label. Next stop: the pharmacy.
Kuang C. Fast Company. October 4, 2017.
White paper on recommendation for systems-based practice competency.
Stalter AM, Phillips JM, Dolansky MA. QSEN Institute RN-BSN Task Force. J Nurs Care Qual. 2017;32:354-358.
Workarounds are routinely used by nurses—but are they ethical?
Berlinger N. Am J Nurs. 2017;117:53-55.
Creating a highly reliable neonatal intensive care unit through safer systems of care.
Panagos PG, Pearlman SA. Clin Perinatol. 2017;44:645-662.
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;43:573–579.
Administering and monitoring high-alert medications in acute care.
Cajanding JMR. Nurs Stand. 2017;31:42-52.
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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