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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.
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.
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.
Patient Safety Certificate Program.
Armstrong Institute for Patient Safety and Quality. August 13-17, 2018; Constellation Energy Building, Baltimore, MD.
Human Factors and Technology in the ICU.
Wung SF, ed. Crit Care Nurs Clin North Am. 2018;30:179-310.
A call for a systems-thinking approach to medication adherence: stop blaming the patient.
Lauffenburger JC, Choudhry NK. JAMA Internal Med. 2018 May 21; [Epub ahead of print].
Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care.
Bethesda, MD: Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health. May 21, 2018. PA-18-790; PA-18-791.
Deriving a framework for a systems approach to agitated patient care in the emergency department.
Wong AH, Ruppel H, Crispino LJ, Rosenberg A, Iennaco JD, Vaca FE. Jt Comm J Qual Patient Saf. 2018;44:279-292.
Diagnostic performance dashboards: tracking diagnostic errors using big data.
Mane KK, Rubenstein KB, Nassery N, et al. BMJ Qual Saf. 2018;27:567-570.
Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature.
Patterson ES. Hum Factors. 2018;60:281-292.
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.
Implementation of diagnostic pauses in the ambulatory setting.
Huang GC, Kriegel G, Wheaton C, et al. BMJ Qual Saf. 2018;27:492-497.
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. 2018;10:261-264.
Twelve tips for embedding human factors and ergonomics principles in healthcare education.
Vosper H, Hignett S, Bowie P. Med Teach. 2018;40:357-363.
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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