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- Communication Improvement 3
- Culture of Safety 1
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- Error Reporting and Analysis
- Human Factors Engineering
- Quality Improvement Strategies 1
- Specialization of Care 1
- Teamwork 1
- Technologic Approaches 1
Search results for "Human Factors Engineering"
Journal Article > Study
Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center.
McKaig D, Collins C, Elsaid KA. Jt Comm J Qual Patient Saf. 2014;40;9:398-407.
Hospital incident reporting systems are ubiquitous, but many events remain unreported. This pre-post study sought to determine the impact of a reengineered medication error reporting approach. Researchers implemented a Web-based electronic medication error reporting system in concert with a novel work process in which clinical managers perform the first review of the report. The intervention led to increased error reporting, with the majority of errors being near-misses. This finding suggests that under-reporting of medication errors via standard incident reporting mechanisms can be addressed using human factors engineering approaches, which apply to and enhance both the error reporting tool and clinicians' workflow. A past AHRQ WebM&M perspective discusses how human factors engineering can be used to uncover problems with device design and work processes.
McCook A. Anesthesiology News. Sept 2011;37:9.
This news article highlights a program at Johns Hopkins Medicine that engages clinician reporting of errors and near misses to improve patient safety.
Case study: sustaining a culture of safety in the U.S. Department of Veterans Affairs Health Care System.
Chase D, McCarthy D. Quality Matters. April/May 2010.
Newsweek. October 16, 2006:44-68, 72.
This "Health for Life" series features 10 case studies about patient safety and quality improvement efforts as well as several short articles on safety-related topics such as disclosure and computerizing medical care.