To err is human: building a safer health system

MS Donaldson, JM Corrigan, LT Kohn - 2000 - books.google.com
Experts estimate that as many as 98,000 people die in any given year from medical errors
that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or …

[HTML][HTML] The impact of facility design on patient safety

J Reiling, RG Hughes, MR Murphy - Patient safety and quality: An …, 2008 - ncbi.nlm.nih.gov
Background Recent attention in health care has been on the actual architectural design of a
hospital facility, including its technology and equipment, and its effect on patient safety. To …

Disruptive behavior and clinical outcomes: perceptions of nurses and physicians: Nurses, physicians, and administrators say that clinicians' disruptive behavior has …

AH Rosenstein, M O'Daniel - AJN The American Journal of …, 2005 - journals.lww.com
Alan H. Rosenstein is vice president and medical director and Michelle O'Daniel is director,
member relations, of VHA West Coast. The authors report that each contributed equally to …

[HTML][HTML] Defining medical error

ED Grober, JMA Bohnen - canadian Journal of Surgery, 2005 - ncbi.nlm.nih.gov
'2005 Canadian Medical Association Can J Surg, Vol. 48, No. 1, February 2005 39 are
essential prerequisites for effective action. Unfortunately and understandably, what is …

The patient work system: an analysis of self-care performance barriers among elderly heart failure patients and their informal caregivers

RJ Holden, CC Schubert, RS Mickelson - Applied ergonomics, 2015 - Elsevier
Human factors and ergonomics approaches have been successfully applied to study and
improve the work performance of healthcare professionals. However, there has been …

Improving patient safety by identifying latent failures in successful operations

KR Catchpole, AEB Giddings, M Wilkinson, G Hirst… - Surgery, 2007 - Elsevier
BACKGROUND: The risk of technical failure during operations is recognized, but there is
evidence that further improvements in safety depend on systems factors, in particular …

State of science: human factors and ergonomics in healthcare

S Hignett, P Carayon, P Buckle, K Catchpole - Ergonomics, 2013 - Taylor & Francis
The past decade has seen an increase in the application of human factors and ergonomics
(HFE) techniques to healthcare delivery in a broad range of contexts (domains, locations …

Improving medication-related clinical decision support

CL Tolley, SP Slight, AK Husband… - The Bulletin of the …, 2018 - academic.oup.com
Purpose Current uses of medication-related clinical decision support (CDS) and
recommendations for improving these systems are reviewed. Summary Using a systematic …

Losing the moment: understanding interruptions to nurses' work

LMG Hall, C Pedersen, L Fairley - JONA: The Journal Of Nursing …, 2010 - journals.lww.com
Interruptions in the nursing work environment can have significant, detrimental effects on
patient safety. This mixed-method study used work observation and focus groups to explore …

Programming errors contribute to death from patient-controlled analgesia: case report and estimate of probability

KJ Vicente, K Kada-Bekhaled, G Hillel… - Canadian Journal …, 2003 - search.proquest.com
Programming errors contribute to death from patient-controlled analgesia: case report and
estimate of probability Page 1 Purpose: To identify the factors that threaten patient safety when …