Summary
This chapter from Patient Safety and Quality: An Evidence-Based Handbook for Nurses describes a framework for understanding how human factors affect patient safety. It illustrates how different cumulative factors result in errors and suggests that nurses have a unique role to play in identifying problems and their causes. The authors highlight staff mindfulness as a tool to transform healthcare organisations into 'highly reliable organisations'.
Understanding Adverse Events: A Human Factors Framework (April 2008)
https://pubmed.ncbi.nlm.nih.gov/21328766/#affiliation-1
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