- Human factors engineering and patient safetyJ Gosbee
National Center for Patients Safety, Department of Veterans Affairs, Ann Arbor, MI 48106, USA
Qual Saf Health Care 11:352-4. 2002..General advice is offered to address these issues and design issues specific to this case are discussed...
- Human factors engineering design demonstrations can enlighten your RCA teamJ Gosbee
National Center for Patient Safety, Department of Veterans Affairs, 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106, USA
Qual Saf Health Care 12:119-21. 2003..The team was thus able to identify design flaws and make improvements to the design of the forms and computer systems that were key to preventing such events from recurring...
- Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know aboutJ P Bagian
Veterans Administration National Center for Patient Safety (NCPS, 24 Frank Lloyd Wright Drive, Lobby M, PO Box 486, Ann Arbor, MI 48106-0486, USA
Jt Comm J Qual Improv 27:522-32. 2001..The system must have as its primary focus the dissemination of positive actions that reduce or eliminate vulnerabilities that have been identified, not a counting exercise of the number of reports...
- Federal patient safety initiatives panel summaryL A Lenert
University of California, San Diego, San Diego, California, USA
J Am Med Inform Assoc 9:S8-10. 2002