Understanding adverse events A human factors framework
Henriksen K, Dayton E, Keyes MA, et alPatient Safety and Quality: An Evidence-Based Handbook for Nurses (Chapter 5). AHRQ Publication No. 08-0043, April 2008.
This Agency for Healthcare Research and Quality (AHRQ)
handbook examines the broad range of issues involved in
providing high quality and safe care in all health care
settings. This section of the guidebook provides a framework
for collaboration between health care and human
factors, and addresses the interdependent system factors that
underlie patient safety.