ArticleHealth affairs (Project Hope)2018
Challenges And Opportunities For Improving Patient Safety Through Human Factors And Systems Engineering.
Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to increase patient portal use in vulnerable populations: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- Trial
- Reimagining the Intensive Care Unit as a Complex Adaptive System: A Systems Thinking Perspective.Cureus · 2026Review
- "It's Not Just a System Error": A Qualitative Study of Nurses' Perspectives on Medication Safety in Saudi Hospitals.Healthcare (Basel, Switzerland) · 2026Article
- Health and safety considerations for healthcare simulation: a scoping review of published literature.Advances in simulation (London, England) · 2026Article
- The relationship between perceived safety and postoperative recovery in patients undergoing surgery with regional anesthesia: a cross-sectional study.BMC anesthesiology · 2026Article
- How Implementation Context Shapes Clinician Acceptance and Engagement with Guideline-Based Clinical Decision Support Systems in Primary Care: A Qualitative Study.Journal of healthcare leadership · 2026Article
- Human Factors in Airway Management: Designing Systems for Safer, Team-Based Care.Journal of clinical medicine · 2025Review
- "Invert the Pyramid, Let Internists Design the Job as Pilots Do a Cockpit": The Views of General Internal Medicine Physicians on Enhancing Well-Being Through Human Factors Engineering.Journal of patient safety · 2025Article
- Human-centered design of an artificial intelligence monitoring system: the Vanderbilt Algorithmovigilance Monitoring and Operations System.JAMIA open · 2025Article
- The TRANS-SAFE Patient Safety Learning Laboratory: A Protocol for Systems Improvement for Psychosocial Safety in Transgender Care.Journal of patient safety · 2025Article
- From Blame to Learning: The Evolution of the London Protocol for Patient Safety.Healthcare (Basel, Switzerland) · 2025Review
- Pharmaceutical Analysis of Inpatient Prescriptions: Systematic Observation of Hospital Pharmacists' Practices in the Early User-Centered Design Phase.JMIR human factors · 2025Article
- Principles for the conduct of human factors/ergonomics in healthcare: a scoping study of the published evidence.BMJ open quality · 2025Article
- A SEIPS-Based Analysis to Understand Safety Culture During Postpartum Hemorrhage.Healthcare (Basel, Switzerland) · 2025Article
- Reliability evaluation of a medical oxygen supply system by FTA based on intuitionistic fuzzy sets.Heliyon · 2024Article
- AI in dermatology: a comprehensive review into skin cancer detection.PeerJ. Computer science · 2024Article
- Evaluating the content and face validity of Arabic-translated Patient Measures of Safety survey PMOS-30.PloS one · 2024Article
- Prioritizing Patient Safety: Analysis of the Procurement Process of Infusion Pumps in Spain.International journal of environmental research and public health · 2023Article
- Human Factors Engineering for the Pediatric Hospitalist.Hospital pediatrics · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
Despite progress on patient safety since the publication of the Institute of Medicine's 1999 report, To Err Is Human, significant problems remain. Human factors and systems engineering (HF/SE) has been increasingly recognized and advocated for its value in understanding, improving, and redesigning processes for safer care, especially for complex interacting sociotechnical systems. However, broad awareness of HF/SE and its adoption into safety improvement work have been frustratingly slow. We provide an overview of HF/SE, its demonstrated value to a wide range of patient safety problems (in particular, medication safety), and challenges to its broader implementation across health care. We make a variety of recommendations to maximize the spread of HF/SE, including formal and informal education programs, greater adoption of HF/SE by health care organizations, expanded funding to foster more clinician-engineer partnerships, and coordinated national efforts to design and operationalize a system for spreading HF/SE into health care nationally.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.