Author:
Motie Mahdieh,Rafiei Sima,Amiresmaili Mohammadreza,Amini Behnam,Aghdash Saber Azami,Kalavani Khalil
Abstract
Background:
Medical errors, including human errors, are one of the most important and sensitive issues in the health system. Human errors can endanger patients’ life during health service provision. Therefore, healthcare workers should ensure the safety by reducing human errors. This study aimed to identify and evaluate human errors among nurses working at an Iranian Hospital.
Methods:
This is a cross-sectional study which was carried out using SHERPA method in 2018. After explaining the purpose of the study, data were collected by observation and interview. Using the hierarchical analysis method, tasks and subtasks were determined, and finally, the worksheet on SHERPA was completed and analyzed.
Results and Discussion:
Thirty-two tasks covering 252 subtasks related to the nursing profession were investigated, of which 252 errors were detected. Identified errors included errors of action, revision, retrieval, communication, and selection which were responsible for 60, 23, 3, 12, and 2 percent of errors, respectively. In terms of the level of error risk, 16 were unacceptable, 96 were undesirable, 107 were acceptable, which need revision, and 33 were acceptable with no need for revision.
Conclusion:
Nurses' errors are more action errors because of the nature of their work, so hospital authorities for safety and prevention should prioritize these errors.
Publisher
Bentham Science Publishers Ltd.
Reference40 articles.
1. Stock GN, McFadden KL, Gowen CR III.
Organizational culture, critical success factors, and the reduction of hospital errors.
Int J Prod Econ
2007;
106
(2)
: 368-92.
2. Rubin G, George A, Chinn DJ, Richardson C.
Errors in general practice: Development of an error classification and pilot study of a method for detecting errors.
Qual Saf Health Care
2003;
12
(6)
: 443-7.
3. Ramiro JS, Aisa PB.
Risk Analysis and Reduction in the Chemical Process Industry.
Springer Science & Business Media 2012.
4. Orland FJ.
William John Gies: His Contribution to the Advancement of Dentistry.
William J. Gies Foundation for the Advancement of Dentistry with the special assistance of the International Association for Dental Research 1992.
5. Dastaran S, Hasheinejhad N, Shahravan A, Baneshi M, Faghihi A.
Identification and assessment of human errors in postgraduate endodontic students of Kerman University of Medical Sciences by Using the SHERPA Method.
J Occup Hyg Eng
2016;
2
(4)
: 44-51.