Hazard Identification and Risk Assessment of Human Error in Diagnostic Therapy Persenol Kosar Hospital of Qazvin University of Medical Sciences in 2016

Mohebbifar, Rafat and Ghalenoy, Mehran and Rafiei, Sima and Kalavani, Khalil Hazard Identification and Risk Assessment of Human Error in Diagnostic Therapy Persenol Kosar Hospital of Qazvin University of Medical Sciences in 2016. qums.

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Abstract

Background and Aim: Nowadays, human error in the medical field is considered one of the most important and sensitive issues in this field and is considered as a serious problem, which may lead to unreasonable risks and incidents for patients. Therefore, it is very important to use methods to identify and reduce them. The purpose of this study was to identify and evaluate human errors in diagnostic and therapeutic persenol of Qazvin Kosar Hospital by SHERPA method. Materials & Methods: This cross sectional -practical study was performed by using SHERPA method in 1395. The community and research sample consisted of all tasks of diagnostic and therapeutic occupations of Kowsar Medical Center. From the research community in the field of medicine, 32 nursing duties and 3 duties of obstetrician and in the field of gynecologist, 2 diagnostic tasks were assigned to radiology specialist and 2 were assigned to radiology expert. Using the HTA (Hierarchical Task Analysis), subtasks of all tasks were determined and finally, the information gathered in the worksheet of the SHERPA was completed and analyzed by using Excel software. Findings: 311 errors were detected among the tasks identified in this study, that were 178 (57%) were Action errors, 66 (21%) Checking errors, 18 (6%) Retrieval errors, 41 (13%), communication errors and 8 (3%) Selection errors. from the aspect of the level of risk of error, the maximum number of error was acceptable errors with required to revision (42%), and the least of those was unacceptable errors ( 7%). Discussion and Conclusion: According to the results of this study, hospital officials should pay particular attention to the Action and communication errors of sensitive occupations in the hospital. In this regard, by developing a coherent program to establish national accreditation standards in the field of error management, a step is needed to identify and control the factors predisposing to human error in the hospital. Key Words: Error Identification, Risk Assessment, Human Error, SHERPA Method

Item Type:	Article
Subjects:	R Medicine > R Medicine (General)
Divisions:	UNSPECIFIED
Depositing User:	Health School Students
Date Deposited:	17 Jun 2018 08:20
Last Modified:	17 Jun 2018 08:20
URI:	http://eprints.qums.ac.ir/id/eprint/7905

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