scholarly journals Investigation of Human Errors in Emergency Department of Imam Khomeini Hospital Emergency Department of Jiroft Using Systematic Human Error Reduction and Prediction Approach

2021 ◽  
Author(s):  
Reza JAFARI NODOUSHAN ◽  
Khalil TAHERZADEH CHENANI ◽  
Mehdi NAKHAEE NEZHAD ◽  
Sepideh SHAHSAVARI
Keyword(s):  
Emergency Department ◽  
Human Error ◽  
Error Reduction ◽  
High Concentration ◽  
Emergency Nurses ◽  
Cross Sectional ◽  
Human Errors ◽  
Medical Careers ◽  
Prediction Approach ◽  
Action Errors

Introduction: In examining the unfortunate events that have taken place in the industrial and health sectors, human error is considered as the main cause of these events. Given the sensitivity and importance of medical careers, the occurrence of errors can lead to irreparable consequences. The purpose of this study was to investigate the human error in the emergency department of Imam Khomeini Hospital in Jiroft. Methods: This study was a cross-sectional and descriptive one. Emergency nurses' job duties have been analyzed by interviewing emergency nurses and studying nursing job guidelines and procedures using hierarchical task analysis. Finally, using the Systematic Human Error Reduction and Prediction Approach, human errors in nursing care were analyzed. Results: Generally, 4 tasks, 18 sub-tasks and 91 types of errors related to nursing activities were identified. Number of errors found, 27 (30%) Action errors, 18 (20%) Checking errors, 19 (21%) Retrieval errors, 12 (13%) communication errors, and 15 (16%) selection errors Were. As can be seen, the largest number of errors was related to the type of Action errors. Conclusion: Considering the results of the present study, the highest numbers of errors were related to Action and Checking errors respectively, which due to the sensitivity of nursing jobs and especially in the emergency department, require the use of highly skilled people to perform tasks that require high concentration and accuracy.

Enhancing human performance reliability in aircraft pushback operations

2019 ◽  
Vol 36 (4) ◽  
pp. 485-509
Author(s):  
Yang Siong Robson Ng ◽  
Hamad Rashid
Keyword(s):  
Human Error ◽  
Human Performance ◽  
Methodological Approach ◽  
Team Work ◽  
Structured Interviews ◽  
Human Errors ◽  
Content Type ◽  
Safety And Reliability ◽  
Ground Handling ◽  
Prediction Approach

Purpose The purpose of this paper is to investigate the aircraft pushback operations to predict and manage human errors, particularly those associated with the complex team work of carrying out the pushback operation. This should improve air ramp operations reliability. Design/methodology/approach The study applied the human reliability assessment “Systematic Human Error Reduction and Prediction Approach” that involved a total of 60 semi-structured interviews with practicing experts. Past ramp accident reports were also reviewed to provide more in-depth insights to the problem. Findings Some of the key performance reliability-degrading errors identified relate to some frequent critical technical inabilities within the team of headset operator and tug driver, as well as the vulnerable intra-team communications. Several best practices were similarly identified. Practical implications Based on its findings, this study proposes a new technological concept that can help enhancing safety of aircraft pushback operations. This should enhance reliability of aircraft ground handling and improve aircraft availability. It also provided a generic methodological approach to improve safety-critical operations within high-risk industries. Social implications This study responses to the increasing trend in ramp accidents worldwide. Originality/value The research conducted to date in this area is still quite limited compared to that of flight and aircraft maintenance safety. The relevant existing studies focus more on ramp safety holistically, and do not go into the details of how safety and reliability of a ramp operation can be improved. The current paper aims at filling this gap.

scholarly journals Usulan Perbaikan Sistem Kerja Pada Proses Produksi Crumb Rubber Menggunakan Metode SHERPA Di PT. Riau Crumb Rubber Factory

2016 ◽  
Vol 2 (1) ◽  
pp. 62
Author(s):  
Ismu Kusumanto
Keyword(s):  
Human Error ◽  
Crumb Rubber ◽  
Error Reduction ◽  
Metal Detector ◽  
Work In Process ◽  
Set Up ◽  
Prediction Approach

Penelitian ini dilakukan di PT. Riau Crumb Rubber Factory adalah perusahaan yang bergerak dalam pengolahan karet mentah menjadi barang setengah jadi (work in process) yang kemudian diekspor ke luar negeri. Jenis produk yang dihasilkan yaitu crumb rubber SIR-10 dan SIR-20 (Standart Indonesia Rubber). Salah satu potensi terjadinya human error yang teridentifikasi tersebut identifikasi jenis dan kejadian kesalahan kerja operator di stasiun proses kerja blower, press, metal detector dan packing. Metode yang digunakan adalah Systematic Human Error Reduction and Prediction Approach (SHERPA) Berdasarkan hasil identifikasi tersebut selanjutnya ditelusuri penyebab terjadinya kesalahan untuk ditentukan pendekatan guna mengurangi kejadian kesalahan kerja operator. Dari hasil pengolahan data potensi terjadinya human error diakibatkan karena operator menjatuhkan balok karet, operator lupa memeriksa dan operator tidak memperhatikan set-up mesin. Terdapat 11 deskripsi error dari 27 task, prediksi error yang mungkin terjadi sesuai dengan HTA dari hasil SHERPA berupa strategi perbaikan untuk meminimasi potensi terjadinya error agar dapat mengurangi resiko kesalahan. Terdapat dua macam usulan perbaikan yaitu dengan menggunakan form checklist dan SOP penggunaan mesin.

scholarly journals Relationship between Nurses’ Knowledge of Initial Assessment and Application of Early Warning System At Emergency Department of Type A Hospital In Jakarta

2020 ◽  
Vol 4 (1) ◽  
pp. 12
Author(s):  
Sekar Dwi Purnamasari ◽  
Denissa Faradita Aryani
Keyword(s):  
Emergency Department ◽  
Early Warning ◽  
Early Warning System ◽  
Patient Flow ◽  
Vital Signs ◽  
Warning System ◽  
Initial Assessment ◽  
Emergency Nurses ◽  
Cross Sectional ◽  
Nurses Knowledge

<div class="WordSection1"><p class="AbstractContent"><strong>Objective:</strong> Early warning system (EWS) is a physiological scoring to observe the patient’s condition not only in hospital wards but also in Emergency Department (ED). At an overcrowded ER that have slow of patient flow, EWS is use as an early detection of patient’s deterioration by observing the vital signs. The purpose of this study was to identify the relationship between nurses’ knowledge of initial assessment and the application of EWS at emergency department.</p><p class="AbstractContent"><strong>Methods: </strong>This was a quantitative study that used descriptive correlative with cross-sectional design toward 70 emergency nurses.</p><p class="AbstractContent"><strong>Results:</strong> The result showed there was a relationship between nurses’ knowledge of initial assessment and the application of early warning system at emergency room <em>(p</em>=0 .001)<strong></strong></p><p><strong>Conclusion: </strong>The higher the level of nurses’ knowledge, their behavior is better. It is recommended to maintain the use of EWS in ED that already good through training regularly (re-certification).</p><p class="AbstractContent"><strong> </strong></p><div><p class="Keywords"><strong>Keywords: </strong>Early warning system; emergency department; initial assessment; nurses’ knowledge.</p></div></div>

scholarly journals Cuantificación del error humano en la cadena de suministro: caso de estudio en los servicios de transporte terrestre

2020 ◽  
Vol 19 (4) ◽  
pp. 287-300
Author(s):  
Luis A. Saavedra-Robinson ◽  
Sergio Páez-Sarmiento ◽  
Jhon F Ramírez
Keyword(s):  
Human Error ◽  
Error Reduction ◽  
Index Method ◽  
Prediction Approach

Esta investigación presenta un acercamiento desde la ergonomía cognitiva en la determinación del error humano en el sector logístico, particularmente para el caso del transporte terrestre de carga. Para ello se aplicaron los métodos de Systematic Human Error Reduction and Prediction Approach –SHERPA y Success Likelihood Index Method –SLIM en tres empresas participantes del estudio. Se identificaron errores en la generación del costo del servicio (T1), en el ingreso de datos del servicio (T2), en la notificación a los clientes de las novedades del servicio (T3) y en la preparación de la documentación para los conductores (T4). Se cuantificaron los errores cuya probabilidad de ocurrencia oscilaron entre un 24,8% y 34,2%. Sedeterminó la fiabilidad de cada error como un sistema independiente, en cuyo caso el resultado arrojado para las tareas T1, T2 y T3 fue del 80% y del 75% para T4.

scholarly journals Assessment of Knowledge About Patient Safety Concepts Among Medical and Pharmacy Students

2021 ◽  
Author(s):  
Areeg Abumostafa ◽  
Fadwa Abu Mostafa ◽  
Khaled Al-Kattan ◽  
Rana Alkateb ◽  
Aljohara Alayesh ◽  
...  
Keyword(s):  
Patient Safety ◽  
Human Error ◽  
Cross Sectional Study ◽  
Pharmacy Students ◽  
Research Centre ◽  
Safety Education ◽  
Cross Sectional ◽  
Human Errors ◽  
School Year ◽  
Causes Of Errors

ABSTRACT Introduction Patient safety is a central principle of healthcare professional practice that requires a significant consideration within the teaching curricula; however, there is a lack of special courses that focus on patient safety concepts in an integrated way in many countries. This study aims to assess the knowledge of medical and pharmacy students regarding patient safety concepts. Methods A cross-sectional study was conducted at Alfaisal University during the 2018-2019 school year. A survey consisting of 15 questions was designed with the help of the quality and patient safety department at King Faisal Specialist Hospital and Research Centre, Riyadh (KFSHRC). The survey was validated and then electronically distributed to all students enrolled in the College of Medicine and College of Pharmacy. Results A total of 304 (22%) of 1368 students completed the survey. The survey revealed that 51% of students had an acceptable understanding of the types of human error; however, 53% of students had little knowledge about the factors that lead to these errors and 61% did not know how to report an error. Many students (41%) reported being directly involved in an unsafe situation that may cause patient harm, such as a healthcare-related error, adverse event, or inconsistent care. Most students (90%) agreed that hiding errors to avoid further implications is unethical and reporting errors is the responsibility of every healthcare provider. Conclusion Most Alfaisal University students understand the significance of patient safety education and understand the types of human errors, yet the causes of errors and the protocols for reporting them were not well understood by most students.

scholarly journals The prevalence of post-traumatic stress disorder among emergency nurses: a cross sectional study in northern Iran

BioMedicine ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. 19 ◽  
Author(s):  
Seyed Mohammad Hosseininejad ◽  
Fatemeh Jahanian ◽  
Forouzan Elyasi ◽  
Hossein Mokhtari ◽  
Mohammad Eslami Koulaei ◽  
...  
Keyword(s):  
Emergency Department ◽  
Stress Disorder ◽  
Cross Sectional Study ◽  
Study Data ◽  
Average Score ◽  
Sectional Study ◽  
Post Traumatic Stress ◽  
Emergency Nurses ◽  
Northern Iran ◽  
Cross Sectional

Background and objective: Posttraumatic stress disorder (PTSD) is one of the anxiety disorders which occurs in response to facing events and accidents accompanied by fear, frustration, and terror. Nurses who worked in the emergency departments witness unpleasant accidents and are exposed to stress and violence more than others. The aim of this study was to investigate the prevalence of PTSD among Iranian nurses working in the emergency department. Materials and Methods: In this cross-sectional study, all nurses working in the emergency department of educational hospitals affiliated with Mazandaran University of Medical Sciences were included through census method (n = 131). Each of the participants in this study responded to the questionnaires individually. The first part of the questionnaire captured demographics, while the second part was the Civilian Mississippi Scale for PTSD, which was used to investigate the extent of PTSD in this study. Data were analyzed using SPSS version 22. Results: In this study, 131 respondents were included. In the classification of age, nurses with 20-30-year- old had the maximum frequency (41.2 %,). Most nurses in the study (93.1%, n = 122) had a bachelor’s degree in nursing and 84 were married. The prevalence of PTSD in emergency nurses was 82.96%, which was higher in nurses with shorter working background and nurses with lower levels of education. Further, the average score of PTSD was higher in married nurses. Conclusion: The results of this study revealed the high prevalence of PTSD among nurses who worked in emergency department. Therefore, it seems that designing and providing supportive and educational services to emergency nurses can be effective for preventing and managing this disorder, which probably can improve their performance.

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