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Identification and analysis of human errors in emergency department nurses using SHERPA method
Peyman Khaleghi1, Hossein Akbari2, Negin Masoudi Alavi3
1M.Sc of Health, Safety and Environment Management, Department of Health, Safety and Environment Management, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran.
International Emergency Nursing
|March 31, 2022
Summary
Emergency department nurses commit many human errors, primarily action errors. Improving training, reporting systems, and safety culture can reduce these errors in healthcare settings.
Area of Science:
- Healthcare quality and safety
- Occupational health
- Nursing practice
Background:
- Human errors are a significant factor in occupational accidents.
- There has been a noted increase in human errors within the healthcare sector in recent years.
Purpose of the Study:
- To identify and analyze human errors made by emergency department (ED) nurses.
- The study was conducted at Shahid Beheshti Hospital in Kashan.
- The SHERPA method was employed for error analysis.
Main Methods:
- A descriptive cross-sectional study design was utilized.
- Hierarchical Task Analysis (HTA) was used for initial error identification and analysis.
- The SHERPA method was subsequently applied to study the identified human errors.
Main Results:
- A total of 426 human errors were identified among ED nurses.
- The most frequent errors were action errors (263), followed by checking errors (108).
- The majority of errors (36.34%) fell into the borderline risk category based on consequence severity.
Conclusions:
- Action errors constitute the largest proportion of identified errors.
- Recommendations for reduction include enhanced training, improved reporting systems, and stronger management controls.
- Promoting a robust safety culture is crucial for mitigating human errors in the ED.
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