Title of article :
SHERPA Technique as an Approach to Healthcare Error Management and Patient
Safety Improvement: A Case Study among Nurses
Author/Authors :
Khandan Mohammad نويسنده , Koohpaei Alireza نويسنده , Yusefi Saeedeh نويسنده Student Research Committee, Qom University of Medical
Sciences, Qom, IR Iran , Sahranavard Robabeh نويسنده Student Research Committee, Qom University of Medical
Sciences, Qom, IR Iran
Issue Information :
فصلنامه با شماره پیاپی سال 2017
Abstract :
Background Overcoming the challenge of human error occurrence in
the healthcare section and patient safety improvement is impossible
without understanding the nature of human error and without considering
the fundamentals of human factors and ergonomics in designing and
implementing sociotechnical systems. Therefore, the first step is to
identify medical errors and their causes, using standard methods.
Objectives The aim of this study was to identify and evaluate human
errors among nurses in the women’s infectious diseases ward in an
educational hospital in the city of Qom in 2015. Methods This
cross-sectional study was performed to identify the medical errors among
sixteen female nurses working in the women’s infectious diseases ward,
using SHERPA. Hierarchical task analysis (HTA) was performed; errors
were identified by checklist and risk assessment was then carried out.
Results One hundred fifty-nine errors were identified and evaluated in
89 tasks. Most of the detected errors were of the action type (74.21%)
and the least errors were of the selection type (0.63%). The least
number of the errors’ risk level was placed in the undesirable, and the
highest was in the unacceptable level. Conclusions Since the majority of
the errors were of the action type, proper measures should be taken to
prioritize them in disease control. In addition, designing a treatment
process based on human factors and ergonomic principles is highly
recommended to enhance the quality of services, improve patient safety
and reduce errors. With respect to task analysis, the SHERPA is a good
technique to evaluate and monitor medical errors.
Journal title :
Astroparticle Physics