RESEARCH ARTICLE
Identification and Evaluation of Nursing Errors in Kowsar Hospital by SHERPA
Mahdieh Motie1, Sima Rafiei2, Mohammadreza Amiresmaili3, Behnam Amini4, Saber Azami Aghdash5, Khalil Kalavani6, *
Article Information
Identifiers and Pagination:
Year: 2023Volume: 17
E-location ID: e187443462301101
Publisher ID: e187443462301101
DOI: 10.2174/18744346-v17-e230112-2022-33
Article History:
Received Date: 28/3/2022Revision Received Date: 13/10/2022
Acceptance Date: 29/12/2022
Electronic publication date: 10/02/2023
Collection year: 2023
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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.