Identification and analysis of human errors in emergency department nurses using SHERPA method

Khaleghi, Peyman; Akbari, Hossein; Alavi, Negin Masoudi; Kashani, Masoud Motalebi; Batooli, Zahra

doi:10.1016/j.ienj.2022.101159

Cited by 8 publications

(6 citation statements)

References 47 publications

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“…The incidence rate of nursing medical errors in the ED is higher than in other health professionals [22].…”

Section: Discussionmentioning

confidence: 87%

“…Emergencies are a constantly changing, stressful, high-risk environment fraught with a high chance of occurrence of error [21]. EDs are known as an area of human error [20] Human error is considered the main root cause of major accidents (approximately 80%) according to human factor studies [22]. Moreover, human error may be intentional or unintentional.…”

Section: Discussionmentioning

confidence: 99%

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Identifying the obstacles facing emergency nurses regarding treating CTAS1 and CTAS2 in Saudi Arabia

Alzahrani

Thobaity

2023

Preprint

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Background: Emergency nurses are crucial to the effectiveness of an emergency healthcare system. However, several difficulties and obstacles, particularly in dealing with life-threatening cases, may affect the health, safety, and satisfaction of nurses and patients. This study aimed to explore the most common challenges faced by emergency nurses when dealing with CTAS1 and CTAS2 cases according to the Canadian Triage and Acuity Scale in Saudi hospitals to avoid or manage them in the future. Methods: This study used the mixed-method sequential study design with two phases. The first phase involved focus group discussions with eight expert nurses from two large hospitals in Taif. The second phase was an online questionnaire using 23 of the 28 items extracted from the first phase. Principal component analysis was used to describe and find the correlation and contrast between the results. Findings: Five factors were extracted: patient care management, critical case handling, hospital management support, delays in patient care, and the impact of the presence of the patient’s family on nurses. Conclusion: Understanding the difficulties faced by emergency nurses may assist hospital stakeholders in providing psychological support and sufficient resources and improving high-quality protocols for emergency situations.

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“…The incidence rate of nursing medical errors in the ED is higher than in other health professionals [22].…”

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Identifying the obstacles facing emergency nurses regarding treating CTAS1 and CTAS2 in Saudi Arabia

Alzahrani

Thobaity

2023

Preprint

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“…Penggunaan metode SHERPA juga dapat mengidentifikasi dan menganalisis kesalahan manusia pada keadaan darurat. Terdapat mayoritas kesalahan manusia pada sebuah kondisi darurat yaitu pada kategori aksi (action) (Khaleghi et al, 2022). Penggunaan metode SHERPA sangat banyak aplikasinya dalam mengevaluasi dan mengidentifikasi diberbagai area sehingga dapat menentukan kategori kesalahan manusia yang sering dilakukan (Ghasemi et al, 2015).…”

Section: Pendahuluanunclassified

Penerapan SHERPA untuk Identifikasi Kinerja dan Human Error Pengoperasian Mesin Induk Kapal Penangkap Ikan

Yaqin,

Septianda,

Priharanto

et al. 2024

JRSI

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Kecelakaan kerja karena kesalahan manusia pada pengoperasian mesin induk di kapal penangkap ikan perlu diperhatikan karena dapat berakibat fatal pada kapal. Tujuan dari penelitian ini adalah mengidentifikasi dan menganalisis aktifitas kritis pengoperasian mesin induk kapal penangkap ikan dengan metode Systematic Human Error Reduction And Prediction Approach (SHERPA). Metode analisis yang digunakan yaitu dengan mengumpulkan sejumlah data baik secara observasi dan wawancara untuk memenuhi tabulasi SHERPA. Analisis SHERPA sangat berkaitan dengan penggunaan diagram Hierarchial Task Analysis (HTA) untuk menentukan jumlah kegiatan yang dihasilkan pada pengoperasian mesin induk kapal penangkap ikan. Selain itu analisis intensitas kerja diterapkan untuk mengevaluasi tahapan-tahapan yang perlu diperhatikan pada pengoperasian mesin induk. Berdasarkan analisis yang dihasilkan intensitas kerja yang paling tinggi berada pada tahap pengoperasin mesin induk. Sedangkan tingkat kritis aktifitas berada pada aktifitas Penutupan kran bahan bakar dan Penutupan kran air sistem pendingin yang termasuk dalam kategori aktifitas mematikan mesin induk. Temuan penelitian ini memberikan wawasan untuk penanganan aktifitas kritis pada pengoperaian mesin induk sehingga perlu adanya strategi untuk menurunkan kesalahan manusia dalam pengoperasian. Strategi dalam menurunkan kegiatan ini yaitu dengan pengawasan ketat dan modifikasi atau penambahan alat untuk mempermudah operator. Hasil investigasi dapat menginformasikan intensitas dan titik kritis kesalahan manusia dalam pengoperasian mesin induk kapal penangkap ikan sehingga dapat mengurangi terjadinya kecelakaan kerja.

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“…A frequência na notificação de eventos adversos teve a pontuação mais baixa, o que trouxe preocupação aos autores, já que recon hecer o erro e notificar o evento é a base de sustentação para a implantação e continuidade da Cultura de Segurança do Paciente. Khaleghi et al (2022) realizaram um estudo transversal, descritivo, para identificar e analisar os erros humanos em conjunto através da metodologia da Abordagem Sistemática de Previsão e Redução de Erros Humanos (SHERPA). Esta metodologia estuda os erros humanos quanto ao tipo, as possíveis consequências e estuda estratégias de controle e de prevenção por meio da elaboração de tarefas para a resolução das falhas.…”

Section: Uso De Outras Ferramentas Para a Gestão De Eventos Adversos ...unclassified

Contribuições da Análise de Causa Raiz (RCA) na gestão de eventos adversos em Emergência – uma revisão de literatura

Souza

Calado

Reis

et al. 2023

RSD

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O presente estudo busca identificar, na literatura, publicações que indiquem o uso da RCA como metodologia para a gestão de eventos na Emergência e suas contribuições para a equipe assistencial por meio de uma Revisão Sistemática de Literatura. A coleta de dados foi realizada através de busca virtual de artigos e estudos indexados nas Bases de Dados da Biblioteca Virtual da Saúde (BVS), Cochrane, Elsevier e Banco de dados da Biblioteca Digital Brasileira de Teses e Dissertações (BDTD). Como resultado, foram encontrados 17 estudos, que foram tratados por meio da Análise de Conteúdo, sendo distribuídos em três categorias, a saber: Uso da RCA em Serviço de Emergência, Recomendações e Limitações do uso da RCA – uma análise crítica e Uso de outras ferramentas para a Gestão de Eventos Adversos em Emergência. Conclui-se que, apesar de não ser utilizada em sua completude em alguns cenários de Emergência, a RCA, ainda é a ferramenta de escolha para a análise de causa raiz de eventos adversos. O presente estuda aponta a possibilidade de associação da metodologia DMAIC ao uso da ferramenta com vistas a reduzir tempo de respostas da análise, implantação de melhorias e controle dos resultados.

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Identification and analysis of human errors in emergency department nurses using SHERPA method

Cited by 8 publications

References 47 publications

Identifying the obstacles facing emergency nurses regarding treating CTAS1 and CTAS2 in Saudi Arabia

Identifying the obstacles facing emergency nurses regarding treating CTAS1 and CTAS2 in Saudi Arabia

Penerapan SHERPA untuk Identifikasi Kinerja dan Human Error Pengoperasian Mesin Induk Kapal Penangkap Ikan

Contribuições da Análise de Causa Raiz (RCA) na gestão de eventos adversos em Emergência – uma revisão de literatura

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