Journal
INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS
Volume 21, Issue 3, Pages 382-390Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/10803548.2015.1073431
Keywords
human error; medical error; hierarchical task analysis; SHERPA; Iran; triage area
Funding
- Research and Technology Deputy of Baqiyatallah University of Medical Sciences [MHRC 506]
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Accidents caused by human error are prominent in the medical field. The present study identified medical errors in the emergency triage area by assessing the tasks of all healthcare workers employed in the triage area of an educational hospital in Tehran, Iran in 2014. Data were collected using the systematic human error reduction and prediction approach (SHERPA). The tasks and sub-tasks were determined and analyzed using hierarchical analysis and the errors were extracted. A total of 199 human errors were identified in the different tasks. The rate of error for action was 46.8%, checking was 25.6%, retrieval was 8.5%, communication was 12.1% and selection was 7%. Rate of unacceptable and unfavorable risks were 21.1% and 38.6%, respectively. SHERPA was shown to be an appropriate technique for detecting medical errors. The establishment of control programs should be a high priority in the management and implementation of health facilities in triage areas.
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