Article,
Application of Human Reliability Analysis to Nursing Errors in Hospitals.
Risk Analysis: An International Journal, 24 (6): 1459 - 1473 (2004)
Abstract
Adverse events in hospitals, such as in surgery, anesthesia, radiology, intensive care, internal medicine, and pharmacy, are of worldwide concern and it is important, therefore, to learn from such incidents. There are currently no appropriate tools based on state-of-the art models available for the analysis of large bodies of medical incident reports. In this study, a new model was developed to facilitate medical error analysis in combination with quantitative risk assessment. This model enables detection of the organizational factors that underlie medical errors, and the expedition of decision making in terms of necessary action. Furthermore, it determines medical tasks as module practices and uses a unique coding system to describe incidents. This coding system has seven vectors for error classification: patient category, working shift, module practice, linkage chain (error type, direct threat, and indirect threat), medication, severity, and potential hazard. Such mathematical formu
Tags
- analysis,
- error,
- error-analyzing
- errors,
- factor
- human
- incident
- malpractice
- medical
- medicine
- nursing
- organizational
- practice
- reliability
- reliability,
- reports,
- statistical
- system,
