Human Reliability Assessment in The Members of The Cesarean Section at a Teaching Hospital Affiliated to Tehran University of Medical Sciences

Khosravi, Soodabeh; Zakerian , Sayed Abolfazl; Adabi Bavil Aliaei  , KHadijeh; Azam, Kamal; Aliari, Abolfazl

Volume 16, Issue 4 (2-2018) jhosp 2018, 16(4): 27-34 | Back to browse issues page

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Khosravi S, Zakerian S A, Adabi Bavil Aliaei K, Azam K, Aliari A. Human Reliability Assessment in The Members of The Cesarean Section at a Teaching Hospital Affiliated to Tehran University of Medical Sciences. jhosp 2018; 16 (4) :27-34
URL: http://jhosp.tums.ac.ir/article-1-5891-en.html

Human Reliability Assessment in The Members of The Cesarean Section at a Teaching Hospital Affiliated to Tehran University of Medical Sciences

Soodabeh Khosravi¹

, Sayed Abolfazl Zakerian ^*

², KHadijeh Adabi Bavil Aliaei³

, Kamal Azam⁴

, Abolfazl Aliari⁵

1- MSc Student in Ergonomics, Department of Occupational Health Engineering, , School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
2- Associate Professor, Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran, (*Corresponding author), Email: zakerian@tums.ac.ir
3- Assistant Professor, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
4- Associate Professor, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
5- Phd Student in HealthCare Administration, Azad University of South Tehran, Tehran ,Iran

Abstract: (4959 Views)

Background:Human reliability assessment consists ofusing quantitative and qualitative methods to predict human contribution to the occurrence of error;so, using reliability assessment techniques is necessary to prevent and limit the consequences of errors in sensitive work environments.Healthcare considers as the high-risk areas.With due attention to the high rates of cesarean section in Iran, this study aimed at evaluating human reliability during this operation.
Materials and Methods:This was a qualitative-descriptive study which was performed as a cross-sectional one using the EMEA technique. At first, the process of operation was divided in to tasks and sub-tasks using the method of hierarchical task analysis. Then, according to the EMEA instructions, the work sheet was completed for all personnel in the operating room.
Results: A total of 126 errors, including 40 errors (31.75%) related to circular nurse activities, 34 errors (26.98%) related to anesthesia activities, 33 errors (26.19%) related to scrub nurse activities and 19 errors (15.08%) related to the activities of the surgeon, were identified.In general, skill-based errors (51.59%) and judgment-based errors (1.59%) were the highest and the lowest amount, respectively.
Conclusion:According to the study results, among three working groups, skill-based errors forcircularand scrub nurses and anesthesiology expert with the most frequency, and knowledge-based errorsfor surgeon tasks, with the highest frequency should be considered as priorities tocontrol errors.