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Analysis of human error in nursing care

1999; Elsevier BV; Volume: 31; Issue: 6 Linguagem: Inglês

10.1016/s0001-4575(99)00021-4

1879-2057

J Narumi, Sosuke Miyazawa, Haruo Miyata, Atsuko Suzuki, Shigemi Kohsaka, Hiromi Kosugi,

Marine and Coastal Research

Analysis of reports about incidental and accidental events in nursing care were made using a reliability engineering method. Unnatural working hours, such as evening duty, night duty falling next to a holiday, two consecutive night-duty shifts, and two consecutive evening-duty shifts were major factors in the occurrence of errors. In a mixed-division ward (a ward containing patients belonging to different divisions), rule-based errors happened more frequently than in a single-division ward. Also, less experienced nursing staffs made errors more frequently than experienced nursing staffs.