دوره 1، شماره 2 - ( 3-1404 )
جلد 1 شماره 2 صفحات 34-25 |
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Ethics code: IR.UMSHA.REC.1397.460
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Mirzaei Aliabadi M, Souri S. Improving Patient Safety: Exploring the Causes of Medical Errors Using the HFACS Framework in Hospitals. Journal of Health Sciences Perspective 2025; 1 (2) :25-34
URL: http://jhsp.medilam.ac.ir/article-1-31-fa.html
URL: http://jhsp.medilam.ac.ir/article-1-31-fa.html
Improving Patient Safety: Exploring the Causes of Medical Errors Using the HFACS Framework in Hospitals. Journal of Health Sciences Perspective. 1404; 1 (2) :25-34
چکیده: (3 مشاهده)
Introduction: Attention to patient safety is one of the essential foundations for promoting health services and it is important to identify the factors contributing to medical errors. This paper aims to develop a questionnaire based on the human factors analysis and classification system (HFACS) for the first time.
Materials & Methods: A questionnaire was designed based on the HFACS structure. The Likert scale was utilized to score each item. The contribution of the main levels and sublevels in each error and also the correlation coefficients between different levels of HFACS with the lowest level, referred to as “Unsafe Acts” were determined.
Results: The number of medical errors in the emergency department, intensive care unit (ICU), and Cardiac Care Unit (CCU) were higher than in the other departments. Insufficient supervision, management processes, and adverse mental state achieved the highest scores. Pearson's correlation coefficients show very strong relationships between organizational processes and supervisory violations with routine violations (0.81, and 0.84 respectively).
Conclusion: Organizational failures are the main cause of decreased patient safety and the mental condition of staff has the greatest impact on reducing medical errors.
Materials & Methods: A questionnaire was designed based on the HFACS structure. The Likert scale was utilized to score each item. The contribution of the main levels and sublevels in each error and also the correlation coefficients between different levels of HFACS with the lowest level, referred to as “Unsafe Acts” were determined.
Results: The number of medical errors in the emergency department, intensive care unit (ICU), and Cardiac Care Unit (CCU) were higher than in the other departments. Insufficient supervision, management processes, and adverse mental state achieved the highest scores. Pearson's correlation coefficients show very strong relationships between organizational processes and supervisory violations with routine violations (0.81, and 0.84 respectively).
Conclusion: Organizational failures are the main cause of decreased patient safety and the mental condition of staff has the greatest impact on reducing medical errors.
نوع مطالعه: پژوهشي |
دریافت: 1403/10/26 | پذیرش: 1403/12/15 | انتشار: 1404/3/19
دریافت: 1403/10/26 | پذیرش: 1403/12/15 | انتشار: 1404/3/19
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