شناسایی و ارزیابی خطاهای انسانی با استفاده از روش SHERPA در پزشکان اورژانس شاغل در بیمارستان حضرت امیرالمومنین سمنان

Background: Human error is the cause of many serious accidents in the world. In medical jobs, it causes the patients to get much worse or lost their life. Therefore, current study was conducted to identify and evaluate human error among physicians working at emergency ward using Systematic Human Error and Reduction Prediction Approach (SHERPA) technique in an educational hospital in Semnan, Iran. Methods: This study was conducted using SHERPA method. First, the aim and methodology of the study was described to the physicians and then a job analysis of physicians was implemented by Hierarchical Task Analysis (HTA) method. At the next phase, kinds of errors for each task and subtasks were indentified, applying SHERPA checklist. Finally, worksheet was completed for each of them. Results: In total, 35 tasks and 128 errors were indentified in the physicians’ clinical activity at emergency ward. The highest percentage of the errors was belonged to the “Action error” while, the “Selection error” were in lowest level. About 1.56% of the errors were in an unacceptable level and all were as retrieval errors, 53.13% of errors were in undesirable risk level and mostly recovery error types. The highest percentage of errors was undesirable while the lowest one was related to the unacceptable errors. Conclusion: According to the findings in this study, most of the medical errors of its related task and subtask were indentified and evaluated and then remedy actions was proposed for error reduction and control