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Showing 8 results for Emergency

Ali Kermani, Adel Mazloumi, Jebraeel Naslseraji, Fariba Ghasemzadeh,
Volume 4, Issue 4 (2-2013)
Abstract

Background: Human error is one of the most important issues in the world and studying these errors among medical occupations like physicians and nursing works to find solutions for identifying and controlling them became imperative. Therefore, current study was conducted with the aim of identification and evaluation of human error using SHERPA (Systematic Human Error Reduction and Prediction Approach) technique among nurses working at the emergency section of an educational hospital in Iran. Methods: This study was a cross sectional descriptive study conducted using SHERPA method. First, the aim and methodology of the study was explained to the nurses and then the task and subtasks of the nursing activity were determined through interview with the nurses and also by observation of their activities. A job analysis of nursing activity was implemented by HTA (Hierarchical Task Analysis) technique, at the next stage. Finally, the error types for each task and subtasks were determined, based on the SHERPA guideline and, worksheet was finally completed for each of the related error types. Results: In total, 231 errors were indentified among 65 tasks of the nurses’ clinical activity who worked in the emergency section. The highest percentage of the errors was belonged to the action error with 59.3%, and the rest were 25.55% for checking, 4.33% for retrieval, 2.16% communication, and 8.66% selection errors. Accordingly, the highest percentage of errors was belonged to the action error and the lowest one to communication errors. Conclusion: According to the findings in this study, action errors (with highest frequency) and checking errors (with highest unacceptable risk level) should be control and prioritized for error reduction program. Meanwhile, SHERPA technique can completely cover medical activities of the nurses and factors such as communication with patient which is not considered in other techniques, can be analyzed using this method.
A Mazloumi, A Kermani, J Naslseraji, F Ghasemzadeh,
Volume 5, Issue 3 (11-2013)
Abstract

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
M Maghami, H Aghababaeian, S Bosak,
Volume 7, Issue 1 (7-2015)
Abstract

Introduction: verbal violence is on of the Job insecurity in workplace which is frequent among health care workers, especially emergency personnel. This study examined verbal workplace violence against emergency medical personnel that took place north of Khuzestan province. Materials and methods: This research was a cross - sectional study using census method on 144 cases of emergency personnel of north Khuzestan who declared their satisfaction to take part in the study in 2014. The data gathering tool was a questionnaire consisted of four parts (demographic, psychological violence experience, racial violence and response to violence and its causes). Data analysis was performed by SPSS 16 software using descriptive and inferential tests. Results: The mean age of subjects was 32.9±4.16 years and their experience in the emergency department was 5.9±2.25 years. In the past 12 months, 66.7 percent of staff had experienced at least one of the verbal violence and 65.3 percent had experienced psychological violence, 20.1 percent had experienced cultural, or racial violence separately. There was a significant relationship between violence and male patients (p=0.002). From medical personnel’s point of view the most common cause of violence was Low public awareness towards the duties of emergency medical personnel. The most common response to violence was to invite the offender to relax. Conclusion: Courses can be offered to raise public awareness and to teach medical emergency personnel how to deal with violence and prevent its occurrence.
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Volume 7, Issue 3 (12-2015)
Abstract

Introduction: Mental workload is a set of factors that affect on the mental processes of information, providing decision making and individual reactions in the workplace. This study aimed to assess the mental work load and effective factors on it among the emergency medical personnel during the rescue missions, and transportation of the injured persons.

Methods: This cross-sectional study was conducted on 96 emergency medical personnel in Isfahan in 2013. For data collection, a standard questionnaire was used. The NASA TLX is an assessment tool that rates perceived workload on 6 different subscales: Mental demand, Physical demand and temporal demand, Frustration, effort, and performance. Score of mental work load was determined by NASA-TLX (V.2) software. Using SPSS 18 through Kolmogorov–Smirnov (K-S) test, independent t test, spearman and multivariate linear regression were analyzed.

Results: Average scores on the mental workload during the complex mission emergency medical personnel according to the weight and rating of each of sextet scales, (81.25±4.81) were calculated. The highest score sextet scales of NASA-TLX mental workload was for mental demands (90.10±8.41) and the lowest score related to the disappointment (55.20±8.01) of emergency medical personnel during the mission emergency medical personnel.

Conclusion: Results showed that the emergency medical personnel at the mission complex emergencies exposed to high mental load that the main reasons were caused of the need to high speed action, make important decisions, and fast transportation of injured persons to the medical centers. This mental workload can lead to increase the error in the emergency medical personal, therefore, ergonomic and psychosocial interventions are suggested to reduce the human errors, stress and stress and fatigue among the emergency medical personnel job performance.

NASA-TLX, Mental workload, Emergency personal


Sanaz Zibaei Karizi, Alireza Esmaeili, Afarin Akhavan, Gholam Hossein Halvani,
Volume 11, Issue 4 (3-2020)
Abstract

Background: Emergency ward nurses exposed to occupational hazards. Job Safety Analysis (JSA) is a way to identify and assessment job-related risks and provide control strategies to reduce risks. The purpose of this study was to evaluate Job Safety Analysis and compare the effectiveness of control (engineering and management) interventions in emergency nursing.
Methods: This is an interventional study performed to assessment the risk by Job Safety Analysis (JSA) in three groups of nurses Triage، Group Leader and Trauma-Hospitalization hospital emergency department of Yazd Shahid Rahnamoon Hospital in 1397. First, the initial risk assessment code (pre-intervention) estimated, then the engineering and management controls implemented and the secondary risk assessment code (after intervention) calculated after three months.
Results: According to the results of the study، risk of musculoskeletal disorders with risk score of 20, identified as the highest risk in all three emergency nursing groups، also mean risk assessment code for the occupational hazards in nurses calculated which were in the unacceptable risk range and reached an acceptable level after performing management and engineering interventions.
Conclusion: results of this study showed that the implementation of engineering and management interventions had a positive effect on reducing the mean risk assessment code، also shown that the risk assessment code for occupational hazards reduced to Almost the same amount with the implementation of each engineering and management intervention. This indicates the same role of these interventions in reducing the risk level.
Ali Khosravi Bonjar, Hadi Ahmadi Chenari, Hamid Bazaz Kahani, Mohammad Mohammadi,
Volume 13, Issue 3 (12-2021)
Abstract

Introduction: Back pain is one of the most important occupational problems among health care workers that have detrimental effects on their personal and professional life. Therefore, this study aimed to investigate the relationship between low back pain and quality of life in prehospital emergency staff and the role of demographic variables in this regard.
Materials and Methods: This is a descriptive correlational study. The population was a prehospital emergency staff that entered to study by using the census method at 2020. Data gathering instruments were demographic characteristics, low back pain, and quality of life questionnaires. Data were entered into SPSS 22 and were analyzed using descriptive and analytical statistics.
Results: The results showed that the related to the low back pain score of emergency medical technicians was 51.34± 4.149, which is high. In addition, the quality of life mean and standard deviation was 30.35± 4.851, which shows a low level. There is a significant relationship between back pain and quality of life (p = 0.001, R = 0.723).
Conclusion: Low back pain is so common among emergency medical personnel that the issue may affect a person's life and work and creates many problems in terms of personal, family, socially, economically, and professionally, which reduce their quality of life.

Ms Tahereh Baloochi Beydokhti, Mr Rasool Solaimani Moghaddam,
Volume 14, Issue 2 (9-2022)
Abstract

Introduction: Coronavirus is a large family of viruses that may cause respiratory infections. Recently, a new coronavirus epidemic (COVID-19) has caused great anxiety worldwide. Given that pre-hospital and hospital emergency staffs are the first group of frontliners to be exposed to and fight COVID-19 infection, this study aimed to investigate the anxiety of pre-hospital and hospital emergency staff in Birjand during the COVID-19 pandemic.
Materials and Methods: In this descriptive cross-sectional study, 270 pre-hospital and hospital emergency personnel were included in the census method in 2021. Data collection tools included a demographics form and the Coronavirus Anxiety Scale (CDAS). Data analysis was performed in SPSS software version 21 using descriptive and inferential statistical tests.
Results: The mean score of psychological symptoms of pre-hospital emergency personnel (20.65%) was higher than hospital emergency personnel (17.78%). Also, the mean score of physical symptoms of pre-hospital emergency personnel (16.09%) was greater than that of hospital emergency personnel (17.73). There was a significant difference between pre-hospital and hospital emergency personnel regarding the mean anxiety score (P <0.001).
Conclusion: Considering these results and the associated morbidity rate in healthcare providers caused by their presence in the first line of treatment against the COVID-19 infection, health policymakers are suggested to take the necessary steps to reduce the anxiety of the medical staff.
 
Mr Hussain Mesri, Dr Saeid Mehri, Dr Masoumeh Aghamohammadi,
Volume 14, Issue 4 (3-2023)
Abstract


Abstract
Introduction: Shift work is one of the factors affecting the performance of employees in the field of health care, which can have important effects on their health. The present study was conducted to compare the problems related to 12 and 24-hour shift work among emergency medical technicians in Ardabil province.
Materials and Methods: The present study was descriptive-analytical research that was conducted on 157 technicians from 115 urban emergency centers in Ardabil province who were selected by census method in 2018. The data collection tool was standard shift work (SSW) questionnaire. The data were analyzed through SPSS version 20 software and using descriptive statistics and a chi-square test.
Results: The results showed that the physical and mental workload of emergency medical technicians working 12-hour shifts is higher than that of 24-hour shift workers. Also, the willingness of 12-hour shift workers to continue working according to the productivity improvement law was significantly more than urban 24-hour shift workers (P<0.001). 24-hour shift technicians had more time for personal life compared to 12-hour shift workers (P=0.008). Feeling tired during the day, stomachache and heartburn, and back pain were relatively common problems among all emergency medical workers.
Conclusion: Considering that the physical and mental workload of 12-hour shift workers is more than 24-hour shifts, it is recommended that managers should prioritize the work schedule of emergency medical technicians, including reducing their working hours.
 


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