Occupational Medicine Quarterly Journal
فصلنامه علمی تخصصی طب کار
tkj
Medical Sciences
http://tkj.ssu.ac.ir
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admin
2251-7189
2251-8274
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8888
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fa
jalali
1399
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gregorian
2020
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fulltext
fa
ارزیابی قابلیت اطمینان انسانی در فرآیند عمل جراحی آپاندکتومی با استفاده از روش استاندارد واکاوی ریسک خطای انسانی (SPAR-H)
Assessment of the probability of human error occurring in the process of appendectomy operation using SPAR-H method
ایمنی و حوادث ناشی از کار
Safety and occupational accidents
كاربردي
Applicable
<strong><span style="font-family:B Nazanin;"><span style="font-size:10.0pt;">مقدمه: </span></span></strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">پیامدهای جبرانناپذیر خطای انسانی در بخش بهداشت و درمان، ایمنی بیماری را به یک اصل با اهمیت در مشاغل پزشکی تبدیل کرده است. هدف از مطالعه حاضر بررسی احتمال خطای انسانی در پرسنل اتاق عمل در فرآیند عمل جراحی آپاندکتومی بود.</span></span><br>
<strong><span style="font-family:B Nazanin;"><span style="font-size:10.0pt;">روش بررسی:</span></span></strong> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">این مطالعه مقطعی و توصیفی جهت شناسایی و ارزیابی احتمال خطای انسانی در وظایف پرسنل اتاق عمل در فرآیند عمل جراحی آپاندکتومی در بیمارستان شهید صدوقی یزد صورت گرفت. در ابتدا با مصاحبه با پرسنل و مطالعه روند و رویههای انجام کار، وظایف شغلی پرسنل با استفاده از روش تحلیل سلسله مراتبی وظایف (</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">HTA</span></span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">) مورد واکاوی قرارگرفتهاند. در نهایت احتمال خطا با استفاده از روش </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">SPAR-H</span></span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> برای وظایف متفاوت محاسبه شد.</span></span><br>
<strong><span style="font-family:B Nazanin;"><span style="font-size:10.0pt;">نتایج:</span></span></strong> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">احتمال خطای انسانی میانگین برای کل وظایف برابر 173/0 بود. همچنین بیشترین میانگین احتمال خطا مربوط به وظایف متخصص بیهوشی (23/0) و کمترین مربوط به وظایف اسکراب (101/0) بوده است.</span></span><br>
<strong><span style="font-family:B Nazanin;"><span style="font-size:10.0pt;">نتیجهگیری:</span></span></strong> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بیشتر بودن احتمال رخداد خطا در وظیفه تکرار داروهای بیهوشی نسبت به بقیه وظایف میتواند نشانگر تأثیر زیاد فرآیندهای شناختی در رخداد خطا باشد. جهت کاهش احتمال خطای انسانی میتوان کاهش وابستگی را از طریق انجام وظایف توسط افراد متفاوت و در صورت امکان با فاصله زمانی از هم انجام داد. همچنین استرس، پیچیدگی و رویههای کاری بهعنوان مهمترین عوامل مؤثر بر قابلیت اطمینان انسانی شناخته شدند.</span></span><br>
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<strong><em>Assessment of the probability of human error occurring in the process of appendectomy operation using SPAR-H method</em></strong><br>
<br>
Taherzadeh Chenani KH1, Jahangiri M 2, Jafari Nodoushan R<sup> *3</sup>, Madadizadeh F 4, Fallah H5<sup>,6</sup><br>
<br>
1 Department of Occupational Health Engineering, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran<br>
2 Department of Occupational Health Engineering, School of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran<br>
3 Department of Occupational Health Engineering, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran<br>
4 Research Center of Prevention and Epidemiology of Non-Communicable Disease, Department of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran<br>
5 Department of Occupational Health Engineering, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran<br>
6 Occupational Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran<br>
<br>
<strong><em>Abstract</em></strong><strong><em><span dir="RTL"></span></em></strong><br>
<strong><em>Introduction: </em></strong>The irreparable consequences of human error in the health care sector have made patient safety an important principle in medical professions. The aim of the present study was to investigate the probability of human error in operating room personnel in the process of appendectomy operations.<br>
<strong><em>Materials and Methods: </em></strong>This cross-sectional and descriptive study was performed to identify and evaluate the probability of human error in operating room personnel's tasks in the process of appendectomy in Shahid Sadoughi Hospital in Yazd. Initially, by interviewing personnel and studying the process and procedures of the work, the job duties of the personnel were analyzed using HTA method. Finally, the probability of error was calculated using SPAR-H method for different tasks.<br>
<strong><em>Results: T</em></strong>he average human error probability for all tasks was 0.173. Also, the highest mean of error was related to anesthesiologist duties (0.23) and the least related to scrub duties (0.101).<br>
<strong><em>Conclusion: </em></strong>The SPAR-H method can be used to analyze and quantify the probability of human error in the operating room. To reduce the likelihood of human error, we can reduce dependency by performing different tasks with different people and if possible with long time between them. Also, stress, complexity and procedures were identified as the most important factors affecting the probability of error.
خطای انسانی, اتاق عمل, عوامل شکل دهنده عملکرد, SPAR-H
Human error, Operation room, Performance shaping factors, SPAR-H
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http://tkj.ssu.ac.ir/browse.php?a_code=A-11-1026-2&slc_lang=fa&sid=1
khalil
Taherzadeh Chenani
خلیل
طاهرزاده چنانی
khalil.oc.hy@gmail.com