As in most countries, patients, health care providers, and insurance organizations are key components of the health care system in Iran. High rates of growth and development in today's financial markets, have made the insurance industry with its unique calculations and models, a prominent player in this specialized economic sector.
Health professionals work in complex environments and deal with many hard issues and situations. The spread of the Coronavirus and the COVID-19 epidemic has caused hospitals and health staff to be experiencing new conditions. The epidemic has also had a significant impact on nurses' performance and has faced them with several challenges [1], some of which include: stress, fatigue, lack of concentration, feelings of depression, etc. that have led to inappropriate work environment and the incidence of medical errors [2]. The challenges may also prevent nurses from committing to their professional tasks [3]. In other words, nurses' resilience to new conditions is facing serious problems. Resilience refers to individuals' ability to withdraw or cope successfully with adverse conditions. It is a personality trait and a dynamic process. Resilience is not only resistance to harms or threatening conditions, but also the active and constructive participation of the individual in the environment. Education and increasing resilience are a key factor in coping with problems. Resilience may change and have a positive effect on other groups or sectors. Taking managerialsupportive measures, hospital and nursing managers can play an important role in this issue [4]. Educating and improving nurses' resilience is an ongoing endeavor, and nursing managers have a key role in building a resilient nursing workforce. It is vital for nursing managers to find out how to develop resilience among nursing staff [5]. In this article, the main interventions to create or improve nurses' resilience are presented: a. Highlight the importance of nurses' job. Emphasize lofty goals and professional values. Transmit altruism. To this end, use heroes in this field. b. Increase spiritual connection, optimism, self-efficacy, and self-care among nurses.
Background: Medical errors, including human errors, are one of the most important and sensitive issues in the health system. Human errors can endanger patients’ life during health service provision. Therefore, healthcare workers should ensure the safety by reducing human errors. This study aimed to identify and evaluate human errors among nurses working at an Iranian Hospital. Methods: This is a cross-sectional study which was carried out using SHERPA method in 2018. After explaining the purpose of the study, data were collected by observation and interview. Using the hierarchical analysis method, tasks and subtasks were determined, and finally, the worksheet on SHERPA was completed and analyzed. Results and Discussion: Thirty-two tasks covering 252 subtasks related to the nursing profession were investigated, of which 252 errors were detected. Identified errors included errors of action, revision, retrieval, communication, and selection which were responsible for 60, 23, 3, 12, and 2 percent of errors, respectively. In terms of the level of error risk, 16 were unacceptable, 96 were undesirable, 107 were acceptable, which need revision, and 33 were acceptable with no need for revision. Conclusion: Nurses' errors are more action errors because of the nature of their work, so hospital authorities for safety and prevention should prioritize these errors.
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