Error-producing conditions in nursing staff work

Silva-Santos, Handerson; Araújo-dos-Santos, Tatiane; Alves, Angélica Santos; Silva, Maria Navegantes da; Costa, Heloniza Oliveira Gonçalves; Melo, Cristina Maria Meira de

doi:10.1590/0034-7167-2017-0192

Cited by 11 publications

(12 citation statements)

References 11 publications

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“…Attention to patient identification is not only important for the patient, but also for the safety of the professionals, since everyone involved in the care process suffers from the implications of a patient safety incident. Therefore, updating professional knowledge is extremely valuable for their protection and for patient safety, especially for professionals working in sectors that have particularities, such as pediatrics, which requires specific actions aimed at this public (19) .…”

Section: Discussionmentioning

confidence: 99%

Patient safety incidents reported by relatives of hospitalized children

Hoffmann

Rodrigues²,

Biasibetti

et al. 2020

Rev. Gaúcha Enferm.

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Objective: To know the main safety incidents reported by relatives of patients hospitalized in pediatric units. Methods: This is a qualitative research with exploratory-descriptive design. Data were collected between April 2016 and December 2017, in three hospitals in Porto Alegre/RS. A total of 91 semi-structured interviews were conducted with relatives of pediatric patients hospitalized in emergencies, infirmaries, and intensive care centers. The statements were transcribed in full and submitted to a thematic content analysis. Results: The category Identification of safety incidents by relatives of hospitalized pediatric patients was formulated. Eight subtopics emerged: drug therapy, hand and environment hygiene, diet therapy, risk of falls, communication, patient identification, care processes/procedures and access to the institution. Conclusions: The family identified safety incidents in various stages of care for hospitalized children. It is necessary to think about strategies that integrate the family in the care of children, to minimize risks and complications resulting from care.

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Section: Discussionmentioning

confidence: 99%

Patient safety incidents reported by relatives of hospitalized children

Hoffmann

Rodrigues²,

Biasibetti

et al. 2020

Rev. Gaúcha Enferm.

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“…Refs. 28 argued that the occurrence of error was not only related to the individual attitude of the worker, but the working conditions provided by the employer, such as equipment and materials, infrastructure, work process, salary, working hours, number of employees, job satisfaction, job stability, also affect job performance. Refs.…”

Section: Background and The Related Workmentioning

confidence: 99%

Estimating and ranking the impact of human error roots on power grid maintenance group based on a combination of mathematical expectation, Shannon entropy, and TOPSIS

Tavakoli

Nafar

2021

Quality & Reliability Eng

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Due to the importance of electrical grid reliability, analysis and evaluation of human error in the maintenance of electrical networks should be also considered seriously. The root causes of these errors must be identified and prioritized to plan for human error reduction. One of the objectives of the present study is to identify and predict these roots for power transmission maintenance groups from organizational, job position, communication, individual, and supervision aspects along with the relationships between these factors. In particular, this paper demonstrates that supervisor behavior as an external factor has a significant effect on maintenance personnel error. For this reason, special attention has been paid to identifying and controlling human factors from a supervisory point of view in this study. This paper also provides a method for detecting the extent of the expected influence of these roots on each personnel, since human error has a random nature. This is done based on the law of mathematical expectation. Finally, a method is suggested to rank roots based on greater effectiveness and evaluate personnel with higher error expectations. The proposed method is a combination of intermediate methods, Shannon entropy, and technique for order of preference by similarity to ideal solution (TOPSIS). The origins of the four human errors between 2014 and 2018 related to the two experts of Fars Electricity Maintenance Contractor Company are compared by the proposed method.

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“…[6] From this perspective, hospital institutions are increasingly concerned with ensuring safe care, offering excellent care, reducing costs, and ensuring customer satisfaction. [7,8] A study carried out in the south of Minas Gerais showed that the nurse's praxis in patient safety in the hospital environment is consolidated through leadership, the exercise of nursing management, and care based on communication with a focus on empathy, dialogue and in valuing strategies for continuing and permanent education. [8] Therefore, hospitals have incorporated the aim of instituting safety as a cultural process, promoting greater awareness of professionals regarding the culture of safety and an ethical commitment in risk management, with the consequent acquisition of safety for themselves and the clients, overcoming the existing gap in the aspect of patient safety.…”

Section: Introductionmentioning

confidence: 99%

Theories used by nurses to promote patient safety practices: A scoping review

Almeida

Ramos

Andrade

et al. 2022

JNEP

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Aim: To review available scientific evidence in the literature on theories that have been used to promote patient safety practices in the hospital environment.Methods: Design: A scoping review was conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist. Method: the study was conducted between October and November 2020. The following databases were used to identify studies: Medline, Lilacs, BDENF, CINAHL, and Scielo Library. The following search key terms were used: “Patient Safety” AND “Nursing Theory” OR “Nursing Theories”. Thirty-two studies were selected and analyzed, composing the review corpus. The studies were read and critically analyzed, followed by the discussion and interpretation of the results with the presentation of the identified evidence. The analysis was carried out using a descriptive method.Results: The 32 articles that made up the study sample were published between 2006 and 2020 in 14 different countries and indicated the use of 34 different theories.Conclusions: By analyzing the study sample, it was possible to identify nursing theories and theories in other fields of science. Some theories have been applied in the foundation of safe nursing care in different contexts and situations or the analysis and creation of safety culture protocols for healthcare organizations.

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Error-producing conditions in nursing staff work

Abstract: The errors made by nursing staff workers demonstrate that error-producing conditions are present in the context of their occurrence in all actions, and understaffing and intensity of work are the most recurrent circumstances.

Cited by 11 publications

References 11 publications

Patient safety incidents reported by relatives of hospitalized children

Patient safety incidents reported by relatives of hospitalized children

Estimating and ranking the impact of human error roots on power grid maintenance group based on a combination of mathematical expectation, Shannon entropy, and TOPSIS

Theories used by nurses to promote patient safety practices: A scoping review

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