Analysis of human error in nursing care.
Analysis of reports about incidental and accidental events in nursing care were made using a reliability engineering method. Unnatural working hours, such as evening duty, night duty falling next to a holiday, two consecutive night-duty shifts, and two consecutive evening-duty shifts were major factors in the occurrence of errors. In a mixed-division ward (a ward containing patients belonging to different divisions), rule-based errors happened more frequently than in a single-division ward. Also, less experienced nursing staffs made errors more frequently than experienced nursing staffs.
Narumi
J
J
Division of Cardiology, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Miyazawa
S
S
Miyata
H
H
Suzuki
A
A
Kohsaka
S
S
Kosugi
H
H
D016507:Cardiology Service, Hospital; D006801:Humans; D007564:Japan; D019300:Medical Errors / Q000706:statistics & numerical data*; D009732:Nursing Care; D013647:Task Performance and Analysis