Analysis of human error in nursing care

Accid Anal Prev. 1999 Nov;31(6):625-9. doi: 10.1016/s0001-4575(99)00021-4.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cardiology Service, Hospital
  • Humans
  • Japan
  • Medical Errors / statistics & numerical data*
  • Nursing Care*
  • Task Performance and Analysis*