Majallah-i Bālīnī-i Parastārī va Māmāyī (Oct 2018)
Assessment of “Improving Productivity of Clinical Staff’s Law” and Clinical Errors in Nurses Working in Night Shift in Ganjavian Hospital of Dezful City, in 2017
Abstract
Background and Aims One of the goals of "Improving Productivity of Clinical Staffs’ Law" was to reduce the clinical nursing errors. Nurseschr('39') fatigue is one of the most important causes of clinical errors in night shifts. This study aimed to study "Improving Productivity of Clinical Staffs’ Law" and clinical errors in nurses working in night shifts in Ganjavian Hospital of Dezful, Dezful City, Iran, in 2017. Methods In this descriptive-analytical study, records of nurseschr('39') clinical errors in the night shifts from 1992 to 1995 (since the enforcement of the "Improving Productivity of Clinical Staffs’ Law"), as well as the years 1988 to 1991 (before the "Improving Productivity of Clinical Staffs’ Law”) were checked out. The study data were collected using a demographic questionnaire and clinical errors checklist. The obtained data were analyzed using Chi-square test in SPSS version 22. Results The total number of clinical errors recorded in the night shift in terms of drug, diagnostic, care-therapeutic and laboratory aspects was 318 cases before the implementation of the health promotion plan. This figure increased to 746 in 4 years. The total number of clinical errors in comparison with the patientschr('39') numbers showed that the odds ratio before the implementation of the development plan was 0.72 and after the implementation of the plan and the risk of chance after the implementation of the development plan is equal to 1.38 before the implementation of the plan. The total number of clinical errors in relation to the number of nurses showed that the risk of risk before the implementation of the development plan was equal to 0.195 after the implementation of the transformation plan and the risk of the risk after the implementation of the plan to develop before the implementation of the plan is 5.12. Conclusion Results showed that the implementation of the development plan and consideration of the reward for the transparent report of clinical errors increased the number of reports of clinical errors.
