the Identify, evaluate and control the errors of the treatment staff in the laboratory unit and provide corrective measures using barrier analysis

Abstract

Introduction: Laboratory unit is one of the most dangerous working environments in which the occurrence of errors can lead to severe injuries to patients, psychological damages to the service providers, degradation of the unit and legal consequences.In this regard and considering that no relevant comprehensive study has been existed in the mentioned field in the country, this research was conducted. Methods: The present research was a descriptive cross-sectional study conducted in the laboratory unit of Akhtar Hospital in Tehran. This study was organized as the follows: examining related studies, statistics and scientific resources, interviews with laboratory staff, teaching the purpose and method of research, study the instructions, observing activities and practices. Tasks were analyzed by HTA method, then errors and obstacles were identified based on BARRIER ANALYSIS instruction and at the end appropriate control strategies were presented to reduce the risk of errors. Results: A total of 552 errors were identified, and 86 barriers in the laboratory unit including 12 administrative barriers, 15 statutory barriers, 9 humanitarian action barriers, 18 supervision and cooperation barriers, 8 educational barriers, 0 natural barriers, 9 physical barriers and Finally 15 environmental design barriers were identified. Conclusion: According to the obtained results and risk assessment, functional errors (maximum frequency) and errors in this area should be given priority to control and reduce. This is possible through the development of instructions, training courses, close supervision on officials and frequent inspections, registration of errors and disclosure.

Keywords

• BARRIER ANALYSIS
• human error
• laboratory unit