Identification and evaluation of human errors in the care of pregnant mothers using the extensive CREAM technique.
Work
Department of Occupational Health Engineering, Department of Occupational Health, School of Health, Birjand University of Medical Sciences, Birjand, Iran.
Published: December 2024
Background: Care of pregnant mothers is one of the most important services provided in the healthcare system.
Objective: This study aims to identify and evaluate human errors in the care process of pregnant mothers using the extensive Cognitive Reliability and Error Analysis Method (CREAM).
Methods: In this study, tasks and activities related to the care of pregnant mothers in the health center and hospital were first analyzed using the HTA (hierarchical task analysis). Then, using extensive CREAM, human errors in tasks related to the care of pregnant mothers in the health center and hospital were identified and evaluated.
Results: In general, 34 main tasks and 106 subtasks were identified in the process of caring for pregnant Mothers. Thirty seven activities are related to midwifery associates or experts, and 19 activities are related to gynecologists. The highest Cognitive Failure Probability total (CFPt) was related to the duties of measures related to the infant, preparing the pregnant mother for transfer to the operating room, routine obstetric measures, taking delivery, measures related to resuscitation, and measures related to the control of the condition after delivery.
Conclusions: The process of caring for pregnant mothers is very vital and prone to errors due to different levels of service. The presence of experienced and capable personnel can largely prevent the occurrence of human errors. Increasing the number of personnel can be effective in reducing workload and preventing errors.
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