Citation

Narumi J, Miyazawa S, Miyata H, Suzuki A, Kohsaka S, Kosugi H. Accid. Anal. Prev. 1999; 31(6): 625-629.

Affiliation

Division of Cardiology, Seirei Mikatahara General Hospital, Hamamatsu, Japan.

Copyright

(Copyright © 1999, Elsevier Publishing)

DOI

unavailable

PMID

10487337

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.