IDENTIFICATION AND EVALUATION OF MIDWIFERY STAFF ERRORS IN THE KOSAR TRAINING CENTER BY SHERPA METHOD

Midwifery activity is one of the most essential cares in obstetrics and gynecology
services, which plays an important role in improving maternal and neonatal health. With increasing
global concern about the effects of childbirth and the importance of this process, any human error in this
regard is non-negligible. Therefore, given the significant mortality and adverse effects, safe and effective
delivery control is a critical issue.
Materials & Methods: This cross-sectional study was performed to identify and evaluate midwifery
staff errors of Kowsar Hospital of Qazvin in 2018. There are various ways to identify, evaluate, and
predict human errors. Among these, the SHERPA technique is one of the most common methods to
detect these errors.
Results: After hierarchical analysis, the main tasks were divided into 68 sub-tasks. Finally, 65 errors
were identified for midwifery staff activities (57% action errors, 25% revision errors, 6% retrieval errors,
9% communication errors, and 3% selective errors). Therefore, the highest percentage was the action
errors and the least was the selective errors.
Conclusion: Hospital authorities should pay more attention to action errors and prioritize these errors
in patient safety. It is recommended that appropriate actions be taken to establish a culture of patient
safety