| Article ID: | iaor20002178 |
| Country: | United Kingdom |
| Volume: | 31 |
| Issue: | 6 |
| Start Page Number: | 625 |
| End Page Number: | 629 |
| Publication Date: | Nov 1999 |
| Journal: | Accident Analysis and Prevention |
| Authors: | Narumi Jun, Miyazawa Sosuke, Miyata Haruo, Suzuki Atsuko, Kohsaka Shigemi, Kosugi Hiromi |
| Keywords: | accidents, quality & reliability |
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.