Análise da confiabilidade humana relacionada a bombas de infusão do Hospital de Clínicas de Uberlândia

Abstract

The objective of the study is to identify possible human errors related to the application of infusion pumps, necessary for reliable administration of drugs and nutritional therapies according to the prescribed doses, as well as the proposition of improvements in the process. For that, the infusion pump application routines implanted at the Uberlândia Hospital of the Federal University of Uberlândia (HCU / UFU) were evaluated using the Systematic Human Error reduction and Prediction Approach (SHERPA) method. Identify and reduce errors related to the application of infusion pumps, through cognitive modules of human performance. For that, the activities related to the execution of the processes were evaluated and described by the method called Hierarchical Task Analysis (HTA), until the hierarchy of the tasks to be performed in the conduction of a given activity was obtained. The tasks were then inserted into spreadsheets with their respective hierarchical levels in order to illustrate the structure of the process, each activity was later named with one of the categories of the SHERPA taxonomy in order to identify the possible human errors associated with the execution of each one of the tasks. We analyzed the consequences of each of the errors, the error recovery analysis, as well as the criticality evaluation of each one of them. In view of the results obtained in the present study it is possible to conclude that through a systematic analysis carried out by the SHERPA method, it was possible to elaborate proposals for improvements to reduce the risks of human error in the application of infusion pumps for nutrition and medicine in HC / UFU.