Human Reliability and Un-safety Behavior Factors Investigation of the Prescription Preparing Processes in Pharmacy  
Author Chih-Wei Lu




Abstract Any mistakes have affected patient safety from the prescription preparing processes in pharmacy. Many studies have indicated that most of accident casualties related to human error. To promote human reliability or erase unsafely behaviors will increase the patient safety of hospital. The objective of this study was to investigate the prescription preparing processes and unsafely behaviors by the methods of job analysis, questionnaires, process investigation, Hierarchical Task Analysis (HTA), and Systemic Human Error Reduction and Prediction Approach (SHERPA). The results shows 97.8% operators have known that miss would happened during the work processes; 91.3% have agreed they made miss after they had done their jobs; 63% made miss during the last 3 months and 97.8% have heard colleague talked about miss in the pharmacy of hospital. The result shows that the reliability was 99.88%, and 62 human error factors or unsafely behaviors found from the prescription preparing processes in pharmacy. The hospital has used the results to identify error types to avoid these errors and to promote patient safety by increasing human reliability of the prescription preparing processes in pharmacy


Keywords human reliability, prescription preparing processes, pharmacy, behavior factors
    Article #:  19141
Proceedings of the 19th ISSAT International Conference on Reliability and Quality in Design
August 5-7, 2013 - Honolulu, Hawaii, U.S.A.