Identification and evaluation of dentists' errors in infection control in a specialized clinic in Tehran
Naser Shams Ghareneh
Hanieh Khani Jazani
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Background and aims: Healthcare is one of the areas with high risk. Nowadays, leader organizations in healthcare recognize the fact that the side effects and the failure of the system should be managed and controlled. In this context, one of the most important topics is human error. One of the issues related to healthcare is "Infection Control" which is much discussed in dentistry. This research was carried out in order to identify, prevent and reduce human errors in the field of personal protective equipment and hand washing in infection control. Methods: This study was conducted in a semi-private dental clinic in Tehran. Data were collected through interviews with dentists who are specialists, reports and documentation of the clinic and the analyst's observations in dentists' duties which were related to use of personal protective equipment and hand washing in infection control. The data were analyzed using SHERPA technique and then control solutions were presented. Results: About 60% of the identified errors were action errors, 2.47% retrieval, 3.70% information communication, 9.87% selection and 23.45% were checking errors. The highest percentage was for the action error and the lowest for retrieval error. The most important common errors which were found in this research are; not washing hands between each visit, touching devices that don't have disposable covers, adjusting the mask with contaminated gloves during treatment, using glasses that cannot protect eyes in all sides and not changing the mask in standard period of time. Conclusion: The identification of errors, the results of the risk assessment and provided solutions for controlling risks, represent SHERPA as an appropriate and implementable technique for the field of dentists' infection control.