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Mohammad Beiruti, Hadi Daneshmandi , Seyed Abolfazl Zakerian, Mohammad Fararooei, Zahra Zamanian,
Volume 6, Issue 4 (12-2016)
Abstract

Introduction: Human error is considered as a crucial challenge in occupational settings. Health care system is amongst occupational environments with high rate of human errors. Numerous preceding studies noted that more than 2/3 of medical errors are preventable. Accordingly, different methods are suggested to evaluate human errors, especially in nuclear industries. The aim of this study was to evaluate the application and accuracy of HEART technique in medical health system.

Material and Method:  This qualitative study was conducted in surgical intensive care units of a hospital in Shiraz city. All nurses recorded errors were categorized regarding the given tasks and then all tasks were ranked based on the number of errors. The probability of nurses’ tasks error was estimated through AHP-HEART method and the resultant ranking was compared with the recorded errors. Additionally, the prioritization of contributing factors to errors, determined by AHP and AHP-HEART methods, was compared employing Pearson statistical test.

Results: Based on the results, there was a concordance in the rate of nurses’ error determined by HEART method and the recorded errors. However, no significant correlation was between errors contributing factors determined by AHP and AHP-HEART methods.

Conclusion: This study suggested that although HEART technique was successful to rank the tasks considering the magnitude of error probability, but the coefficients of error producing conditions should be customized for nurses’ tasks in order to provide appropriate control measures.


Mohammad-Javad Jafari, Narmin Hassanzadeh-Rangi, Yahya Khosravi, Soheila Khodakarim,
Volume 8, Issue 4 (12-2018)
Abstract

Introduction: Driving a train is one of the high demand job due to high vigilance task requiring the ability to long periods monitor surrounding environment and recognizing signals. The aim of this study was to assess train drivers’ mental workload using heart rate (HR) and heart rate variability (HRV) indices.
Material and Method: An experimental design was conducted among 12 well-trained subjects to induce two different levels of mental demands in a metro simulator and to monitor mental workload levels while driving the train. The HR and HRV parameters were recorded and analysis using ECG signals.
Result: The HRV parameters including SDNNIX (p-value=0.01), RMSSD (p-value=0.00), %PNN50 (p-value=0.01), SDNN (p-value=0.07) and LF/HF Ratio (p-value=0.04) were significantly reduced in a normal operation task comparing to the abnormal one.
Conclusion: The HR and HRV (SDNN, SDNNIX, RMSSD, %PNN50 and LF/HF Ratio) were found to be sensitive to mental workload in metro train driving .It is recommended to include the HRV parameters for mental workload assessment of train drivers.
Davood Afshari, Maryam Nourollahi-Darabad, Gholam-Abbas Shirali,
Volume 11, Issue 4 (12-2021)
Abstract

Introduction: Heat stress is a critical problem in hot industries, especially in incredibly hot climates. It can greatly impair the work process and put the health of workers at risk. This study aims to investigate the applicability of the WBGT index in determining the allowable working time in very hot weather conditions in one of the steel industries in Ahvaz.
Material and Methods: This study was conducted in different sectors of a steel industry in Ahwaz. The physiological parameters of sixty workers working in different parts of the industry were evaluated. Environmental variables and the Wet-Bulb globe temperature (WBGT) Index were also simultaneously measured during work shifts. The acceptable work time was calculated based on the reserve heart rate (RHR) and the WBGT index.
Results: The heat stress index among all occupational groups, based on the WBGT index, was incredibly high and surpassed the recommended level (P<0.05). The statistical test results also indicated a significant difference between the two indices in predicting the adequate work time at different work stations (P <0.05).
Conclusion: The current study results revealed that using the WBGT index for assessing and managing the risk of heat exposure in a hot climate may not have sufficient reliability and performance. Consequently, it is recommended to use optimal indices based on environmental and physiological assessments in a hot climate in order to monitor and control the heat stress associated with heat exposure. 

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