Identification and Assessment of the Potential Error Causes in a Fertility and Infertility Center Using Pareto Analysis in Isfahan, Iran

Document Type: Original Article


1 MSc Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

2 Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Science, Isfahan, Iran.

3 MSc in School of Management and Medical Information, Isfahan University of Medical Science, Isfahan, Iran.



Identifying errors and examining their causes in diagnostic and therapeutic processes is special conditions which has considerable impact on fertility medicine. 
Porpuse: The purpose of this investigation is to identifying and assessing the causes of potential errors in the Isfahan Fertility and Infertility Center using Pareto analysis
Materials and Methods:
Data for this study were a Descriptive-analytic study approach was adopted to assess the management practice of twofold: 1. identification of errors in process of from admission to stimulate ovulation and 2. Evaluation of causes of errors in process by using Pareto analysis. 
Of the 5 proposed processes, 123 errors were identified. The result ,as shown in chart1, indicate that the most common causes of error in each of the 5 processes related to "Mistake in entering the system information by personnel(13%), patient’s swarm(25%), Lack of knowledge(33%), Occupation of personnel(39%) and Doctor mistake in prescription(record, date and condition tests(45%).In fact, 80% of the causes of the error were in each of the 5 processes considered at 20% of them.
Pareto chart seems to be a useful tool for identifying the main problem created by diagnostic and therapeutic processes and can identify the true cause of errors, including common errors.