• Title, Summary, Keyword: Patient safety

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Relationship between Perceived Patient Safety Culture and Patient Safety Management Activities among Health Personnel (의료인의 환자안전문화 인식과 환자안전관리 활동 간의 관계)

  • Cho, Hye-Won;Yang, Jin-Hyang
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.1
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    • pp.35-45
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    • 2012
  • Purpose: This study was done to explore the relationship between perceived patient safety culture and patient safety management activities among health personnel. Methods: This study was a cross-sectional survey. Participants were 342 health personnel working in two tertiary hospitals. Self-administered questionnaires were used to collect data from a convenience sample of 254 nurses and 88 doctors. Results: Scores on participants' perceived patient safety culture and patient safety management activities were just over the mean. There were significant differences in patient safety management activities by type of occupation, nurses' position, length of service, and work week. Doctors scored perceived patient safety culture and patient safety management activities significantly lower than nurses. In addition, perceived patient safety culture was significantly related to patient safety management activities. Factors which influence participants' patient safety management activities were communication, type of occupation, overall evaluation of patient safety, supervisor/manager, frequency with which events were reported, and nurse's position. Conclusion: Findings provide significant evidence that patient safety management activities are associated with perceived patient safety culture. Therefore, to build a positive safety culture, health personnel, especially doctors and general nurses need to visibly commit to patient safety management activities and be role models to ensure patient safety.

The Effect of Organizational Commitment and Perceived Patient Safety Culture on Patient Safety Nursing Activities in Public Hospital Nurses (공공의료기관 간호사의 조직몰입, 환자안전문화인식이 환자안전간호활동에 미치는 영향)

  • Lee, Hyun Kyung;Kim, Geun Myun;Kim, Eun Joo
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.26 no.2
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    • pp.145-154
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    • 2019
  • Purpose: This study was conducted to identify and analyze organizational commitment, patient safety culture, and patient safety nursing activities on patient safety in public hospitals. Methods: The data were collected from 190 nurses in 6 public hospitals within the Gyeonggi region and were analyzed using SPSS 23.0 for descriptive statistics and multiple regression. Results: Patient safety nursing activity was positively correlated with the number of participants in patient safety training programs, organizational commitment, and patient safety culture awareness. Patient safety culture awareness was positively correlated with the number of participants in patient safety training programs and organizational commitment. Organizational commitment was positively correlated with age and total work experience. Factors affecting patient safety activities, frequency of patient safety training, and patient safety culture awareness were significant influencing factors with an explanatory power of 30.1%. Conclusion: In order to increase patient safety nursing activities in public hospitals, systematic patient safety training policies are required. In addition, diverse interventions are required to increase organizational commitment.

Analysis of Subgroups with Lower Level of Patient Safety Perceptions Using Decision-Tree Analysis (환자안전인식 취약군에 대한 의사결정나무모형)

  • Shin, Sun Hwa
    • Journal of Korean Academy of Nursing
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    • v.50 no.5
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    • pp.686-698
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    • 2020
  • Purpose: This study was aimed to investigate experiences, perceptions, and educational needs related to patient safety and the factors affecting these perceptions. Methods: Study design was a descriptive survey conducted in November 2019. A sample of 1,187 Koreans aged 20-80 years participated in the online survey. Based on previous research, the questionnaire used patient safety-related and educational requirement items, and the Patient Safety Perception Scale. Descriptive statistics and a decision tree analysis were performed using SPSS 25.0. Results: The average patient safety perception was 71.71 (± 9.21). Approximately 95.9% of the participants reported a need for patient safety education, and 88.0% answered that they would participate in such education. The most influential factors in the group with low patient safety perceptions were the recognition of patient safety activities, age, preference of accredited hospitals, experience of patient safety problems, and willingness to participate in patient safety education. Conclusion: It was confirmed that the vulnerable group for patient safety perception is not aware of patient safety activities and did not prefer an accredited hospital. To prevent patient safety accidents and establish a culture of patient safety, appropriate educational strategies must be provided to the general public.

Perception of Workers on Patient Safety Culture and Degree of Patient Safety in Nursing Homes in Korea (한국 노인요양시설 실무종사자들이 인식하는 환자안전문화와 환자안전도)

  • Yoon, Sook Hee;Kim, Se Young;Wu, XiangLian
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.3
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    • pp.247-256
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    • 2014
  • Purpose: The purpose of this study was to investigate provide basic data for improving patient safety in nursing homes in Korea by measuring the patient safety culture of nursing homes and understanding its influencing factors. Methods: This study is a secondary analysis of a descriptive research study using data from development and validation of the Korean patient safety culture scale for nursing homes. A total of 982 cases were analyzed using the SPSS Statistics 20 program. Results: For the safety culture of the patient, there was a significant difference based on the size and location of the facility. For the degree of patient safety, age, education, occupation, marital status, and the size of the nursing home were significant factors. Patient safety culture and the degree of patient safety had a positive correlation. The regression model of the degree of patient safety was significant (F=20.73, p<.001) and the explanatory power of the model was 27.4%. Conclusion: The study results indicate that patient safety culture is a factor influencing safety of elders in nursing homes. To improve patient safety for nursing homes in Korea, continuous evaluation and improvement projects need to be done at a national level.

The Effects of Patient Safety Culture Perception and Patient Safety Competencies on Patient Safety Management Activities in Nurses (간호사의 환자안전문화 인식과 환자안전역량이 환자안전관리활동에 미치는 영향에 대한 융복합 연구)

  • Choi, Eun-A;Kwon, Young-Eun
    • Journal of Digital Convergence
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    • v.17 no.12
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    • pp.281-288
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    • 2019
  • The purpose of this study is to identify the impact on patient safety management activities. In this study, 134 nurses from three local hospitals were investigated for patient safety culture recognition, patient safety capacity, and patient safety management activities, and the impact on patient safety management activities was thus attempted. The patient safety culture recognition level was 4.25/5, the patient safety capacity was 4.37/5, the patient safety management activity was 4.26/5, and the patient safety awareness and patient safety capability(r=.765, p<.001) and Patient Safety Capacity and Patient Safety Management Activity (r=.837, p<.001) and Patient Safety Capacity and Recognition of Patient Safety Culture(r=.728, p<.001) had a significant amount of correlation. Factors affecting patient safety management activities(β=.582, p<.001), Patient Safety Culture Recognition(β=.3632, p<.001), position(β=-.132, p=.009) Patient safety requires strengthening the capabilities of nurses and systematic training and evaluation of continuous patient safety activities.

Effect of Patient Safety Culture and Patient Safety Competence on Safety Nursing Activity among Nurses working in Anesthetic and Recovery Rooms (마취·회복실 간호사의 환자안전문화와 환자안전역량이 안전간호활동에 미치는 영향)

  • Kim, Jin Joo;Jung, Hyang Mi
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.2
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    • pp.164-174
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    • 2020
  • Purpose: This study was to investigate the relationships among patient safety culture, safety competence and safety nursing activity among nurses in anesthetic and recovery rooms, and to identify the factors contributing to safety nursing activity. Methods: A descriptive correlational study was conducted. Participants were 156 nurses from 13 hospitals. Data were collected from February 11 to March 15th, 2019, and analyzed using descriptive statistics, t-test, Mann-Whitney U test, one-way ANOVA, Pearson's correlation and multiple regression analysis with SPSS statistics 24.0 Program. Results: Safety nursing activity was significantly different in relation to nurses' level of education, position at work, clinical career, clinical career at anesthetic and recovery rooms, and work experience in patient safety. Safety nursing activity demonstrated a significant positive correlation with patient safety culture and patient safety competence. Factors contributing to safety nursing activity were patient safety knowledge, skill and attitude, clinical career, clinical career at anesthetic and recovery rooms, and the patient safety improvement system which explained 57.0% of total variance of safety nursing activity. Conclusion: To improve safety nursing activities at anesthetic and recovery rooms, it is necessary to develop patient safety programs with enhanced knowledge, skill and attitude to take patient safety as a top priority.

Influence of perceived patient safety culture on patient safety management activity in the dental hygienists (치과위생사의 환자안전문화 인식이 환자안전관리활동에 미치는 영향)

  • Lee, Da-Jung;Han, Su-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.6
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    • pp.863-877
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    • 2016
  • The study aimed to investigate the influence of perceived patient safety culture on patient safety management activity in the dental hygienists. Methods: A self-reported questionnaire was completed by 292 dental hygienists in Seoul, Incheon and Gyeonggido from March 1 to April 8, 2016. The questionnaire consisted of general characteristics of the subjects (9 items), patient safety culture (44 items), and patient safety management activity (25 items) by Likert 5 point scale. Data were analyzed by t test, one way ANOVA, stepwise multiple regression test, and post-hoc Tukey test using SPSS 18.0 program. Results: The perceived patient safety culture was 3.50 on average. Entire organization was the highest score (3.68) and followed the communication process (3.55), the environment of work unit (3.47), the attitude of supervisor/manager (3.45), and the frequency of events reported (2.98). The average of patient safety management activity was 3.71. As for the factors of patient safety culture on patient safety management activity, communication process was the most influential factor (${\beta}=0.268$), and followed the entire organization (${\beta}=0.265$), the environment of work unit (${\beta} =0.166$), the frequency of events reported (${\beta}=0.104$), and among the control variables. Work place proved to be the only significant variable. Conclusions: In order to promote patient safety management activity of dental institutions, the patient safety culture should be created and established. The influence of communication process and patient safety culture at entire organization level was huge. So the environment of work unit and the perceived patient safety culture in the process of reported events were influencing factors. The strategy for patient safety management activity should be considered because of low level of perceived patient safety culture.

A Legal Framework for Improving Patient Safety in Korea (환자안전 관련 법의 구조와 현황)

  • Ock, Minsu;Kim, Jang Han;Lee, Sang-il
    • Health Policy and Management
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    • v.25 no.3
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    • pp.174-184
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    • 2015
  • This paper reviewed structure and current status of laws related to patient safety using patient safety law matrix to promote systematic approach in legal system of patient safety. Laws related to patient safety can be divided into three areas: laws for preventing; laws for knowing about; and laws for responding. In the case of Korea, gaps are especially prominent in the areas of laws for knowing about and responding. Patient safety law which will be enacted in July 2016 will fill the gap in the area of laws for knowing about. This law will be comprehensive law, covering the full spectrum of laws related to patient safety. However, after reviewing current patient safety law in Korea, the following drawbacks were identified: absence of code for grasping the current patient safety level; absence of code for mandatory reporting in patient safety reporting system; and absence of code for privilege about patient safety work product. Furthermore we need wider discussions about covering issues of open disclosure, apology law, coroners system, and complaint management system in patient safety law.

Influences of Sense of Ethics and Attitude toward Patient Safety in the Confidence in Patient Safety in Nursing Students (간호대학생의 윤리의식과 환자안전에 대한 태도가 환자안전 수행자신감에 미치는 영향)

  • Lim, Kyung Choon;Park, Misung;Shin, Gyeyoung
    • Journal of muscle and joint health
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    • v.24 no.2
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    • pp.140-149
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    • 2017
  • Purpose: This study aimed to explore the influences of sense of ethics and attitude toward patient safety in confidence in patient safety in nursing students. Methods: This descriptive study was conducted with 198 students who had clinical practices in two nursing schools. Sense of ethics, attitude and confidence about patient safety were measured by a questionnaire. Data were analyzed with SPSS/WIN 19.0 using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis. Results: There were significant differences in satisfaction with nursing major by grade. There were significant positive correlations among sense of ethics, attitude toward patient safety, confidence in patient safety, view on patient's safety, and satisfaction with nursing major. Confidence in patient safety was associated with sense of ethics, attitude toward patient safety, and view on patient's safety, with 37.6% of the variance. Conclusion: The findings suggest that we need to develop curriculums for undergraduate students to improve their sense of ethics and patient safety. Further research is needed to examine educational needs on patient safety in nursing students.

Perception of Patient Safety Culture and Safety Care Activity among Nurses in Small-Medium Sized General Hospitals (중소 병원 간호사의 환자안전문화에 대한 인식과 안전간호활동 수행 정도)

  • Lee, Na-Joo;Kim, Jeong-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.4
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    • pp.462-473
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    • 2011
  • Purpose: This study was done to identify the factors affecting the perception of patient-safety-culture and the level of safety-care-activity among nurses in small-medium sized general hospitals. Method: Data were collected during April and May 2011, from 241 nurses of five hospitals. A hospital survey questionnaire on patient-safety-culture and safety-care-activity was used. Collected data were analyzed using descriptive statistics, Pearson correlation, t-test, ANOVA, Scheffe test and multiple-regression. Results: There were significant differences in the level of perception of patient-safety-culture according to the nurses' age, type of hospital, position, work department, and knowing whether there was a Patient-Safety committee in their hospitals. Nurses with higher perceived level of the patient-safety-culture performed more safety-care-activities. Factors influencing on the safety-care-activities were general patient safety, having had safety-education, patient-to-nurse ratio, employment status, and the level of reporting medical errors. These factors explained 22.9% of the safety-care-activity. Conclusions: The study findings suggest that in order to improve the nurses' perceived level of patient-safety-culture and safety-care-activity, the hospitals need to establish patient-safety committees and communication systems, and openness to reporting medical errors are needed. Better work conditions to ensure appropriate work time, regulate patient-to-nurse ratio, and nursing education standards and criteria, are also required.