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치과위생사의 감염관리활동과 환자안전문화에 대한 인식

Perception of infection control activities and patient safety culture among dental hygienists

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초록

Objectives: The study was to promote patient safety by analyzing the effect of dental hygienist's perception of patient safety culture on infection control activities. Methods: The study is based on a survey of 377 dental hygienists in total working in dental settings. The questionnaire consisted of 119 questions, including 34 questions on perception of patient safety culture, and 85 questions on infection control activities. Hierarchical regression analysis was used to examine the relationship between the perception of patient safety culture and infection control activities. The data was analyzed using the SPSS version 20.0, and p<0.05 was adopted to decide on significance. Results: The longer dental hygienists have worked n the dental settings, the more active they become in infection control activities. Among the different types of dental care settings, general (university) hospitals had the largest number of infection control activities, followed by dental clinics, and network dental clinics, in descending order. The dental settings possessing a higher number of dental hygienists were found to conduct more infection control activities than other dental settings. In addition, it was found that when a dental setting adopts a patient safety policy across all the units in the hospital, more systems and procedures for patient safety tend to be established, and that stricter management response to error leads to improvement of infection control activities. Conclusions: In order to enhance infection control activities, infection control activity programs should develop and implement periodic reinforcement of infection control education. regular monitoring of infection control activities.

Abstract

Objectives: The study was to promote patient safety by analyzing the effect of dental hygienist's perception of patient safety culture on infection control activities. Methods: The study is based on a survey of 377 dental hygienists in total working in dental settings. The questionnaire consisted of 119 questions, including 34 questions on perception of patient safety culture, and 85 questions on infection control activities. Hierarchical regression analysis was used to examine the relationship between the perception of patient safety culture and infection control activities. The data was analyzed using the SPSS version 20.0, and p<0.05 was adopted to decide on significance. Results: The longer dental hygienists have worked n the dental settings, the more active they become in infection control activities. Among the different types of dental care settings, general (university) hospitals had the largest number of infection control activities, followed by dental clinics, and network dental clinics, in descending order. The dental settings possessing a higher number of dental hygienists were found to conduct more infection control activities than other dental settings. In addition, it was found that when a dental setting adopts a patient safety policy across all the units in the hospital, more systems and procedures for patient safety tend to be established, and that stricter management response to error leads to improvement of infection control activities. Conclusions: In order to enhance infection control activities, infection control activity programs should develop and implement periodic reinforcement of infection control education. regular monitoring of infection control activities.

참고문헌 (20)

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  2. Kohn WG, "Guidelines for infection control in dental health-care setting 2003", CDC, 1~61 (2003)
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  7. 정지은, "치과병원 치과위생사의 환자안전문화에 대한 인식 분석", 보건의료산업학회지, 7(4), pp.81~92 (2013), 보건의료산업학회
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  10. 김미영, "간호사와 치위생사의 환자안전문화 인식수준 비교연구", 한국산학기술학회논문지, 13(11), pp.5196~5205 (2012), 한국산학기술학회[DOI]
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  16. 김정은, "환자안전과 관련된 병원문화와 의료과오 보고에 대한 간호사의 인식조사", 임상간호연구, 13(3), pp.169~179 (2007), 병원간호사회
  17. 최영숙, "치과위생사의 감염관리 실천이 노출 예방에 미치는 영향", 한국치위생학회지, 10(2), pp.255~268 (2010), 한국치위생학회
  18. 유하나, "치과위생사의 치과진료 감염방지기준에 관한 연구", 디지털융복합연구, 11(12), pp.649~656 (2013), 한국디지털정책학회[DOI]
  19. Ellen D, "Safety standards and infection control for dental hygienists", pp.1~239 (2002), Delmar Thomson Learning
  20. CDC, "Guidelines for prevention of intravascular infection. Guidelines for Prevention and Control of Nosocomial Infections", ~ (2005)

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