환자안전과 관련된 병원문화와 의료과오 보고에 대한 간호사의 인식조사
A Survey of Nurses' Perception of Patient Safety Related to Hospital Culture and Reports of Medical Errors
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Abstract
Purpose: Purposes of this study were (1) to describe nurses' perception of hospital organization culture regarding patient safety culture and reporting medical errors, and (2) to identify factors associated with perception of patient safety and nurses' safety management. Method: A survey was conducted with 886 nurses using the Korean version of the AHRQ patient safety survey, a self-report 5-point Likert scale. SPSS 10.0 was used for descriptive and correlation analysis. Results: The mean for working environment related to patient safety was 3.41(±0.35), and associated factors were nurses' age, duration of working in present hospital, unit, and special area, direct contact with patients, and the work unit or area. Among organizational culture factors related to patient safety, means were 3.81(±0.54) for boss/managers' perception of patient safety and 3.37(±0.49) for cooperation/collaboration between units. Mean number of errors reported by nurses was 3.68(±0.38) times over the past 12 months. For incidence reporting, the items that ‘nurses perceived communication among clinicians as fair’ had a mean of 3.53(±0.46) and 'the frequency of reporting was good', 4.03(±0.69). Conclusion: Korean nurses' perception of hospital environment, organizational culture, and incidence reporting was above average and mostly associated with their work experience and position.
참고문헌 (31)
- Abbott, P. A, "Research in patient Safety", Error Reduction: A Nursing Perspective, 2003.06, ~
- Baker, G. R, "Next steps for patient safety in Canadian healthcare", 5(3), pp.75~80 (2004)
- Bates, D. W, "Improving safety with information technology", 348, pp.2526~2534 (2003)
- Bates, D. W, "Effect of computerized physician order entry and a team intervention on prevention of serious medication errors", 280(15), pp.1311~1316 (1998)
- Byun, K. J, "Work stress and Job satisfaction of nurses working in emergency room and in admission ward", 6(2), pp.1~22 (2002), Kyungbook Nursing Science Journal
- Cho, M. K, "Participation in decision-making and expertise of staff nurses", 10(2), pp.537~548 (1999)
- Choi, H. J, "A study on Nurse's Decision Making Process and Related Factors for Patient Care" (1997)
- Cocoran, "Task complexity and nursing expertise as factors in decision making", pp.107~112 (1986)
- Cullen, D. J, "The incident reporting system does not detect adverse drug events: A problem in quality assurance", 21, pp.541~548 (1995)
- Grobe, "A descriptive analysis of experienced nurse's clinical reasoning during a planning task", pp.305~314 (1991)
- Hamers, "Diagnostic process and decision making in Nursing", pp.154~163 (1994)
- Hudson, P, "Applying the lessons of high risk industries to health care", 12(1), pp.7~12 (2003)
- Hwang, H. S, "A comparative study on nurses' role conflict and job satisfactions in ICU and general unit", 6(1), pp.51~66 (2001), Journal of Nursing Science
- Hyde, P, "Service design, culture and performance: Collusion and co-production in health care", 57(11), pp.1407~1426 (2004)
- Institute of Medicine, "To err is human: Building a safer health system", pp.1~5 (1999), DC: National Academies Press
- "A comparison of the clinical judgement process in experiences registered nurses and student nurses", ita, pp.120~126 (1989)
- "Expert nursing diagnoses the links between nursing care plans and patient classification systems", pp.31~39 (1991)
- Kim, J. E, "Patient Safety: Achieving a new standard for care", pp.288~289 (2006), Seoul: Korean Society of Medical Informatics
- Lamond, D, "Information sources used in decision making: Considerations for simulation development", 33(1), pp.47~57 (1996)
- Lim, N. Y, "Factors on decision-making participation related to clinical experience difference", 34(2), pp.270~277 (2004)
- Milligan, F, "Improving patient safety and incident reporting", 19(7), pp.33~36 (2004)
- Moss, F, "Organizational change: The key to quality improvement", 7, pp.S1~2 (1998)
- Nicklin, W, "Canadian nurses' perceptions of patient safety in hospitals", 15(3), pp.11~21 (2002)
- Nieva, V. F, "Safety culture assessment: a tool for improving patient safety in healthcare organizations", 12, pp.17~23 (2003)
- Noyes, J, "An explanation of the differences between expert and novice performance in the administration of an intramuscular injection of an analgesic agent to patients in pain", 22, pp.800~807 (1995)
- O'Neil, "Physician reporting compared with medical-record review to identify adverse medical events", pp.370~376 (1993)
- Park, S. A, "Job stress and social support according to the types of behavior pattern: A study of staff nurses in a general hospital", 7(2), pp.349~360 (2001)
- Pronovost, P. J, "Evaluation of the culture of Safety: Survey of clinicians and managers in an academic medical center", 12, pp.405~410 (2003)
- Walshe, K, "Effectiveness of quality improvement: Learning from evaluations", 11, pp.85~87 (2002)
- Wears, R. L, "Human Error in Medicine: Promise and Pitfall", pp.36~144 (2000)
- Yi, Y. J, "The Causal Relationships of the Variables to Decision-Making of Clinical Nurses" (2002)