환자안전 보고 시스템의 구성 요소 및 그 현황 분석
What Should We Consider for Establishing a National Patient Safety Reporting System?
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Objectives: To propose future directions of patient safety reporting system (PSRS) in South Korea based on the analysis of current PSRSs in some developed countries. Methods: We summarized the components of external PSRS in ten countries through literature review. Based on the same framework used in the literature review, we collected informations about three domestic external PSRSs. We also did e-mail interviews with those who are in charge of operating domestic PSRSs to collect additional information. Results: The components of PSRS can be divided into three factors: reporting method (events to be reported, type of reporting system, reporter and means of report- ing); data analysis (organization in charge of analysis and dissemination of results for analysis); and confidentiality of data and reporter (independent patient safety law, confidentiality and privilege and organization dedicated to patient safety). Conclusion: In accordance with the components of PSRS, the following points should be considered for establishing a national PSRS in Korea: intro- ducing mandatory reporting for serious reportable events; expanding events to be reported, report- er and means of reporting; developing infrastructure for analysing reported data; disseminating analysis results; providing a confidentiality protection and legal privilege to reporters or reported data; and establishing a patient safety center which is in charge of managing PSRSs.
Abstract
Objectives: To propose future directions of patient safety reporting system (PSRS) in South Korea based on the analysis of current PSRSs in some developed countries. Methods: We summarized the components of external PSRS in ten countries through literature review. Based on the same framework used in the literature review, we collected informations about three domestic external PSRSs. We also did e-mail interviews with those who are in charge of operating domestic PSRSs to collect additional information. Results: The components of PSRS can be divided into three factors: reporting method (events to be reported, type of reporting system, reporter and means of report- ing); data analysis (organization in charge of analysis and dissemination of results for analysis); and confidentiality of data and reporter (independent patient safety law, confidentiality and privilege and organization dedicated to patient safety). Conclusion: In accordance with the components of PSRS, the following points should be considered for establishing a national PSRS in Korea: intro- ducing mandatory reporting for serious reportable events; expanding events to be reported, report- er and means of reporting; developing infrastructure for analysing reported data; disseminating analysis results; providing a confidentiality protection and legal privilege to reporters or reported data; and establishing a patient safety center which is in charge of managing PSRSs.
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