안전분위기와 업무환경이 투약오류 보고장애에 미치는 영향
Impact Factors of Safety Climate and Work Environment Influencing Barrier to Medication Administration Error Reporting
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Purpose: This study aimed to provide basic data management regarding patient safety and to reduce the number of medical errors by examining the relationship between the nurses' perception of climate safety, work environment, and barriers in reporting medication administration errors. Methods: A survey was conducted with 329 nurses at hospitals nationwide. The Safety Climate Scale, Korean Practice Environment Scale the Nursing Work Index, and Barriers to Medication Administration Error Reporting Questionnaire were adapted to collect information pertaining to climate safety, work environment, and barriers in reporting medication administration errors. For data analysis, descriptive statistics, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis were used. Results: The climate safety score was significantly different depending on age, education level, and number of beds in the working hospital. The perception of the work environment was significantly different depending on age and number of beds in the working hospital. The barriers in reporting medication administration errors were significantly different depending on education, department, and number of beds in the working hospital. Climate safety and work environment were negatively associated with barriers in reporting medication administration errors. Key factors that influencing reporting on medication administration errors were blame and worker safety and education were entered in the second set and they accounted for 35.3% of the variance. Conclusion: In conclusion, strategies for alleviating barriers in reporting medication administration errors and improvement of climate safety and work environment should be implemented.
Abstract
Purpose: This study aimed to provide basic data management regarding patient safety and to reduce the number of medical errors by examining the relationship between the nurses' perception of climate safety, work environment, and barriers in reporting medication administration errors. Methods: A survey was conducted with 329 nurses at hospitals nationwide. The Safety Climate Scale, Korean Practice Environment Scale the Nursing Work Index, and Barriers to Medication Administration Error Reporting Questionnaire were adapted to collect information pertaining to climate safety, work environment, and barriers in reporting medication administration errors. For data analysis, descriptive statistics, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis were used. Results: The climate safety score was significantly different depending on age, education level, and number of beds in the working hospital. The perception of the work environment was significantly different depending on age and number of beds in the working hospital. The barriers in reporting medication administration errors were significantly different depending on education, department, and number of beds in the working hospital. Climate safety and work environment were negatively associated with barriers in reporting medication administration errors. Key factors that influencing reporting on medication administration errors were blame and worker safety and education were entered in the second set and they accounted for 35.3% of the variance. Conclusion: In conclusion, strategies for alleviating barriers in reporting medication administration errors and improvement of climate safety and work environment should be implemented.
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