중환자실 환자안전사고 위해의 영향요인분석 : 2020~2024년 환자안전사고보고 데이터 활용

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to analyze the factors influencing the degree of harm caused by patient safety incidents in intensive care units (ICUs) in Korea.

Method: Secondary data were obtained from the Korea Institute for Healthcare Accreditation’s Patient Safety Annual Report between 2020 and 2024, encompassing 1,663 ICU-related incidents. Descriptive statistics, chi-square tests, and multiple logistic regression analyses were conducted using SPSS.

Results: The results showed that 46.9% of incidents were near misses, 40.3% were adverse events, and 12.8% were sentinel events. Patient-related factors such as age significantly influenced the severity of incidents, with those aged 70 and above accounting for the majority of sentinel events. Hospital-related factors, including hospital type, also demonstrated significant associations. Incident-related factors such as year of occurrence, type of incident, and clinical department were found to be key predictors. In particular, infections and injury/departure, disappearance, kidnapping/patient suicide, self-harm/burn were strongly associated with higher harm severity.

Conclusion: These findings highlight the importance of targeted prevention strategies tailored to specific risk groups, including elderly patients and ICU settings vulnerable to infections. The study provides evidence-based insights to support the development of patient safety guidelines, customized education programs, and hospital-level policies to reduce harm from ICU patient safety incidents.

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 4
• 3. 용어의 정의 4
• Ⅱ. 문헌 고찰 7
• 1. 중환자실의 환자안전사고 7
• 2. 환자안전사고 영향요인 10
• Ⅲ. 연구 방법 13
• 1. 연구 설계 13
• 2. 연구 대상 14
• 3. 연구 도구 16
• 4. 자료 수집 및 윤리적 고려 18
• 5. 자료 분석 18
• Ⅳ. 연구 결과 19
• 1. 중환자실에서 발생한 환자안전사고의 환자 관련 특성 19
• 2. 중환자실에서 발생한 환자안전사고의 병원 관련 특성 20
• 3. 중환자실에서 발생한 환자안전사고의 사고 관련 특성 21
• 4. 중환자실에서 발생한 환자안전사고의 위해정도 23
• 5. 중환자실에서 발생한 환자안전사고의 환자, 병원 및 사고 관련 특성에 따른 위해정도의 차이 24
• 6. 중환자실에서 발생한 환자안전사고의 위해 영향요인 29
• Ⅴ. 논의 32
• Ⅵ. 결론 및 제언 36
• References 37
• Abstract 47
• 부록 49
• 1. 생명윤리심의위원회(IRB) 승인서 49
• 2. 환자안전사고 보고서 50