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    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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    https://www.riss.kr/link?id=A75036743

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    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.
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    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...

    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.

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    참고문헌 (Reference)

    1 Byun, K. J, "Work stress and Job satisfaction of nurses working in emergency room and in admission ward" Kyungbook Nursing Science Journal 6 (6): 1-22, 2002

    2 Institute of Medicine, "To err is human: Building a safer health system" DC: National Academies Press 1-5, 1999

    3 Cullen, D. J, "The incident reporting system does not detect adverse drug events: A problem in quality assurance" 21 : 541-548, 1995

    4 Yi, Y. J, "The Causal Relationships of the Variables to Decision-Making of Clinical Nurses" 2002

    5 Cocoran, "Task complexity and nursing expertise as factors in decision making" 107-112, 1986

    6 Hyde, P, "Service design, culture and performance: Collusion and co-production in health care" 57 (57): 1407-1426, 2004

    7 Nieva, V. F, "Safety culture assessment: a tool for improving patient safety in healthcare organizations" 12 : 17-23, 2003

    8 Abbott, P. A, "Research in patient Safety/ Error Reduction: A Nursing Perspective" 2003.06

    9 O'Neil, "Physician reporting compared with medical-record review to identify adverse medical events" 370-376, 1993

    10 Kim, J. E, "Patient Safety: Achieving a new standard for care" Seoul: Korean Society of Medical Informatics 288-289, 2006

    1 Byun, K. J, "Work stress and Job satisfaction of nurses working in emergency room and in admission ward" Kyungbook Nursing Science Journal 6 (6): 1-22, 2002

    2 Institute of Medicine, "To err is human: Building a safer health system" DC: National Academies Press 1-5, 1999

    3 Cullen, D. J, "The incident reporting system does not detect adverse drug events: A problem in quality assurance" 21 : 541-548, 1995

    4 Yi, Y. J, "The Causal Relationships of the Variables to Decision-Making of Clinical Nurses" 2002

    5 Cocoran, "Task complexity and nursing expertise as factors in decision making" 107-112, 1986

    6 Hyde, P, "Service design, culture and performance: Collusion and co-production in health care" 57 (57): 1407-1426, 2004

    7 Nieva, V. F, "Safety culture assessment: a tool for improving patient safety in healthcare organizations" 12 : 17-23, 2003

    8 Abbott, P. A, "Research in patient Safety/ Error Reduction: A Nursing Perspective" 2003.06

    9 O'Neil, "Physician reporting compared with medical-record review to identify adverse medical events" 370-376, 1993

    10 Kim, J. E, "Patient Safety: Achieving a new standard for care" Seoul: Korean Society of Medical Informatics 288-289, 2006

    11 Cho, M. K, "Participation in decision-making and expertise of staff nurses" 10 (10): 537-548, 1999

    12 Moss, F, "Organizational change: The key to quality improvement" 7 : S1-2, 1998

    13 Baker, G. R, "Next steps for patient safety in Canadian healthcare" 5 (5): 75-80, 2004

    14 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 (7): 349-360, 2001

    15 Lamond, D, "Information sources used in decision making: Considerations for simulation development" 33 (33): 47-57, 1996

    16 Bates, D. W, "Improving safety with information technology" 348 : 2526-2534, 2003

    17 Milligan, F, "Improving patient safety and incident reporting" 19 (19): 33-36, 2004

    18 Wears, R. L, "Human Error in Medicine: Promise and Pitfall" 36-144, 2000

    19 Lim, N. Y, "Factors on decision-making participation related to clinical experience difference" 34 (34): 270-277, 2004

    20 "Expert nursing diagnoses the links between nursing care plans and patient classification systems" 31-39, 1991

    21 Pronovost, P. J, "Evaluation of the culture of Safety: Survey of clinicians and managers in an academic medical center" 12 : 405-410, 2003

    22 Walshe, K, "Effectiveness of quality improvement: Learning from evaluations" 11 : 85-87, 2002

    23 Bates, D. W, "Effect of computerized physician order entry and a team intervention on prevention of serious medication errors" 280 (280): 1311-1316, 1998

    24 Hamers, "Diagnostic process and decision making in Nursing" 154-163, 1994

    25 Nicklin, W, "Canadian nurses' perceptions of patient safety in hospitals" 15 (15): 11-21, 2002

    26 Hudson, P, "Applying the lessons of high risk industries to health care" 12 (12): 7-12, 2003

    27 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 : 800-807, 1995

    28 Choi, H. J, "A study on Nurse's Decision Making Process and Related Factors for Patient Care" 1997

    29 Grobe, "A descriptive analysis of experienced nurse's clinical reasoning during a planning task" 305-314, 1991

    30 "A comparison of the clinical judgement process in experiences registered nurses and student nurses" ita : 120-126, 1989

    31 Hwang, H. S, "A comparative study on nurses' role conflict and job satisfactions in ICU and general unit" Journal of Nursing Science 6 (6): 51-66, 2001

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    2017-01-01 등재 등재학술지 유지 (계속평가) KCI등재
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