한국의료질향상학회지 (Quality Improvement in Health Care)

  • 제21권1호
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  • Pages.66-76
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  • 2015
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  • 1225-7613(pISSN)
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  • 2288-078X(eISSN)
한국의료질향상학회 (Korean Society for Quality in Health Care)
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위해사건 확인을 위한 증례검토지 개발

Development of Case Review Form for Detecting Adverse Events

  • 옥민수 (울산대학교 의과대학 예방의학교실) ;
  • 이상일 (울산대학교 의과대학 예방의학교실) ;
  • 김윤 (서울대학교 의과대학 의료관리학교실 서울대학교 의학연구원 의료관리연구소) ;
  • 이재호 (울산대학교 서울아산병원 응급의학과) ;
  • 이진용 (서울대학교 보라매병원 공공의료사업단) ;
  • 조민우 (울산대학교 의과대학 예방의학교실) ;
  • 김선하 (단국대학교 간호학과) ;
  • 손우승 (울산대학교 의과대학 예방의학교실) ;
  • 김현주 (건양대학교병원)
  • Ock, Min-su (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Lee, Sang-il (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Kim, Yoon (Institute of Health Policy and Management, Medical Research Center, Seoul National University/ Institute of Health Policy and Management, Seoul National University Medical Research Institute) ;
  • Lee, Jae-ho (Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Jin-yong (Public Health Medical Service, Seoul National University Boramae Medical Center) ;
  • Jo, Min-woo (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Kim, Seon-ha (Department of Nursing, Dankook University) ;
  • Son, Woo-seung (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Kim, Hyun-joo (Konyang University Hospital)
  • 투고 : 2014.12.30
  • 심사 : 2015.03.25
  • 발행 : 2015.06.30
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초록

Objectives: The purpose of this study is to develop a case review form for detecting adverse events through a medical records review in hospitalized patients in South Korea. Methods: To develop the case review form, several literatures were reviewed, first. Through the clinical expert meeting, screening criteria were selected and case review form was developed. Result: The Korean version of case review form consisted of the review form-1 for adverse event screening and form-2 for adverse event identification. The applied methodology for the case review form is determined according to the previous studies. For example, the method used in the first stage review is nurse review. Furthermore, the National Coordinating Council for Medication Errors Reporting and Prevention index is used to categorize disability, and a scale of 1 to 6 was used in the causation scores and preventability scores, respectively. Through the clinical expert meeting, a total of 41 screening criteria were selected. Conclusion: The Korean specific case review form was developed for detecting adverse events in hospitalized patients. The results from this study can be used in a large-scale study regarding the nationwide incidence of adverse events.

키워드

참고문헌

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