• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.18 no.10
• /
• pp.281-289
• /
• 2017

This study was conducted to evaluate understanding of patient safety culture and the factors that influence this understanding among general hospital employees. To collect data, this study surveyed 343 employees of five general hospitals that were located in G metropolitan city and were authorized through medical institute certification. The data were collected from March 12 to April 21, 2017. For the data collected, a t-test, variance analysis, post-hoc analysis, and multiple regression analysis were conducted. The analyses revealed that the scores of understanding of patient safety culture were $3.27{\pm}.27$ with a perfect score of 5. Analysis of differences in understanding of patient safety culture revealed significant differences according to hospital service career, present department service career, professional career, and work units. Factors that influence understanding of patient safety culture were more than 11 year- hospital service career, 6 and 10 service years, and ward employees. Overall, the results of this study suggest that employees should receive education to improve understanding of patient safety culture and measures to change the understanding should be developed.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.20 no.12
• /
• pp.398-409
• /
• 2019

As the prevention of patient safety accidents has been strengthened in the accreditation process of medical institutions, patient safety, which is the maintenance of patient safety by managing medical accidents around the patients, is considered a subject that is important as a disease cure. The purpose of this study is to develop a Patient Safety Program using simulated situations for inpatients at a general hospital ward and to understand the effects on knowledge, performance, and perception of patient safety before and after the programs. In addition, the satisfaction of patient safety education is verified after application of the program. The participants were 30 inpatients at a general hospital. Data were collected from April 15 to 30, 2019 and analyzed using IBM SPSS Version 23.0. The results of the preand post-education revealed a statistically significantly improvement of patient safety knowledge, performance, perception and educational satisfaction. The Patient Safety Education Program using simulated situation was an effective educational program for the inpatients to improve patient safety knowledge, performance, perception, and educational satisfaction. Therefore, this program demonstrated a positive effect of patient safety and it is expected that it can be used as the basis of an education program in patient safety education in a clinical setting.

• Journal of Hospice and Palliative Care
• /
• v.21 no.4
• /
• pp.124-136
• /
• 2018

Purpose: This descriptive study is aimed at identifying how nursing hospital workers' performance of end-of-life care is influenced by their knowledge and awareness of hospice palliative care, attitude towards end-of-life care, performance, importance, awareness of death and the factors. Methods: A self-reported questionnaire was used to collect data from 113 workers at an accredited nursing hospital in K province. Variables were their knowledge and awareness of hospice palliative care, attitude towards end-of-life care, end-of-life care performance and importance and awareness of death. An analysis was performed with the frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient and multiple regression using IBM SPSS 21.0. Results: The factors affecting the nursing hospital workers' end-of-life care performance were the importance of end-of-life care and their marital status, which showed an explanatory power of 38.2%. Conclusion: In order to improve the nursing hospital workers' end-of-life care performance, a training on the importance of end-of-life care should be provided. Therefore, we would like to propose establishing administrative measures such as 1) efficient staffing to help the caregivers better perform what they think is important, 2) development of a training program that can improve their performance of end-of-life nursing care and 3) a study to verify the effectiveness of the program.

• Korea Journal of Hospital Management
• /
• v.20 no.3
• /
• pp.45-55
• /
• 2015

While the influence of healthcare accreditation system to the quality improvement of hospitals has more increased, regarding the preparation costs for healthcare accreditation, it has never been empirically studied about the costs that are actually invested by hospitals. This study is going to determine the difficulties in the preparation process of accreditation and details of accreditation preparation costs for hospitals that participated in the healthcare accreditation system and acquired accreditation. The survey was performed in a self-reported form from February 28 to March 21 2014 for 189 acute hospitals accredited as a hospital from 2011 to February 2014. Of all questionaries of survey participants, 98 were recovered; the response rate was 51.9%. A total of 40 questionnaires were used except for 58 containing insincere answers. Main findings are followings: Firstly, findings showed that advanced general hospitals spent the most statistically significantly highest in terms of equipments and total costs among cost items for accreditation preparation. When accreditation preparation costs items were classified according to classification of hospitals, advanced general hospitals spent the most statistically significantly highest in the equipments and total costs. Also in terms of regional, Gyeonggi, Incheon regions were found to spend statistically significantly higher costs in the equipments costs. Secondly, as a result of the survey in the distribution of the total accreditation preparation costs, advanced general hospitals have disbursed the most out of all. However, the result in hospitals does not show significant difference to the expense of advanced general hospitals and that especially other regional hospitals spent higher costs. As such, all hospitals are under a heavy burden of higher costs on accreditation preparation, especially hospitals. The build-up of infrastructures by hospitals through an accreditation system consequently led to a higher initial investment; if the accreditation system is effective in improving the quality of health care and patient safety, appropriate responses are needed. In other words, financial support for investment costs needs to be given to allow hospitals to actively participate in the accreditation system.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.20 no.2
• /
• pp.704-710
• /
• 2019

This study is a descriptive study to investigate the relationship between embeddedness, burnout and presenteeism of nursing in long-term care hospital. Data collection was conducted from May 01, 2018 to May 31, 2018. 209 nursing in long-term care hospital in this study. The collected data were analyzed using SPSS Win 21.0 program. The embeddedness of the subjects was $2.91{\pm}.473$ points out of 5, burnout was $2.86{\pm}.480$ points out of 5 and presenteeism was $2.95{\pm}.449$ points out of 5. The embeddedness was related to burnout(r= -466, p<.001), presenteeism(r=.152, p<.005), there was a significant positive correlation. Burnout(${\beta}=.244$, p<.001), embeddedness(${\beta}=.183$, p=.016), experiences of turnover(${\beta}=-.251$, p=.003), night shifts(${\beta}=-.187$, p=.006), and number of turnover(${\beta}=-.037$, p<.001) had a significant effect on presenteeism(F=5.227, p<.001). The explanatory power of these variables was 33%.

• Journal of the Korean Society of Radiology
• /
• v.6 no.4
• /
• pp.281-290
• /
• 2012

The difference of radiation dose of MDCT due to different protocols between hospitals was analyzed by CTDI, DLP, the number of Slice and the number of DLP/Slice in 30 cases of the head, the abdomen and the chest that have 10 cases each from MDCT examination of the department of diagnostic imaging of three general hospitals in Gyeongsangbuk-do. The difference of image quality, CTDI, DLP, radiation dose in the eye and radiation dose in thyroid was analyzed after both helical scan and normal scan for head CT were performed because a protocol of head CT is relatively simple and head CT is the most frequent case. Head CT was significantly higher in two-thirds of hospitals compared to A hospital that does not exceed a CTDI diagnostic reference level (IAEA 50mGy, Korea 60mGy) (p<0.001). DLP was higher in one-third of hospitals than a diagnostic reference level of IAEA 1,050mGy.cm and Korea 1,000mGy.cm and two-thirds exceeded the recommendation of Korea and those were significantly higher than A hospital that does not exceed a diagnostic reference level (p<0.001). Abdomen CT showed 119mGy that was higher than a diagnostic reference level of IAEA 25mGy and Korea 20mGy in one-third. DLP in all hospitals was higher that Korea recommendation of 700mGy.cm. Among target hospitals, C hospital showed high radiation dose in all tests because MPR and 3D were of great importance due to low pitch and high Tube Curren. To analyze the difference of radiation dose by scan methods, normal scan and helical scan for head CT of the same patient were performed. In the result, CTDI and DLP of helical CT were higher 63.4% and 93.7% than normal scan (p<0.05, p<0.01). However, normal scan of radiation dose in thyroid was higher 87.26% (p<0.01). Beam of helical CT looked like a bell in the deep part and the marginal part so thyroid was exposed with low radiation dose deviated from central beam. In addition, helical scan used Gantry angle perpendicularly and normal scan used it parallel to the orbitomeatal line. Therefore, radiation dose in thyroid decreased in helical scan. However, a protocol in this study showed higher radiation dose than diagnostic reference level of KFDA. To obey the recommendation of KFDA, low Tube Curren and high pitch were demanded. In this study, the difference of image quality between normal scan and helical scan was not significant. Therefore, a standardized protocol of normal scan was generally used and protective gear for thyroid was needed except a special case. We studied a part of CT cases in the local area. Therefore, the result could not represent the entire cases. However, we confirmed that patient's radiation dose in some cases exceeded the recommendation and the deviation between hospitals was observed. To improve this issue, doctors of diagnostic imaging or technologists of radiology should perform CT by the optimized protocol to decrease a level of CT radiation and also reveal radiation dose for the right to know of patients. However, they had little understanding of the situation. Therefore, the effort of relevant agencies with education program for CT radiation dose, release of radiation dose from CT examination and addition of radiation dose control and open CT contents into evaluation for hospital services and certification, and also the effort of health professionals with the best protocol to realize optimized CT examination.