• Title/Summary/Keyword: 환자 안전 문화

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Knowledge and attitude of patient safety, safety performance among caregivers: In nursing home (요양보호사의 환자안전에 대한 지식, 태도 및 안전수행 정도: 노인요양시설을 중심으로)

  • Seo, Ji-Hye;Jung, Eun-Young
    • Journal of the Korea Convergence Society
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    • v.11 no.10
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    • pp.409-416
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    • 2020
  • The purpose of this study is to investigate nursing home caregivers' safety knowledge, safety attitude and safety performance; then to analyze the relations between them, and to find the factors influencing the caregivers' safety performance. The study method was conducted by using SPSS WIN 21.0 program of 134 questionnaires surveyed in S city. A positive correlation was found with caregivers' safety knowledge and safety attitude. Additionally safety attitude has positive correlation with safety performance. No correlation was found between safety knowledge and safety performance. These influential factors explained their safety practice behavior 36.1%. Based on the results of this study, it is necessary to establish a policy that can form a proper safety culture in the nursing home as well as repetitive training centered on practices that can affect the safety performance of caregivers.

Effect of attitude and practice of PSM and clinical practice satisfaction in nursing students. (간호대학생의 환자안전문화 태도와 환자안전관리 실천이 임상실습 만족도에 미치는 효과)

  • Lee, Joo-Young;Lee, Song-Hyun
    • Journal of the Korea Safety Management & Science
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    • v.19 no.4
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    • pp.125-132
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    • 2017
  • The purpose of this study was to assess the correlation between attitude of Patient Safety Management(PSM) and practice of PSM and clinical practice satisfaction of nursing students, also identified how these factors attitude and practice of PSM influence on clinical practice satisfaction, eventually aimed to develop education programs to strengthen practice of PSM in nursing students. A descriptive design was used in the study. The multiple regression was used for the study to prove the factors how the attitude and practice of PSM were affected to the clinical practice satisfaction. The study subjects were 226 nursing students. The results show that attitude of PSM mean was 3.71, practice of PSM mean 3.97, the clinical practice satisfaction mean 3.31. Among the general characteristics, clinical practice satisfaction showed significant differences in satisfaction of major(F=5.10, p=.001), the existence of role model(t=2.64, p=.009). Significant positive correlation was found between attitude of PSM, practice of PSM and the clinical practice satisfaction. Practice of PSM(${\beta}=.39$) was shown as the most important factor to affect on the Satisfaction on clinical practice, also the explanation power of value for this study was found 41.1%. Consequently, this study indicates to develop the education program to strengthen practice of PSM. Also process the additional study for the nursing students in other areas.

Factors Influencing Safe Nursing Activities of Public Hospital Nurses (공공병원 간호사의 안전간호활동에 미치는 영향 요인)

  • Lee, Ok Kil;Jeong, Suyong
    • Journal of muscle and joint health
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    • v.28 no.3
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    • pp.283-292
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    • 2021
  • Purpose: In this descriptive study, we aimed to identify factors influencing safe nursing activities of nurses working at public hospitals. Methods: We collected data in March 2021 through an online survey. The subjects were 199 nurses who had worked for at least six months at public hospitals. The self-reported questionnaire consisted of items pertaining to safe nursing activities, perception of patient safety culture, and the general characteristics of the subjects. To examine the differences in the safe nursing activities and perception of patient safety culture by general characteristics, we employed a t-test and ANOVA. We conducted a multiple linear regression analysis to explore the factors affecting safe nursing activities. Results: The mean score for safe nursing activity was 4.59±0.39. Perception of patient safety culture and age group were found to be the main factors affecting the safe nursing activities of nurses working at public hospitals (F=17.24, p<.001, Adj. R2=.40). When the score for perception of patient safety culture increased by 1 point, the score for safe nursing activities increased by 0.58 points. In addition, the score for safe nursing activity in the 40s age group was 0.16 points higher than for those in the 20s age group. Conclusion: Effective management and leadership in public hospitals is needed to improve the culture of patient safety at various levels so as to ensure safe nursing activities.

Analysis of the causes of high-risk intravenous medication errors recognized by hospital nurses (병원간호사가 인식한 고위험 정맥주사 투약오류 원인 분석)

  • Kim Mi Ran
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.3
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    • pp.625-633
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    • 2024
  • This study was attempted to identify the perception and experience of hospital nurses on medication errors of high-risk intravenous drugs, and to identify the causes of medication errors and ways to improve them. The subjects of the study were nurses with work experience related to high-risk intravenous administration working at a university hospital located in D City, and data were collected between May 16 ~ 30, 2021. As a result of the study, six key factors were identified as the key factors in the safety of high-risk intravenous injections: the lack of a protocol for the administration of major drugs in each ward, the lack of training in the operation of the injection machine, the lack of standardized procedures for administering high-risk intravenous injections, the lack of individualized medication training for nurses, the lack or lack of the hospital's own drug list, and the lack of identification of drugs packaged in similar containers. At the nursing practice level, it is proposed to apply a high-risk intravenous medication safety program and conduct a future study to identify safety outcome indicators.

The implementation of Smart Care System for Dementia Patients (치매 환자를 위한 스마트 캐어 시스템 구현)

  • Ha, Eun-Sil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.6
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    • pp.3832-3840
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    • 2014
  • The rapidly aging population is also increasing the number of dementia patients rapidly. Studies have revealed the early signs of slowing progress. Therefore, dementia patient safety, continuous care, daily living, and health care are becoming more important. In this paper, a smart home care system using smart phones and Bluetooth communication technology was used to monitor the state of dementia patients of based on the results of grading dementia, health care of the dementia patients at home and provide for the safety of the system using motion sensors and gas leak sensors to respond to various emergency situations, such as fire, gas leak protection, and loitering. Using this system, the patient can stay longer in their home due to the nature of Korean culture before admission, while reducing the family's economical, physical and psychological burden and allowing the consultation of specialists through the system by building a database of individuals and providing professional service and specialty care referral agencies through the link.

Patient Safety Program and Safety Culture (투약간호 중심의 환자안전 프로그램 개발 및 평가)

  • Kim, Young-Mee;Kim, Se-Young;Kim, Min-Young;Kim, Ju-Hee;Lee, Suk-Kyoung;Jang, Mi-Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.16 no.4
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    • pp.455-465
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    • 2010
  • Purpose: To determine the impact of the Patient Safety Program on the safety culture of nursing department. Methods: Patient Safety Program focused on medication safety was launched by QI team and patient safety committee. Patient Safety Program was composed of the establishment of improved reporting system as s way to learn from error, 'Patient Safety Guard' movement, and continuous education for medication safety. With one group pretest-posttest design, nurses' perception of the safety culture were measured with self-administered questionnaire. Subjects were all nurses and managers in nursing department of a tertiary teaching hospital in Seoul. Collected data from survey was statistically analyzed using t-test. Results: Patient Safety Program had been continued for 20 months in participation of all nurses and managers. Safety culture was improved (pretest=2.84, posttest=2.90, p<.001; 4 point scale). Conclusions: This study indicates that there has been a statistically significant increase in the nurses' perception of safety culture. These findings suggest that Patient Safety Program had made great contribution toward system wide safety culture in the hospital. To improve safety culture, leadership supports and flexibility to apply tailored interventions to the hospital were required necessarily.

Awareness of Hospital Safety Culture and Safety Activities of Workers in a Tertiary Care Hospital (상급종합병원종사자의 병원안전문화 인식과 안전활동)

  • Ha, Eun-Ho;Hyun, Kyoung-Soon;Cho, Jin-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.2
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    • pp.191-201
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    • 2016
  • Purpose: The purpose of this study was to identify awareness of hospital safety culture (AHSC) and safety activities (SA) of workers in a tertiary care hospital, and the factors influencing safety activities. Methods: 303 Participants from the tertiary care hospital in Seoul were invited. Collected data were analyzed using SPSS 18.0. Results: The level of AHSC and SA was 3.61 and 4.17, respectively. There were differences between AHSC and SA according to gender, religion, employment status, job class, working period, safety education, need for safety education, and number of safety accident reports. There was a positive relationship between AHSC and SA. The factors influencing SA were communication and process, employment status, and safety accident reports. Conclusion: AHSC and SA are important factors to improve hospital safety, as well as increasing chances to receive hospital accreditation.

Remote Care Using Medical Bed System Equipped With Body Pressure Sensors (체압 센서를 이용한 의료용 침대의 원격 케어)

  • Jaehyeok Jeung;Sanghyun Bok;Junhee Lim;Bokyung Oh;Youngdae Lee
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.1
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    • pp.619-625
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    • 2023
  • In this paper, the remote care of medical beds with multiple body pressure sensors is described. Falling is one of the factors that seriously threaten the safety of patients and harm their health. In this study, a new bed was developed to overcome this. The bed system consists of a keyboard that can operate, a keyboard controller that manages the movement of the keyboard, a sensor that measures body pressure, a sensor controller that transmits and receives sensor values, a main controller that checks it and operates automatically or manually according to the algorithm, and a server that oversees all these information. The bed system checks the patient's location through a sensor and wirelessly alerts the server through the main controller when the patient determines that there is a risk of falling, so that the nurse or nurse can recognize the patient's dangerous condition. The server may receive state data transmitted from the wired/wireless terminal to monitor whether the bed system is operating normally. The controller of the keyboard operates a keyboard-type mechanism and automatically controls the prevention of bedsores connected by body pressure sensors to physically separate the area to which the patient's pressure is applied to prevent bedsores. The main controller checks the presence of the patient's bed and transmits it to the server. In conclusion, the proposed system can smart monitor the user's state and perform remote care.

An Approach to Urban Planning System for Disaster Prevention through Location/Allocation of EMS(Emergency Medical Service) - Focused on Optimum Location of Safety Centers in Jinju - (응급의료서비스 입지/배분을 통한 도시방재시스템의 도시계획적 접근 - 진주시 안전센터의 최적입지를 중심으로 -)

  • Choi, Jin Do;Kim, Yeong;Kim, Sung Duk
    • 한국방재학회:학술대회논문집
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    • 2011.02a
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    • pp.112-112
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    • 2011
  • 오늘날 우리 사회의 생활과 문화의 질이 향상됨에 따라 공공 및 개인의 안전과 건강에 대한 관심이 증대되고 있다. 특히, 재난과 비상사태는 생명에 대한 희생뿐만 아니라 훨씬 더 심각한 경제적인 결과를 초래한다. 이러한 응급사태에 개비하여 적절히 준비되지 않았거나 재난의 예방 및 완화시킬 방법을 가지고 있지 못한다면 도시의 발전적인 프로젝트는 예고 없이 도시를 강타하는 재난 및 비상사태에 의해 무산되고 만다. 이러한 여건 하에 재난과 응급사고를 효율적으로 대처하는 응급처치와 서비스에 대한 급격한 관심과 함께 일정한 결정적 대응시간 내에 각종사고와 재해로부터 방어할 수 있는 공공서비스에 대한 필요성이 크게 증가되었다. 본 연구에서는 신고, 응급구조, 환자이송 등 도시의 병원 전 단계 의료환경에 대해서 조사하였다. 본 연구의 목적은 반응시간과 출동거리를 분석함으로써, 응급사고에 즉시 응급구조서비스를 제공하기 위해 안전센터(119센터)의 최적 입지를 확인하는 것이다. 이를 위해서 사고발생, 반응시간, 출동거리 등을 응급의료 활동과 관련된 연구논문, 대상지 전역의 소방기록물과 출동일지 등의 통계자료를 활용하여 신속한 응급의료 서비스를 위한 패턴을 분석 하였다. 또한 응급구조대의 조직과 활동의 분석을 통해 응급의료시설의 최적 입지설정을 위한 제도적 개선대안을 마련해 보았다. 대상지 연구를 위해, 구조활동 및 소방서비스의 최근 통계자료의 조사를 통해 진주시의 모든 119센터의 입지와 응급의료서비스 및 사고발생 현황을 나타내었다. 자료 분석을 위해서 SPSS14.0을 사용하였으며, 지역의 특성 분포, 안전센터별 대응시간, 이송시간 등을 소방 GPS시스템과 입지할당모형 중 Center Point Model(CPM)을 적용하였다. 결과적으로 본 연구를 통해 대상지역의 119안전센터의 서비스 질이 나쁜 지역을 지리학적인 관점에서 최적 입지/배분 패턴의 설정을 통해 확인할 수 있었으며, 이를 통해 미래 응급의료서비스의 효율적인 입지/배분을 통해 공공 및 개인의 안전과 건강에 기여할 수 있을 것으로 기대된다.

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The Safety Management for Compression Medical Device through the Quality Improvement Activities (질 향상 활동을 통한 사지압박순환장치의 안전관리)

  • An, Young-Jae;Kim, Kyu-Sung;Shin, Jeong-Ae;Lee, Hye-Ryun;Hwang, Kyu-Jung;Park, Ji-Young;Kim, Sae-Rom;Kang, Su-Kyung;Kwon, Dae-Gyu
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.2
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    • pp.125-132
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    • 2017
  • Intermittent pneumatic compression is frequently used for prophylaxis of deep vein thrombosis, however there is a lot of complains by frequent adverse event. In this paper, we analyzed the cause of adverse event and we tried to improve for the cause of machine, nurses, patients, system by diverse strategy. And we could improve the index of each cause, the rate of error was decreased finally. The proactive activity of quality improvement for medical device can contribute to decrease the error, that will improve the quality of medical service and achieve the safe medial culture.