• Title/Summary/Keyword: Hospital safety

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Ethical Climate and Patient Safety Competencies between Nurses in Long-term care Hospital (요양병원 간호사의 윤리적 환경과 환자안전문화)

  • Lee, Jin-Sook;Lee, So-young
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.4
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    • pp.237-242
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    • 2021
  • The purpose of this study was to investigate the effect of patient safety competencies and ethical climate in long-term care hospital nurses and to provide the basic data. Data were collected from 120 in D city and analyzed by t-test, ANOVA, Pearson correlation coefficient, and multiple regression using SPSS/WIN 25.0. The degree of Patient Safety Competencies in long-term care hospital nurses was 3.45± .41. There were not significant differences in Patient Safety. There was positive correlation between patient safety competencies and peer(r=.123, p<.001), manager(r=.241, p<.001), and hospital(r=.241, p<.001). The factors affecting the patient safety competencies confidence of the study subjects were peer(β=.23, p=.003), manager(β=.55, p=.004), hospital(β=.43, p=.031), with an explanatory power of 33.5%. Through this research requires the fellow study to determine the factors affecting patient safety competencies confidence of long-term care hospital nurses.

A Systematic Review of Clinical Nurses' Patient Safety Culture for Improving Nursing Work Environment (간호사의 근로환경 개선을 위한 환자안전문화의 체계적 문헌 분석)

  • Kim, Jong Kyung
    • Korean Journal of Occupational Health Nursing
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    • v.23 no.2
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    • pp.67-79
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    • 2014
  • Purpose: The purpose of this study was to review the articles and theses on the patient safety culture of clinical nurses for identifying overall research trends regarding patient safety culture among hospital nurses, and to suggest strategies for improving nursing work environment related to patient safety culture. Methods: The subjects for this study were 17 articles selected according to inclusion criteria from five databases in Korea. Results: Seven articles were collected from nursing journals and ten from master's theses. The studies on the 17 articles were conducted at 66 hospitals from seven regions of Korea. The tools for patient safety culture were selected among the three tools from AHRQ and two Korean translation tools. The mean score of patient safety culture was 3.43. Conclusion: The findings from the article review indicate that, in order to improve nursing work environment for patient safety culture, the hospital and nursing manager should emphasize the education for patient safety, communication and open-minded reporting, and cooperation among the departments of hospital.

Convergence Effects of Nurse's Perception of Patient Safety Culture and Safety Control on Safety Performance in General Hospital (종합병원 간호사의 환자안전문화 인식과 안전통제감이 안전이행에 미치는 융복합적 영향)

  • Kim, Yoon-Lee;Lee, Myung-In;Chin, Eun-Young
    • Journal of Digital Convergence
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    • v.14 no.7
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    • pp.201-211
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    • 2016
  • This descriptive study was aimed to identify factors which influence safety performance through evaluation of nurse's perception of patient safety culture and safety control in general hospital. Self-administered web surveys were conducted by 342 nurses who employed in general hospital from May 09 to May 13, 2014. Data were analyzed using the SPSS/WIN 21.0 statistical program. The results of analysis revealed that the score of safety culture perception was 3.34, safety control was 3.50, safety performance was 3.53 and all scores were higher level than usual. There were significant positive correlation between safety performance and perception of patient safety culture, safety control (r=.463~.645, p<.001). The positively influencing factors of safety performance are marital status, frequency of accident reports, general perception of patient safety and safety control. Explanation ratio of the variables for the safety performance was 52.0% in this study(F=4.252, p=.004). This study findings suggest that it would be useful as a preliminary report of nurse's intervention strategy through confirmation of the nurse's positive effect to improve safety performance in general hospital.

Developing national level high alert medication lists for acute care setting in Korea (국내 급성기 의료기관 고위험 의약품 목록 도출)

  • Han, Ji Min;Heo, Kyu-Nam;Lee, Ah Young;Min, Sang il;Kim, Hyun Jee;Baek, Jin-Hee;Rho, Juhyun;Kim, Sue In;Kim, Ji yeon;Lee, Haewon;Cho, Eunju;Ah, Young-Mi;Lee, Ju-Yeun
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.2
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    • pp.116-124
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    • 2022
  • Background: High-alert medications (HAMs) are medications that bear a heightened risk of causing significant patient harm if used in error. To facilitate safe use of HAMs, identifying specific HAM lists for clinical setting is necessary. We aimed to develop the national level HAM list for acute care setting. Methods: We used three-step process. First, we compiled the pre-existing lists referring HAMs. Second, we analyzed medication related incidents reported from national patient safety incident report data and adverse events indicating medication errors from the Korea Adverse Event Reporting System (KAERS). We also surveyed the assistant staffs to support patient safety tasks and pharmacist in charge of medication safety in acute care hospital. From findings from analysis and survey results we created additional candidate list of HAMs. Third, we derived the final list for HAMs in acute care settings through expert panel surveys. Results: From pre-existing HAM list, preliminary list consisting of 42 medication class/ingredients was derived. Eight assistant staff to support patient safety tasks and 39 pharmacists in charge of medication safety responded to the survey. Additional 44 medication were listed from national patient safety incident report data, KAERS data and common medications involved in prescribing errors and dispensing errors from survey data. A list of mandatory and optional HAMs consisting of 10 and 6 medication classes, respectively, was developed by consensus of the expert group. Conclusion: We developed national level HAM list for Korean acute care setting from pre-existing lists, analyzing medication error data, survey and expert panel consensus.

Influence of Perception of Importance of Patient Safety Management and Culture on of Small and Medium-sized Hospital Employees' Safety Performance (중소병원 종사자의 환자안전관리 중요성과 환자안전문화 인식이 안전수행에 미치는 영향)

  • Kwag, Hee Jung;Yang, Nam Young
    • Journal of Home Health Care Nursing
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    • v.29 no.2
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    • pp.216-224
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    • 2022
  • Purpose: This study aimed to investigate the influence of the perception of the importance of patient safety management and culture on employees' safety performance in small and medium -sized hospitals. Methods: The participants comprised 119 hospital employees, including nurses, doctors, and medical technicians. Data were analyzed through descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis using the SPSS program. Results: The mean safety performance was 4.09±0.34, mean safety compliance was 4.12±0.44, and safety participation was 4.06±0.38. There were significant differences in safety performance by gender and job. Safety performance and its assocation with both perception of importance on patient safety management and, perception of patient safety culture showed a positive correlation. Safety performance was influenced by the perception of patient safety culture. The explanatory power was 15.7%. Conclusion: Based on these results, improving the perception of patient safety culture is necessary to increase safety performance. To this end developing and applying an interprofessional safety performance education program for employees in small and medium-sized hospitals is vital.

The Effects of Hospital Accreditation Program to the Organizational Culture, Job Satisfaction, Financial Performances and Patient Safety at Geriatric Hospital : About Busan Metrocity (의료기관 인증제도가 요양병원의 조직문화, 직무만족, 경영성과 및 환자안전에 미치는 영향 -부산지역을 중심으로-)

  • Shin, Moon-Ju
    • Journal of Digital Convergence
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    • v.12 no.10
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    • pp.455-466
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    • 2014
  • This study has been implemented to improve the quality in geriatric hospital through the Hospital Accreditation. So research a change in the perception and attitude of the Patient Safety, Organizational Culture, Job Satisfaction, Financial Performance of hospital staff after the Hospital Accreditation. For this, a survay was conducted from April 1 to July 20, 2014 to targeting staffs of eight geriatric hospital in the Busan city. Thus, a total of 283 questionnaires were used in the study. Firstly, It was found that change in the perception and attitude of the Patient Safety, Organizational Culture, Job Satisfaction, Financial Performance of hospital staff after the the Hospital Accreditation. Secondly, It was found that a statistical correlation among variables such as Patient Safety, Organizational Culture, Job Satisfaction, Financial Performance. Thirdly, Organizational Culture, Job Satisfaction, Financial Performance had a positive effect on Patient Safety. Therefore, we should develop the Hospital Accreditation program with the internal assessment to implement health care quality and patient safety to ensure a complete job satisfaction of hospital staffs in the Hospital Accreditation program further improve the evaluation process of hospital care.

Knowledge, Perception, Safety Climate, and Compliance with Hospital Infection Standard Precautions among Hospital Nurses (병원간호사의 감염예방 표준주의지침 지식, 인식, 안전환경 및 수행도에 관한 연구)

  • Suh, Young Hee;Oh, Hee Young
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.1
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    • pp.61-70
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    • 2010
  • Purpose: The purpose of this study was to examine knowledge, perception, safety climate and compliance with hospital infection standard precautions and to identify the factors influencing nurse's compliance with standard precautions. Methods: Using the structured survey, data were collected from 292 nurses working at 4 general hospitals in the metropolitan city Seoul in October, 2008. Data were entered and analyzed with SPSS 12.0. Results: The majority of nurses were female with a mean age of 27.8. The mean score for knowledge of standard precautions was 21.2 out of 25. The nurses lacked knowledge on reusable gloves or gowns. Nurses perceived use of protective devices may not only increase time strain but also hinder development of therapeutic relationships with patients. Of safety climate factors, lack of time was the most frequently reported barrier to compliance with standard precautions. Knowledge, perception, and safety climate explained 16.1% variance of compliance with standard precautions. Conclusion: To improve nurses' compliance with standard precautions, provision of education and support for safety climate are necessary.

Study of Radiation Safety Management of Veterinary Hospital in Korea (동물병원 방사선 안전관리체계에 대한 연구)

  • Chae, Soo-young;Choi, Ho-jung;Lee, Young-won
    • Journal of Veterinary Clinics
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    • v.37 no.1
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    • pp.15-22
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    • 2020
  • This study investigated the effectiveness of radiation safety rules in animal hospital and the awareness and behavior of veterinary radiation workers. With the questionnaires, the data was collected from randomly selected veterinarians in animal hospitals and animal medical imaging centers. Collected data were about radiation device, shielding device, regulations, safety management, education, knowledge, behavior and awareness. Frequency, correlation and multiple regression analysis were performed. The medical devices related with radiation in animal hospital were X-ray (59%), CT (15%), fluoroscopy (12%), mobile X-ray (12%) and others (2%). The number of people using radiation shielding device is high. The answers were low on knowing radiation related regulation and receiving radiation protection education. The group with higher knowledge and awareness shows positive correlation with safety behavior. The increase of use of the radiation related medical devices in veterinary hospital causes the increase of radiation exposure risk. This study suggests that radiation safety management system and policies need to be developed to protect radiation workers and give them correct information and consciousness.

Preventing Intra-hospital Infection and Transmission of Coronavirus Disease 2019 in Health-care Workers

  • Gan, Wee Hoe;Lim, John Wah;Koh, David
    • Safety and Health at Work
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    • v.11 no.2
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    • pp.241-243
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    • 2020
  • Coronavirus disease 2019 poses an occupational health risk to health-care workers. Several thousand health-care workers have already been infected, mainly in China. Preventing intra-hospital transmission of the communicable disease is therefore a priority. Based on the Systems Engineering Initiative for Patient Safety model, the strategies and measures to protect health-care workers in an acute tertiary hospital are described along the domains of work task, technologies and tools, work environmental factors, and organizational conditions. The principle of zero occupational infection remains an achievable goal that all health-care systems need to strive for in the face of a potential pandemic.

A case study of hospital logistic and medical wastes management's innovation (병원 물류 및 의료 폐기물 관리 혁신 사례 연구)

  • Ahn, Tae-Yong;Kim, Soon-Jo;Kang, Kyung-Sik
    • Journal of the Korea Safety Management & Science
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    • v.10 no.3
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    • pp.55-62
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    • 2008
  • This is to prevent accidents that can be caused during the process of hospital logistics and accidents in relation to the traceability of medical wastes. And this is also to set up the logistic management system of medical wastes is hospital where the safety of patients shall to regard as the first priority. through these case studies effective operating plans shall be provided.