• 임상간호연구
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• 제16권2호
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• pp.57-67
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• 2010

Purpose: The purposes of this study were to compare the level of perception and to identify factors associated with perception on patient safety culture among health care providers working in an operating room(OR). Methods: A cross-sectional survey design was used. Data were collected conveniently from 154 RNs and 116 physicians working in a tertiary hospital in Seoul. Patient safety culture was measured using "The Hospital Survey on Patient Safety Culture" developed by the Agency for Healthcare Research and Quality (AHRQ). Descriptive statistics, t-test, ANOVA, and Spearman rank correlation coefficients were used for statistical analysis with the SPSS version 17.0. Results: The perception level of nurses and physicians on patient safety culture was "moderate" (3.14). Compared to physicians, nurses showed a significantly lower perception on the items of "teamwork within units" (t=-6.904, p<.001) and "overall perception of patient safety" (t=-4.327, p<.001), but had a higher perception about "frequency of events reported" (t=2.769, p=.006). The physicians' professional positions, years of working experience, age, and working hour per week were identified as factors associated with patient safety culture. Conclusion: Level of perception on patient safety culture may vary among health care providers working in the OR. The study finding suggests that a tailored education and training strategies should be considered to develop an effective safety culture for healthcare professionals working in OR.

• 한국안전학회지
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• 제37권5호
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• pp.56-61
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• 2022

In this study, a systematic survey was employed to investigate managers' awareness on the safety culture project in small- to medium-sized industries. The existing regulatory and technology-oriented disaster prevention strategy has been implemented to reduce industrial accidents within a short timeframe, but it is essential to reduce fundamental accidents as well by improving the organizational safety culture or software elements, such as safety awareness. Questionnaires and interviews were conducted to examine the managers' awareness about safety culture, consisting of 17 questions related to safety consulting and with the participation of 191 executives and safety managers. The results showed a significant difference in the self-pay rate of safety consulting depending on the size of the workplace under evaluation. Based on the results, the safety-consulting business focused on providing differentiated consulting support and realistic improvement plans according to the workplace size. The study concluded that it is possible to reduce fundamental human errors and improve organizations' safety awareness or safety culture by employing safety consulting differentiated by workplace size.

• 한국융합학회논문지
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• 제9권8호
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• pp.61-70
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• 2018

본 연구의 목적은 종합병원 의료종사자들의 환자안전과 관련된 병원환경, 조직문화, 의료과오보고에 대한 인식을 파악하고, 의료과오보고에 영향을 미치는 요인을 확인하는 것이다. 연구방법은 B광역시 종합병원 의료종사자 244명을 대상으로 2017년 2월 13일부터 2월 28일까지 설문조사 후 SPSS 22.0 프로그램을 이용하여 분석하였다. 연구결과 병원환경 평균 점수는 5점 만점에 3.26(${\pm}0.31$)점, 조직문화 평균점수는 3.74(${\pm}0.54$)점, 의료과오보고 평균점수는 3.64(${\pm}0.57$)점이었고, 의료과오보고에 영향을 미치는 요인은 성별(${\beta}=.137$, p=.023), 직종(${\beta}=289$, p=.001), 간호직의 근무부서(${\beta}=-.196$, p=.023), 병원환경(${\beta}=.327$, p=<.001), 조직문화(${\beta}=.288$, p=<.001)로 나타났다. 그러므로 의료종사자들이 의료과오보고를 두려워하지 않고 보고할 수 있는 시스템을 구축하고 적절한 인력의 확보 및 배치와 개방된 의사소통이 이루어지도록 관리자와 병원경영진의 노력이 이루어져야 할 것이다.

• 대한간호학회지
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• 제43권3호
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• pp.379-388
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• 2013

Purpose: The purpose of this study was to develop a tool to evaluate patient safety culture in nursing homes and to test its validity and reliability. Methods: A preliminary tool was developed through interviews with focus group, content validity tests, and a pilot study. A nationwide survey was conducted from February to April, 2011, using self-report questionnaires. Participants were 982 employees in nursing homes. Data were analyzed using Cronbach's alpha, item analysis, factor analysis, and multitrait/multi-Item analysis. Results: From the results of the analysis, 27 final items were selected from 49 items on the preliminary tool. Items with low correlation with total scale were excluded. The 4 factors sorted by factor analysis contributed 63.4% of the variance in the total scale. The factors were labeled as leadership, organizational system, working attitude, management practice. Cronbach's alpha for internal consistency was .95 and the range for the 4 factors was from .86 to .93. Conclusion: The results of this study indicate that the Korean Patient Safety Culture Scale has reliability and validity and is suitable for evaluation of patient safety culture in Korean nursing homes.

• 대한안전경영과학회지
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• 제17권4호
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• pp.305-319
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• 2015

Among recent management innovation activities of hotel, one of the most important competitive advantage through customer satisfaction, and to which members of the organization's service orientation is essential. The hotel's service orientation is closely related to the organization's culture. In this study, the organization's service-oriented culture, the internal service quality, emotional commitment and continued commitment and ultimately affects the employee's influence on customer orientation will look at that. Results and implications of this study can be summarized as follows. the internal service quality among the factors corporeality, responsiveness and assurance, empathy, job satisfaction showed a significant influence on the type of empathy and emotional commitment castle had a significant impact on. With these results, relationships with colleagues within the organization, such as work environment and job satisfaction and emotional commitment, the atmosphere is very important to know that you can affect. Therefore, the members of the hotel to increase customer satisfaction and organizational commitment, corporate culture, business as well as collaboration with colleagues to share the emotional atmosphere of sympathy for the business environment will get improved.

• 한국시스템다이내믹스연구
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• 제16권3호
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• pp.5-29
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• 2015

The importance of the concept of safety culture has increased in the security of high-risk facility after Chernobyl accident in 1986. This paper elaborated the concept of safety culture and its main factors by Causal Loop Diagram. Due to the decline of safety culture, the occurrence of incidents and accidents require more and more corrective actions to the members of high-risk facilities and thereby increasing their workloads. Employees who must complete the task within the given time have to have time pressures and don't comply with the rules and procedures. Also, a schedule pressure is a big stress for employees, causing mistakes in precision work. In order to improve these problems, CLD of the safety culture in this paper suggests hiring more workers, re-allocation of given workloads and strengthen the learning, communication capabilities and safety leadership. In addition, the two real accident cases were analyzed to test the feasibility of the System Dynamic simulation model through the process of structuring the fault trees on the stationary black out accident in Kori unit 1 in South Korea and Kleen Energy power station explosion in US. The simulation results show that the various safety factors cause the serious accident combined with mechanical failure and safety culture will reduce the possibility of the accidents in these high-risk organizations. This simulation model can contribute to analyzing the impact of the organizational and human factors of safety culture and can provide the alternatives in high-risk facilities.

• 보건행정학회지
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• 제15권4호
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• pp.110-135
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• 2005

The objectives of this study were (1) to describe doctors' perception and attitudes toward patient safety culture and medical error reporting in their working unit and hospitals, (2) to examine whether these perception and attitudes differ by doctors' characteristics, such as sex, position, and specialties, and (3) to understand the relationship between overall perception of patient safety in their working unit and each sub domain of patient safety culture. A survey was conducted with 135 doctors working in a university hospital in Korea. After descriptive analyses and chi-square tests of subgroup differences, a multivariate-regression of overall perception of patient safety in their unit with sub-domains of patient safety culture was conducted. Overall, a significant proportion of doctors expressed negative perception of their working units' patient safety culture, many reporting potentials for patient safety problems to occur in their unit. They also negatively viewed their hospital leadership's commitment on patient safety. Regarding the patient safety in their working unit, doctors were most worried about staffing level and observance of safety procedures. Most doctors did not know how and which medical error to report. They also perceived that medical errors would work against them personally and penalize them. About 22 percent of respondents believed that even seriously harmful medical errors were not reported.

• 한국정보시스템학회지:정보시스템연구
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• 제20권4호
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• pp.49-72
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• 2011

Business Process Change(BPC) is regarded as a salient factor to improve an organizations' efficiency in the current fast-changing business environment. Despite the tremendous popularity and great potential, the field of BPC adoption is littered with remarkable failures. Consequently, there have been many studies that have tried to identify the environmental factors that lead to successful BPC. However, most of them have not considered the effect of the interaction between the environmental factors on BPC success. According to Klempa(1995), the fit between environmental factors of a company may have the impact on its BPC success. Under this background, this paper empirically examines the effects of the fit between the type of BPC and the organization's culture on the success of BPC. Organization's cultures, organizational learning, as well as knowledge sharing are the dominant causes that have impact on the innovation characters of organization. Whether an organization has safety-oriented homogeneous culture or it has the change-oriented heterogeneous culture may have impact on its implementation of BPC. Also the implementation of BPC may be affected by whether the organization adopts the improvement project which accompanies only small changes or it adopts the innovation project which leads to critical changes. Thus, we analyzed the effect of the fit between the organization's culture and its BPC type on BPC success by using the survey data collected from the companies that have adopted BPC. The findings presented in this paper show that the organization having heterogeneous culture practicing innovation project and the organization having homogeneous culture practicing the improvement project resulted in the excellent BPC success.

• 중환자간호학회지
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• 제14권2호
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• pp.12-23
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• 2021

Purpose : The purposes of this study were to examine the levels of job stress, perceptions of the patient safety culture, and patient safety nursing activities, and to identify factors influencing patient safety nursing activities among intensive care unit (ICU) nurses. Methods : For this cross-sectional study, data were collected from 161 ICU nurses working in two university-affiliated hospitals in Gyeonggi-do between June 30 and July 30, 2020. The data were analyzed with descriptive statistics, an independent t-test, a one-way ANOVA, the Pearson correlation method, and multiple regression using the SPSS program. Results : The average levels of job stress, perception of patient safety culture, and patient safety nursing activities were 3.48, 3.44, and 4.45 out of 5, respectively. Multiple regression showed that perception of patient safety culture and career in current workplace were found to be statistically significant correlates of patient safety nursing activities. Conclusion : In order to promote patient safety nursing activities, patient safety culture needs to be incorporated into the education of ICU nurses. Perception of patient safety should be enhanced to improve patients safety nursing activity.

• 한국산업안전학회:학술대회논문집
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• 한국안전학회 2000년도 춘계 학술논문발표회 논문집
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• pp.276-282
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• 2000

지금까지 가장 널리 사용되는 원전 안전성의 평가는 설비고장이나 인간오류와 관련된 조직(Institution/organization)의 질이 설비의 신뢰도와 인적오류에 영향을 주며 원전의 안전성에 전반적인 영향을 끼친다는 것을 고려하지 않고 있다. TMI 사고는 경미한 설비고장은 있었으나 중요한 사고원인은 운전원의 오류였다. 운전원 훈련양의 부족, 절차서의 불명확성, 주제어실의 설계상의 결함 등이 함께 어울어진 안전문화와 관련한 조직실패(Organizational Failure)였다. Chernobyl사고도 전반적인 관리조절(Management Control)의 부족과 운전원의 부적절한 실험 절차서의 검토, 안전 절차서의 위배 등이 함께 연루되어 발생하였다. (중략)