• Title/Summary/Keyword: Patient Safety Management

Search Result 444, Processing Time 0.027 seconds

Perception of Patient Safety Culture, Knowledge and Performance of Standard Precaution among Long-Term Care Hospitals Nurses (요양병원 간호사의 환자안전문화 인식, 표준주의 지식 및 수행도)

  • Byun, Sang-Hee;Kang, Da-Hai-Som
    • Journal of Digital Convergence
    • /
    • v.17 no.9
    • /
    • pp.231-240
    • /
    • 2019
  • The purpose of this study was to explore and describe the relationship of the perception of patient safety culture, knowledge of standard precaution and performance of standard precaution among long-term care hospital nurses. Participants were 134 nurse in long-term hospital. Data were collected with structured questionnaires from January 2 to June 4, 2018. Data were analyzed by SPSS/WIN 21.0 program for descriptive statistics t-test, ANOVA, Scheffe's test and Pearson's correlation coefficient. The perception of patient safety culture were significantly correlated with knowledge of standard precaution(r=.192, p=.027), performance of standard precaution(r=211, p=.014). Therefore, in order to enhance the perception of patient safety culture and performance of standard precaution of long-term care hospital nurses, it would be necessary to enable health-care associated infections by themselves by cultivating standard precaution knowledge through systemic education and by enabling the establishment of affirmative patient safety culture.

Influences of Ethical Value on Attitude toward Patient Safety in Nursing Students (간호대학생의 윤리적 가치관이 환자안전에 대한 태도에 미치는 영향)

  • Park, Mihwa;Jeon, Soojin
    • Journal of Digital Convergence
    • /
    • v.17 no.10
    • /
    • pp.283-291
    • /
    • 2019
  • This study is a descriptive study to investigate the effects of ethical values on attitude toward patient safety of nursing students. The subjects were 179 senior nursing students in S city, and The data were collected from Aug. 21 to Sep. 15, 2017. The data collected were analyzed using SPSS Statistics version 24.0. Nursing students showed 3.74, moderate level in attitude toward patient safety. Subcategory area of ethical values as relationship with nursing client, nursing practices and relationship with collaborator were positively correlated but human-life area is negatively correlated with attitude toward patient safety. The variables that have a significant effect on the attitude toward patient safety were academic score, and major satisfaction of the general characteristics, and the sub - item of the ethical values, the client relationship area, the human - life area and the nursing practices area. These factors explained 38.6% of variance. These results should be considered in the development of education policy of nursing students and further study is needed to verify the effect of the results.

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
    • /
    • v.14 no.7
    • /
    • pp.201-211
    • /
    • 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.

The Effects of Nursing Students' Safety Motivation, Confidence in Performance on Behavior of Safety Management (간호대학생의 안전동기, 안전관리 수행자신감이 안전관리행위에 미치는 영향)

  • Moon, Duck-Hee
    • Journal of Convergence for Information Technology
    • /
    • v.11 no.7
    • /
    • pp.67-74
    • /
    • 2021
  • The purpose of this study was to investigate the safety motivation, confidence in performance, and behavior of safety management and to identify the factors affecting behavior of safety management targeted nursing students. Subjects were 127 nursing students and data were collected by questionnaires from December 1 to December 20, 2020. Data were analyzed using t-test, ANOVA, Scheffe test, Pearson correlation coefficients and multiple regression analysis. Safety motivation was positive correlated with confidence in performance, and behavior of safety management. Confidence in performance was positive correlated with behavior of safety management. Safety motivation and confidence in performance were main factors that affects behavior of safety management. These results suggest to develop education intervention program that include safety motivation, confidence in performance in order to improve behavior of safety management of nursing students.

Research on Reimbursement of Therapeutic Medical Device through Delphi Method and Analytic Hierarchy Process (치료재료 별도산정 기준 개선을 위한 델파이 및 계층분석과정 조사)

  • Noh, Jin-Won;Lee, Yejin;Jang, Suk Yong;Kim, Mi Kyung;Cho, Kyoung Hee;Kim, Jae-Hyun;Yoo, Ki-Bong
    • Korea Journal of Hospital Management
    • /
    • v.23 no.4
    • /
    • pp.15-25
    • /
    • 2018
  • Purposes: The objectives of this study present the direction of the criteria for the separately reimbursement of therapeutic medical device. Methodology: We summarized experts' opinion using Delphi survey and Analytic Hierarchy Process(AHP). 48 experts were gathered from Medical Insurance Review Nurses Association, medical device industry, academy and association, Medical Device Expert Evaluation Committee. Descriptive statistics, consistency index, content validity ratio were analyzed. Findings: Clinical utility, patient safety, infection control, cost-homogeneity, cost-effectiveness showed high feasibility and importance, but market contribution and functional utility showed low feasibility and importance in a relative sense. The results of functional utility differed between clinical and non-clinical experts. Measurability was low across the whole area. Among the criteria for the separately reimbursement of therapeutic medical device. Patient safety/infection control and clinical utility showed the highest relative importance values, analyzed using AHP. Practical Implications: Patient safety and infection control are needed to be considered as one of Value Assessment Criteria. It is important to find out how to improve the measurability of therapeutic medical device.

Factors affecting on the Practice of Patient Safety Management (PSM) in Nursing College Students (간호대학생의 환자안전관리(Patient Safety Management) 수행에 미치는 영향요인)

  • Yoo, Sukyong;Park, Ju Young;Kwon, Sun Hye
    • Journal of Digital Convergence
    • /
    • v.17 no.11
    • /
    • pp.279-288
    • /
    • 2019
  • The aim of this study was to identify the factors related to the practice of patient safety management (PSM) in nursing college students. The participants comprised 139 students in a nursing college. Data collection was conducted for five days from November 26, 2018 to November 30, 2018. The data were analyzed using descriptive statistics, paired t-test, independent t-tests, one-way analysis of variance (ANOVA), Pearson's correlation coefficient, and a multiple regression analysis. The total score for practice of PSM was $4.25{\pm}0.48$ out of a maximum of 5. Practice of PSM had a statistically significant relationship with attitude (r=.39, p<.001), confidence (r=.43, p<.001), and perception of the importance (r=.54, p<.001). The factors affecting practice of PSM were perception of the importance (${\beta}=.43$, p<.001) and confidence (${\beta}=.26$, p=.001); the explanatory power of the model was 38%. Therefore, it is necessary to include the perception of importance of PSM and confidence in the practice of PSM by nursing college students.

The evaluation of implementing smart patient controlled analgesic pump with a different infusion rate for different time duration on postoperative pain management

  • Kim, Saeyoung;Jeon, Younghoon;Lee, Hyeonjun;Lim, Jung A;Park, Sungsik;Kim, Si Oh
    • Journal of Dental Anesthesia and Pain Medicine
    • /
    • v.16 no.4
    • /
    • pp.289-294
    • /
    • 2016
  • Background: Control of postoperative pain is an important aspect of postoperative patient management. Among the methods of postoperative pain control, patient-controlled analgesia (PCA) has been the most commonly used. This study tested the convenience and safety of a PCA method in which the dose adjusted according to time. Methods: This study included 100 patients who had previously undergone orthognathic surgery, discectomy, or total hip arthroplasty, and wished to control their postoperative pain through PCA. In the test group (n = 50), the rate of infusion was changed over time, while in the control group (n = 50), drugs were administered at a fixed rate. Patients' pain scores on the visual analogue scale, number of rescue analgesic infusions, side effects, and patients' satisfaction with analgesia were compared between the two groups. Results: The patients and controls were matched for age, gender, height, weight, and body mass index. No significant difference in the mount of drug administered was found between the test and control groups at 0-24 h after the operation; however, a significant difference was observed at 24-48 h after the operation between the two groups. No difference was found in the postoperative pain score, number of side effects, and patient satisfaction between the two groups. Conclusions: Patient-controlled anesthesia administered at changing rates of infusion has similar numbers of side effects as infusion performed at a fixed rate; however, the former allows for efficient and safe management of postoperative pain even in small doses.

Investigate the Factors that Affect the Safety Performance Ability of Patients by Caregivers (노인요양시설 요양보호사의 환자안전관리에 대한 안전수행능력)

  • Kim, Eun Young
    • The Journal of the Convergence on Culture Technology
    • /
    • v.7 no.3
    • /
    • pp.43-50
    • /
    • 2021
  • The purpose of this research is to confirm the degree of awareness, knowledge and attitude for the safety management of patients in elderly care facilities, to investigate the factors that affect the safety performance of patients by nursing caregivers, and to provide basic material for the development of educational programs for strengthening performance. The research target audience was 142 nursing caregivers working in the G metropolitan city and S city elderly care facilities, and the data collected from 7/10/2020 to 7/28/2020, were analyzed with the SPSS/WIN 21.0 program. The ability of a nursing caregiver to perform patient safety is increasing as a result of higher education, higher patient safety awareness, and also more positive attitude towards patient safety. The major factors that affect the safety performance of patients by nursing caregivers were attitude toward patient safety, patient safety awareness, and the amount of participation in patient safety education. It's explanatory power was 26.9%. Based on the results of this research, we propose a study to confirm the positive effects of patient safety consciousness and attitude by confirming the education program completed by nursing caregivers and systematizing the education method and design in the education program of nursing caregivers.

Optimization Method for Patient Placement by Floor in Elderly Care Hospital for Evacuation Safety (피난안전성을 위한 요양병원의 층별 환자배치에 대한 최적화방안)

  • Lee, Hong-Sang;Kong, Ha-Sung
    • Journal of the Korea Safety Management & Science
    • /
    • v.22 no.3
    • /
    • pp.43-51
    • /
    • 2020
  • This study analyzed the appropriate placement method by floor for evacuating all occupants during the nighttime through evacuation simulation. The analysis results are as follows. First, when non-self evacuating patients were placed on the first floor, 266 patients and 6 workers were found to be evacuated after 460 seconds. This result shows that it is meaningful to place non-self evacuating patients on the lower floor with a time that is faster than 540 seconds, which is an evaluation criterion set using life Safety standards for human. This result is a time faster than the evaluation criteria of 540 seconds, which is set using the life safety standards, and it can be confirmed that it is meaningful to place non-self evacuating patients on the lower floor. Next, as a result of placing non-self evacuating patients from the first floor to the fourth floor, it was found that evacuation of all occupants required 460 seconds for the first floor, 834 seconds for the second floor, 1,508 seconds for the third floor, and 1,915 seconds for the fourth floor. These results indicate that the placement of non-self evacuating patients on the rest of the floors, except for the first floor, can lead to dangerous results in excess of 540 seconds, which is a flashover time. As a result, it is necessary to place non-self evacuating patients on a lower floor for safe evacuation. The study has limitations except for comparative analysis of changes in evacuation time due to changes in the number of workers at eldery care hospitals and situations in which fire-fighting facilities such as sprinkler facilities operated. It is necessary to study the evacuation time linked to the operation of the fire-fighting facilities and the evacuation time according to the change in the number of workers in the future.

Automatic real-name registration mark examiner research and development of special medical equipment for patient safety (환자 안전을 위한 특수의료장비의 검사자 실명제 자동 표식 등록 개발 연구)

  • Yoo, Se-Jong;Park, Jong-Bae;Kim, Jeong-Ho;Kim, Ki-Jin;Lim, Jae-Dong
    • Journal of the Korea Safety Management & Science
    • /
    • v.17 no.2
    • /
    • pp.147-152
    • /
    • 2015
  • Through the inspector's real name to improve the quality of inspection is to show the design Radiological examination pursuant to the Ordinance of the Ministry of Health and Welfare for patient safety in the Image. However, the use of existing and in EMR, equipment within the handwriting input, the individual initial use has a problem. In this study, increasing the stability of the patient and the precise inspection, In order to increase the efficiency and convenience than the real-name system for quality control inspectors of medical equipment, Using the EMR and PACS developed and applied to evaluate the usefulness of automatic enrollment. Enter your information in the EMR, which was developed markers that inspectors use to compare the before and after images PACS satisfaction. Convenience than using traditional, consistency, the entry of the missing were higher as a statistically significant difference. A test strip automatic enrollment programs are developed in this study. You can increase the stability of the patient by checking the image to show the real tester, we expect the quality of care would be improved.