• Title/Summary/Keyword: Safety culture perception

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Safety Accident Occurrence to Perceptions of Patient Safety Culture of Hospital Nurses (환자안전문화 인식에 따른 안전사고발생)

  • Lee, Young-Mee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.1
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    • pp.117-124
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    • 2012
  • This study is aimed to investigate the relationship among safety accident and perception of patient safety culture, to provide the basic data for building the patient safety culture of hospital nurses. The self-administered questionnaires were given to 129 nurses employed in hospital during the period from November 10th to 15th, 2011. The safety accident occurrence of patient was statistically significant difference according to safety education of nurse and job satisfaction of nurses. As a results, nurses' perception to the patient safety culture of hospital shows on the average score($3.46{\pm}0.3$). Among three categories, patient safety culture in a ward, and patient safety culture within hospital and safety awareness in a ward show respectively on the average score $3.59{\pm}0.3$, $3.41{\pm}0.5$, $3.41{\pm}0.4$. The score of level of patient safety culture of hospital nurses was statistically significant difference according to marital status, safety education, occupational satisfaction and health status. In correlation among safety accident occurrence of patient and safety education of nurse, patient safety culture in a ward, patient safety culture within hospital and safety awareness in a ward showed positive relationship. The results of this study indicate that education program are needed to prevent safety accident occurrence of patient, and to build the patient safety culture of hospital nurses, and to increase the safety education and occupational satisfaction, and to improve the nurses' health status.

Analysis of Subgroups with Lower Level of Patient Safety Perceptions Using Decision-Tree Analysis (환자안전인식 취약군에 대한 의사결정나무모형)

  • Shin, Sun Hwa
    • Journal of Korean Academy of Nursing
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    • v.50 no.5
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    • pp.686-698
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    • 2020
  • Purpose: This study was aimed to investigate experiences, perceptions, and educational needs related to patient safety and the factors affecting these perceptions. Methods: Study design was a descriptive survey conducted in November 2019. A sample of 1,187 Koreans aged 20-80 years participated in the online survey. Based on previous research, the questionnaire used patient safety-related and educational requirement items, and the Patient Safety Perception Scale. Descriptive statistics and a decision tree analysis were performed using SPSS 25.0. Results: The average patient safety perception was 71.71 (± 9.21). Approximately 95.9% of the participants reported a need for patient safety education, and 88.0% answered that they would participate in such education. The most influential factors in the group with low patient safety perceptions were the recognition of patient safety activities, age, preference of accredited hospitals, experience of patient safety problems, and willingness to participate in patient safety education. Conclusion: It was confirmed that the vulnerable group for patient safety perception is not aware of patient safety activities and did not prefer an accredited hospital. To prevent patient safety accidents and establish a culture of patient safety, appropriate educational strategies must be provided to the general public.

Emergency Room Nurses' Recognition of Patient Safety Culture and their Safety Management Activity (응급실 간호사의 환자안전문화에 대한 인식과 환자안전관리활동)

  • Lee, Ji-Eun;Lee, Eun-Nam
    • Journal of Korean Critical Care Nursing
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    • v.6 no.1
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    • pp.44-56
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    • 2013
  • Purpose: The purpose of this study was to investigate emergency room nurses' recognition of patient safety culture and their performance of safety management activity. Methods: Data were collected from July 1 to August 31, 2012 on 292 emergency room nurses working at 25 general hospitals located in B city in G province. The Hospital Survey on Patient Safety Culture was used to measure patient safety culture, and an 82-item questionnaire was developed to measure safety management activity. Results: the performance of safety management activity were significantly associated with the total career years, whether the nurses had undergone safety training, and whether the nurses has been working in the regional emergency care facility. Of 6 subcategories of the patient safety culture, the perception of a directly commanding senior/manager, frequency of accident reports, and hospital environment were associated with the performance of safety management activity. Conclusion: For improving performance of safety management activity among emergency room nurses, it is necessary to develop an educational program of safety management activity by their level of performance.

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Mediating effects of Critical Thinking Propensity between Perception of Patient Safety Culture and Practice of Standard Precaution of Nurses in Small and Medium Hospitals (중소병원 간호사의 환자안전문화 인식과 표준주의지침 수행도의 관계에서 비판적 사고성향의 매개효과)

  • Junghyun Choi
    • Journal of Industrial Convergence
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    • v.22 no.3
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    • pp.101-110
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    • 2024
  • This study was conducted to confirm the relationship between perception of patient safety culture, critical thinking propensity, and practice of standard precaution among nurses in small and medium-sized hospitals. The research subjects were nurses from three small and medium-sized hospitals located in S City and C City who understood the purpose of the study and agreed to participate. The final study subjects were 158 nurses. The data were collected from January 5, 2020 to March 31, 2020, and descriptive statistics, t-test, one-way ANOVA, correlation, regression analysis, and Sobel test of the collected data were performed using SPSS/WIN26.0 Program. As a result of the study, nurses' practice of standard precaution showed a significant positive correlation with perception of patient safety culture (r=.524, p<.001) and critical thinking disposition (r=.471, p<.001). Critical thinking propensity was found to have a partial mediating effect in the relationship between perception of patient safety culture and practice of standard precaution. Based on the results of this study, repeated research can be conducted in the future, and can be used to develop and apply educational programs that can improve nurses' practice of standard precaution.

Measurement of Incident-reporting Rate for Developing a Leading Indicator of Safety Culture (안전문화 선행지표 개발을 위한 사건보고율 측정)

  • Kim, Beom Soo;Jin, Sangeun;Chang, Seong Rok
    • Journal of the Korean Society of Safety
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    • v.33 no.6
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    • pp.93-101
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    • 2018
  • Various leading indicators of safety culture have been advocated for proactive actions as lagging indicators have limitations in reflecting the attitudes and behaviors due to their reactivity and low sensitivity. This study proposes a model of incident-reporting culture (IRC) and determines the influence of the components on incident-reporting rate (IRR) in order to develop proactive indicators of safety culture. A questionnaire survey was administered to 614 workers at a chemical company in Korea, and the internal psychological aspects were explored by using perceptions, attitude, and backgrounds. The relationship between these factors and IRR was quantitatively confirmed. The workers are more reluctant to report injury than property damage, the perception of severity is the most influencing factor, and most property damages are reported regardless of worker's willingness. These features should be prioritized when improving IRC, and the criteria of IRC need to be aligned with safety culture.

Comparison of Safety Perception between Patients and Nurses and Factors Affecting Nurses Safety Management Activities in Tertiary Hospitals (상급종합병원 환자와 간호사의 안전 인식 비교와 간호사의 환자안전관리 직무수행 영향요인)

  • Kim, Youn-Hong;Choe, Yon-Jeong;Kang, Da-Hui;Jung, Ji-Young;Gil, Cho-Rong;Chang, Hee-Kyung
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.1
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    • pp.69-82
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    • 2020
  • This study is a descriptive research study to compare the safety perception between patients and nurses and to identify the factors affecting the nurses' safety management activities in tertiary hospitals. Data were collected with structured questionnaires from 147 patients and 147 nurses from a university hospital in J city, Gyeongnam, from July 24 to September 23, 2019, and analyzed using SPSS 23.0. The result showed that the patient's safety perception was significantly higher than the nurse's perception. The significant factors affecting patient management activity were nurse's educational level, position, effective communication, patient safety perception, and perception of importance on patient safety management. In the multiple regression analysis, knowledge about 'effective communication', and 'concerned about patient safety management', explained 54.8% of the nurses' patient management activity. Based on the results of this study, it is emphasized that nurses need to develop strategies to improve the communication and attention between patients and hospital members to improve patient safety management activities in tertiary hospitals.

A Methodology for Establishment of Safety Culture in Industry through Global Company Practices

  • Kim, Beom Soo;Lee, Yujeong;Chang, Seong Rok
    • Journal of the Ergonomics Society of Korea
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    • v.35 no.2
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    • pp.85-95
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    • 2016
  • Objective:The purpose of this study is to suggest the methodology for establishment of safety culture in industry. Background: There have been studies indicating positive relation between safety culture and safety performance. But the areas of those efforts have been mainly focused on elements or factors consisting of safety culture. So it is expected that studies on methodologies for developing process of the culture could contribute for the industry to understand and apply it accordingly in order to improve their practices. Method: In this study, the scope was considered just for industry, even though there are many fields of culture. As the first step, the limitations of regulatory control and efforts by industry were reviewed, and the trends of researches were presented. In the second step, the global company practices were provided with detailed activities. Results: This paper showed the limitations of present state in government strategies and industry for safety culture improvement. Also the restricted areas in researches were shown. As one of the solutions to resolve those things, such global company practices as perception to safety journey, the steps of culture development, total safety philosophy, structure and elements of safety process, standards and procedures, training, and up to keys to success were suggested. Conclusion: Through this study, the development of the structure of safety process which consists of many purposeful activities has been derived to be very important. Because it will be the seeds of safety culture expressing their thinking process and behaviors. Also it is required to approach success step by step according to the achievement of each step. Application: This study can be used to develop the methodology and safety process in industry with different viewpoints for safety culture establishment.

Medication Error Management Climate and Perception for System Use according to Construction of Medication Error Prevention System (환자안전 관리자가 인식한 투약오류예방 시스템 구축실태에 따른 투약오류관리풍토 및 활용인식)

  • Kim, Myoung-Soo
    • Journal of Korean Academy of Nursing
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    • v.42 no.4
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    • pp.568-578
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    • 2012
  • Purpose: The purpose of this cross-sectional study was to examine current status of IT-based medication error prevention system construction and the relationships among system construction, medication error management climate and perception for system use. Methods: The participants were 124 patient safety chief managers working for 124 hospitals with over 300 beds in Korea. The characteristics of the participants, construction status and perception of systems (electric pharmacopoeia, electric drug dosage calculation system, computer-based patient safety reporting and bar-code system) and medication error management climate were measured in this study. The data were collected between June and August 2011. Descriptive statistics, partial Pearson correlation and MANCOVA were used for data analysis. Results: Electric pharmacopoeia were constructed in 67.7% of participating hospitals, computer-based patient safety reporting systems were constructed in 50.8%, electric drug dosage calculation systems were in use in 32.3%. Bar-code systems showed up the lowest construction rate at 16.1% of Korean hospitals. Higher rates of construction of IT-based medication error prevention systems resulted in greater safety and a more positive error management climate prevailed. Conclusion: The supportive strategies for improving perception for use of IT-based systems would add to system construction, and positive error management climate would be more easily promoted.

Associations of perceptions of patient safety culture, job crafting, and perceptions of patient rounding with patient safety management activities among tertiary hospital nurses (상급종합병원 병동 간호사의 환자안전 문화인식, 잡 크래프팅, 간호순회인식이 환자안전 관리활동에 미치는 영향)

  • Saet-Byeol Kim;Yun-Hee Kim
    • Journal of Korean Biological Nursing Science
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    • v.26 no.3
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    • pp.259-269
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    • 2024
  • Purpose: This study investigated patient safety management activities among general hospital nurses and aimed to identify the factors influencing patient safety management activities. Methods: A cross-sectional descriptive design included 159 ward nurses working at two tertiary hospitals located in Busan city. Data were collected with self-reported questionnaires from April 8 to April 20, 2024 and were analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and multiple regression in SPSS 29.0. Results: Factors significantly influencing patient safety management activities in nurses were perceptions of patient safety culture (β = .47, p < .001) and perceptions of patient rounding (β = .31, p < .001). The explanatory power of these variables was 43%. Conclusion: This study found that perceptions of patient safety culture and perceptions of patient rounding had significant effects on nurses' patient safety management activities. Thus, it is necessary to promote patient safety management activities among nurses through the development of intervention programs to improve perceptions of patient safety culture and perceptions of patient rounding.