• Title/Summary/Keyword: patient safety

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The Effects of Smartphone Application to Educate Patient on Patient Safety in Hospitalized Surgical Patients (위해사건 예방을 위한 수술 환자 교육용 스마트폰 애플리케이션의 효과)

  • Choi, Hyo Jin;Lee, Eunjoo
    • Korean Journal of Adult Nursing
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    • v.29 no.2
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    • pp.154-165
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    • 2017
  • Purpose: This study was designed to evaluate a patient safety application in the prevention of adverse event among surgical patients. Seventy three surgical patients with thirty six of them using the patient safety application and the rest (N=37) were provided educational booklet. Further, the instrument would measure patients' right to know, knowledge about patient safety, and attitude toward patient safety. Methods: The patient safety application was developed by the ADDIE along with input from experts, patients and an extensive literature review. Data were collected from 7 September through 20 October 2015. Results: The experimental group had significantly higher scores in patients' right to know (t=2.01, p=.024), knowledge on patient safety (t=3.80, p<.001) and attitude toward patient safety (t=2.74, p=.004) than those of the control group. Conclusion: The patient safety application developed using Smartphone could be an effective tool enhancing patient involvement in preventing adverse events that may occur to patients. Further studies are recommended with diverse subjects with varying medical conditions.

The Cognition Level on Patient Safety and Safe Nursing Activities According to Nurse-patient Ratios (간호관리료 등급별 환자안전 및 안전간호활동 인식 비교)

  • Nam, Mun Hee;Choi, Sook Hee
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.2
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    • pp.138-149
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    • 2011
  • Purpose: The objective of this research was to explore levels of patient safety and safe nursing activities depending on the level of nurse staffing, in order to provide effective management of nurse personnel. Methods: The research was conducted with 455 nurses from eight hospitals in B city. Data were collected according to the level of nurse personnel from second (nurse vs. patient ratio of 2.0-2.5) to fifth (ratio of 3.5-4.0) rank. The survey tools were, 'Questionnaire on Patient Safety, a Hospital Survey on Patient Safety Culture developed by AHRQ (2007), and 'Questionnaire on Patient Safety Nursing Act, in which the questions were selected from nursing-related items (Medication 6 & Safety Nursing Assurance Act 4) in the Safety Evaluation developed by Evaluation Institute of Medical Institution. Data were analyzed with SPSS PC 12.0 program using descriptive statistics, $x^2$ test, ANCOVA and $Scheff{\grave{e}}$. Results: The nurses' overall cognition level on patient safety and safe nursing activities showed that nurses who are in the second and third rank had higher scores than those in lower ranks. Conclusion: The results of this study indicate that hospitals need a higher ratio level for nurse personnel in order to assure patient safety and safe nursing activities.

Nurses' Job Stress, Patient Safety Culture, and Patient Safety Management Activities -Comparing Comprehensive Nursing Care Service Wards with General Wards- (간호사의 직무스트레스, 환자안전문화와 환자안전관리 활동 -간호·간병통합서비스병동과 일반병동 비교-)

  • Lim, Yeon Jae;Baek, Heechong
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.28 no.3
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    • pp.295-306
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    • 2021
  • Purpose: This study aims to compare and analysis job stress, patient safety culture, and patient safety management activities of nurses in comprehensive nursing care service wards and general wards. Methods: Through an online survey conducted on nurses with more than three months of working experience at five general hospitals in the metropolitan area, 156 participants's data were used for 𝜒2-test, t-test, ANOVA using SPSS ver. 26.0. Result: There were no significant differences in the nurses' job stress and patient safety management activities between the comprehensive nursing care service wards and general wards. However, the patient safety culture of nurses in the comprehensive nursing care service ward was significantly lower than that of general ward. Conclusion: Patient safety culture should be promoted through continuous regular patient safety education, training, and organizational support to increase patient safety management activities. Additionally, institutional programs should be prepared to reduce job stress of nurses at the frontline of patient safety.

A Study on Patient Safety Management Activities in Small and Medium Hospitals Nurses' (중소병원간호사의 환자안전관리활동에 대한 연구)

  • Park, Jok-Duk;Jeong, Hyun-Ju
    • Journal of the Korea Convergence Society
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    • v.11 no.10
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    • pp.307-315
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    • 2020
  • The purpose of this study was to idenfy the factors affection patient safety management activity of small and medium-sized hospital nurses. The participants of this study were 191 nurses in 5 hospitals with less than 100-300 people and collected data by self-reported questionnaire.. Data were analyzed by the SPSS 20.0 program, As a results, significant postive correlations were founded among patient safety culture awareness, patient safety attitude, self-efficacy and patient safety management activities. And factors affecting patient safety management activities of small and medium hospital nurses were patient safety attitudes, self-efficacy, and patient safety culture awareness, and the explanatory power of these variables was 41.8%. Thus, it is proposed to develop education programs that can improve patient safety attitudes, self-efficacy, and patient safety culture awareness to promote patient safety management activities of small and medium hospital nurses.

The Effects of Patient Safety Culture Perception and Organizational Commitment on Patient Safety Management Activities in General Hospital Nurses (종합병원 간호사의 환자안전문화인식과 조직몰입이 환자안전관리활동에 미치는 영향)

  • Im, Sun-Ae;Park, Min-Jeong
    • Journal of Digital Convergence
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    • v.16 no.6
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    • pp.259-270
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    • 2018
  • This study aimed to identify the effect of patient safety culture perception, organizational commitment on patient safety management activities in general hospital nurses. The data were collected from 191 subjects from August 2 to August 16, 2017 using a structured self-report questionnaires and analyzed using SPSS WIN Version 22.0. The results showed that patient safety management activities had significant correlations with patient safety culture perception and organizational commitment. Also, the influencing factors on patient safety management activities were patient safety culture perception, organizational commitment, and patient safety education experience. These factors explained 33.3% of variance. Therefore, in order to improve the patient safety management activities among general hospital nurses, it is necessary to develop and apply an nursing intervention programs considering patient safety culture perception, organizational commitment, and patient safety education experience.

A Study on Hospital Nurses' Perception of Patient Safety Culture and Safety Care Activity (병원간호사의 환자안전문화에 대한 인식과 안전간호활동에 관한 연구)

  • Park, So-Jeong;Kang, Ji-Yeon;Lee, Young-Ock
    • Journal of Korean Critical Care Nursing
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    • v.5 no.1
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    • pp.44-55
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    • 2012
  • Purpose: The purpose of this study was to investigate perception of patient safety culture and safety care activity among hospital nurses and to identify factors associated with the safety care activity. Methods: A total of 399 nurses working at secondary or tertiary hospitals in B city were participated in. Data were collected using 'Questionnaire on Patient Safety' and 'Safety Care Activity Questionnaire'. Results: The mean score of patient safety culture was 3.41 out of possible 5. The mean score of safety care activity was 4.40 out of possible 5. There was a positive relation between the perception of patient safety culture and the safety care activity. Through stepwise regression analysis with 22.4% of accountability, it was found that the perception of the safety care activity was associated with communication process, a sub-domain of safety culture, marital status, experience of incidence reporting, and level of patient safety. Conclusion: The findings show the importance of communication among nurses to improve the safety care activity. To provide high quality of care for patients, it is necessary to educate nurses on fire safety, patient education, and medication safety and improve their communication skills.

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Perceptions of Patient Safety Culture, Safety Care Knowledge and Activity among Nurses at an Orthopedic Hospital (중소 정형외과병원 간호사의 환자안전문화인식, 환자안전지식과 환자안전간호수행)

  • Kim, Mi Young;Eun, Young
    • Journal of muscle and joint health
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    • v.24 no.1
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    • pp.14-23
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    • 2017
  • Purpose: The purpose of this study was to identify the factors affecting the perceptions of patient safety culture, safety care knowledge, and safety care activity among nurses at orthopedic hospitals. Methods: Data were collected during Feb. 16 and Feb. 26, 2017, from 195 nurses of 9 small to medium sized orthopedic hospitals. Questionnaires about patient safety culture, safety care knowledge and activity were used. Data were analyzed by descriptive statistics, t-test, ANOVA, $Scheff\acute{e}$ test, Pearson's correlation coefficient, and stepwise multiple regression. Results: The safety care activity was positively correlated with perceptions of patient safety culture (r=.50, p<.001) and knowledge (r=.48, p<.001). Factors that had influence on the safety care activity were the patient safety culture (${\beta}=.30$, p<.001), age (${\beta}=.27$, p<.001), and knowledge of the safety activity (${\beta}=.21$, p=.004). The patient safety care activity was explained 36.6% by those factors. Conclusion: To enhance the patient safety care activity, it should be provided the environment and open communication for the perceptions of patient safety culture and the in service education program for safety care knowledge.

Ensuring Patient Safety in Pediatric Dental Care

  • Daewoo Lee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.51 no.2
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    • pp.109-131
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    • 2024
  • This review aims to examine safety concerns in pediatric dental care and underscore the need for comprehensive patient safety initiatives within the Korean Academy of Pediatric Dentistry. Drawing insights from the prevailing patient safety policies of the American Academy of Pediatric Dentistry, case reports, and systematic reviews, this review elucidates issues such as dental fires during sedation, ocular complications from local anesthesia, and surgical emphysema. This review highlights the significance of safety toolkits encompassing infection control, medical error reduction, dental unit waterline infection, and nitrous oxide safety in pediatric dental settings, underscoring the need to foster a safety culture. Furthermore, this study explores the curriculum for pediatric dentistry residency programs, emphasizing concepts such as high-reliability organizations and mortality and morbidity conferences. The study suggests the need for initiatives to enhance patient safety, including establishing safety committees, expanding reporting systems, policy development, and supporting research related to patient safety. In conclusion, this study underlines key messages, emphasizing the utmost priority of patient safety, acknowledging the inevitability of human error, promoting effective communication, and cultivating a patient safety culture. These principles are vital for advancing patient safety in pediatric dental care and improving outcomes among pediatric patients.

Perception of Patient Safety Culture and Safety Care Activity among Nurses in Small-Medium Sized General Hospitals (중소 병원 간호사의 환자안전문화에 대한 인식과 안전간호활동 수행 정도)

  • Lee, Na-Joo;Kim, Jeong-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.4
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    • pp.462-473
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    • 2011
  • Purpose: This study was done to identify the factors affecting the perception of patient-safety-culture and the level of safety-care-activity among nurses in small-medium sized general hospitals. Method: Data were collected during April and May 2011, from 241 nurses of five hospitals. A hospital survey questionnaire on patient-safety-culture and safety-care-activity was used. Collected data were analyzed using descriptive statistics, Pearson correlation, t-test, ANOVA, Scheffe test and multiple-regression. Results: There were significant differences in the level of perception of patient-safety-culture according to the nurses' age, type of hospital, position, work department, and knowing whether there was a Patient-Safety committee in their hospitals. Nurses with higher perceived level of the patient-safety-culture performed more safety-care-activities. Factors influencing on the safety-care-activities were general patient safety, having had safety-education, patient-to-nurse ratio, employment status, and the level of reporting medical errors. These factors explained 22.9% of the safety-care-activity. Conclusions: The study findings suggest that in order to improve the nurses' perceived level of patient-safety-culture and safety-care-activity, the hospitals need to establish patient-safety committees and communication systems, and openness to reporting medical errors are needed. Better work conditions to ensure appropriate work time, regulate patient-to-nurse ratio, and nursing education standards and criteria, are also required.

Mediating Effects of Perceptions Regarding the Importance of Patient Safety Management on the Relationship between Incident Reporting Attitudes and Patient Safety Care Activities for Nurses in Small- and Medium-sized General Hospitals (중소병원 간호사의 사건보고태도와 환자안전간호활동의 관계에서 환자안전관리 중요성 인식의 매개효과)

  • Park, Young Mi;Nam, Keum Hee;Kang, Ki Noh;Nam, Jeong Ja;Yun, Yeon Ok
    • Journal of Korean Critical Care Nursing
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    • v.12 no.2
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    • pp.85-96
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    • 2019
  • Purpose : The purpose of this study was to examine the mediating effect of perceptions regarding the importance of patient safety management in the relationship between incident reporting attitudes and patient safety care activities for nurses in small-and medium-sized general hospitals. The objective was to provide a basis for planning tailored training programs aimed at improving patient safety care activities. Methods : This study was conducted with 187 participants in small- and medium-sized general hospitals in K city in South Korea from March 15 to March 31, 2019. The data collected from participants were analyzed using descriptive statistics, a t-test, ANOVA, Pearson's correlation coefficients, and a multiple regression using IBM SPSS/WIN 21.0 software. Results : Patient safety care activities were found to be correlated with incident reporting attitudes (r=.27, p < .001) and perceptions of the importance of patient safety management (r=.59, p < .001). Further, perceptions of the importance of patient safety management had a complete mediating effect (${\beta}=.409$, p < .001) on the relationship between incident reporting attitudes and patient safety care activities. Conclusion : Based on the findings of this study, tailored training programs regarding patient safety care activities focused on boosting perceptions of the importance of patient safety management are highly recommended to improve nurses' patient safety care activities in small- and medium-sized general hospitals.