Perception of the Patient Safety Risk Factors and Safety Management by Nurses in Emergency Service, Hospitals

응급실 간호사의 환자안전 위험요인에 대한 위험성 인식과 안전 간호활동

  • Received : 2014.08.25
  • Accepted : 2014.11.13
  • Published : 2014.11.30


Purpose: This was a descriptive research study to examine the patient safety risk factors and the level of safety management of nurses in emergency service, hospitals and to analyze the relationship between the two factors. Method: Data for analysis were collected from 232 nurses in emergency service, hospitals in Busan and Gyeongnam from July 30 to September 7, 2013. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and Pearson correlation coefficients. Results: Therapeutic agents showed the highest risk level. The prevention of transfusion errors showed the highest performance. As the nurses were working in regional emergency medical centers and received education more than 7 sessions on patient safety, they readily recognized the riskiness of the safety risk factors. In addition, as the nurses were older than 40, married, having more education about safety and understood the incident report registration system well, they performed safety management better. There were significant correlations between perception of the patient safety risk factors and performance for safety management. Conclusion: Nurses in emergency service, hospitals should try to improve safety management to reduce the risk factors shown to be higher based on the results and ensure the patient safety.


  1. Lee SI. Improve quality of care through the patient safety. Paper presented at: Hospital care policy in Spring 2012 Symposium; 2012 May 22; Seoul National University Hospital. Seoul.
  2. Wang LM, How CK, Yang MC, Su S, Chern CH. Evaluation of clinically significant adverse events in patients discharged from a tertiary-care emergency department in Taiwan. Emergency Medicine Journal. 2013;30(3):192-197.
  3. Aspden P, Corrigan JM, Wolcott J, Erickson SM. Patient safety: Achieving a new standard for care. Washington, DC: National Academies Press; 2004.
  4. Kim MH, Kim MH, Park JH. Characteristics and nursing activities of severe trauma patients regarding the main damaged body parts. Journal of Korean Biological Nursing Science. 2013;15(4):210-218.
  5. Park EY. Predictors of violent behavior by patient or caregiver of patient in the emergency department [dissertation]. Busan: Dong-A University; 2013.
  6. Al-Damouk M, Pudney E, Bleetman A. Hand hygiene and aseptic technique in the emergency department. Journal of Hospital Infection. 2004;56(2):137-141.
  7. Elder NC, Brungs SM, Nagy M, Kudel I, Render ML. Nurses' perceptions of error communication and reporting in the intensive care unit. Journal of Patient Safety. 2008;4(3):162-168.
  8. Fordyce J, Blank FS, Pekow P, Smithline HA, Ritter G, Gehlbach S, et al. Errors in a busy emergency department. Annals of Emergency Medicine. 2003;42(3):324-333.
  9. Glancy GD, Chaimowitz G. The clinical use of risk assessment. Canadian Journal of Psychiatry. 2005;50(1):12-17.
  10. Korea Institute for Healthcare Accreditation. Korea Institute for Healthcare Accreditation guideline [Internet]. Seoul: Korea Institute for Healthcare Accreditation; 2011 [cited 2013 December 20]. Available from: =04.
  11. Ahn KO, Jung JH, Eo EK, Cheon YJ, Jung, KY. Medical error reporting system in the emergency department. Journal of the Korean Society of Emergency Medicine. 2007;18(3):218-226.
  12. Ahn SH. Analysis of risk factors for patient safety management. Journal of Korean Nursing Administration Academic Society. 2006;12(3):373-384.
  13. Sklar DP, Crandall CS, Zola T, Cunningham R. Emergency physician perceptions of patient safety risks. Annals of Emergency Medicine. 2010;55(4):336-340.
  14. Scalise D. Patient safety in the ED: 14 common risk factors in the ED [Internet]. Chicago: Hospitals & Health Networks magazine; 2006 May [cited 2013 December 20]. Available from:
  15. Kim MS. Perception and influencing factors for patient safety among emergency room nurses [master's thesis]. Ulsan: Ulsan University; 2012.
  16. Lee JE. Perceptions of patient safety culture and performance for safety management activity in emergency department nurses [master's thesis]. Busan: Dong-A University; 2013.
  17. Shirley. 10 Best practices for patient safety [Internet]. San Diego: AMN Healthcare; 2010 March 18 [cited 2013 December 20]. Available from: News-Events/more-news/The-10-Best-Practices-for-Patient-Safety_33666.
  18. Cho HJ. Patient safety management activities, Safety leadership and Safety management system perceived by nurses [master's thesis]. Busan: Pusan National University; 2013.
  19. Park SJ. A study on hospital nurses' perception of patient safety culture and safety care activity [master's thesis]. Busan: Dong-A University; 2009.
  20. United States Pharmacopeia. Top five medications involved in errors [Internet]. South Dakota: United States Pharmacopeia; 2004 [cited 2013 December 20]. Available from:
  21. Runciman WB, Roughead EE, Semple SJ, Adams RJ. Adverse drug events and medication errors in Australia. International Journal for Quality in Health Care. 2003;15(Suppl 1):i49-i59.
  22. Schubert M, Glass TR, Clarke SP, Aiken LH, Schaffert-Witvliet B, Sloane DM, et al. Rationing of nursing care and its relationship to patient outcomes; The Swiss extension of the international hospital outcomes study. International Journal for Quality in Health Care. 2008;20(4):227-237. http://dx.doi. org/10.1093/intqhc/mzn017
  23. Kettles AM, Moir E, Woods P, Porter S, Sutherland E. Is there a relationship between risk assessment and observation level?. Journal of Psychiatric and Mental Health Nursing. 2004;11(2):156-164.
  24. Han NJ. The awareness on patient safety culture and the degree of safe nursing activity of hospital nurses [master's thesis]. Daegu: Kyungbook National University; 2012.
  25. Lee NJ, Kim JH. Perception of patient safety culture and safety care activity among nurses in small-medium sized general hospitals. Journal of Korean Academy of Nursing Administration. 2011;17(4):462-473.
  26. Jo YS. The changing needs of new nurses in clinical practice skills. Paper presented at: Basic nursing association winter conference; 2013 November 30; Korea University. Seoul.
  27. Moon JM. Knowledge of and compliance with standard precautions among nurses in a university hospital [master's thesis]. Busan: Inje University; 2011.
  28. Lee YJ. Patient safety culture and management activities perceived by hospital nurses [master's thesis]. Daejeon: Eulji University; 2011.
  29. Westbrook JI, Woods A, Rob MI, Dunsmuir WT, Day RO. Association of interruptions with an increased risk and severity of medication administration errors. Archives of Internal Medicine. 2010;170(8):683-690.

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