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Relationship between Perceived Patient Safety Culture and Patient Safety Management Activities among Health Personnel

의료인의 환자안전문화 인식과 환자안전관리 활동 간의 관계

  • Received : 2011.07.13
  • Accepted : 2011.11.06
  • Published : 2012.02.28

Abstract

Purpose: This study was done to explore the relationship between perceived patient safety culture and patient safety management activities among health personnel. Methods: This study was a cross-sectional survey. Participants were 342 health personnel working in two tertiary hospitals. Self-administered questionnaires were used to collect data from a convenience sample of 254 nurses and 88 doctors. Results: Scores on participants' perceived patient safety culture and patient safety management activities were just over the mean. There were significant differences in patient safety management activities by type of occupation, nurses' position, length of service, and work week. Doctors scored perceived patient safety culture and patient safety management activities significantly lower than nurses. In addition, perceived patient safety culture was significantly related to patient safety management activities. Factors which influence participants' patient safety management activities were communication, type of occupation, overall evaluation of patient safety, supervisor/manager, frequency with which events were reported, and nurse's position. Conclusion: Findings provide significant evidence that patient safety management activities are associated with perceived patient safety culture. Therefore, to build a positive safety culture, health personnel, especially doctors and general nurses need to visibly commit to patient safety management activities and be role models to ensure patient safety.

Keywords

References

  1. Agency for Healthcare Research and Quality. (2004). Hospital survey on patient safety culture. Retrieved July 10, 2010, from http://www.ahrq.gov/qual/patientsafetyculture/
  2. Blendon, R. J., Desroches, C. M., Brodie, M., Benson, J. M., Rosen, A. B., Schneider, E., et al. (2002). Views of practicing physicians and the public on medical errors. New England Journal of Medicine, 347, 1933-1940. https://doi.org/10.1056/NEJMsa022151
  3. Cho, J. S., & Choi, H. M. (2007, February 3). Hospital acquired infection: mortality stands at 15,000 every year. Chosunilbo. Retrieved Janurary 10, 2011, from Chosunilbo Web site: http://news.chosun.com/site/data/html_dir/2007/02/03/20070203000 01.html
  4. Choi, J. H., Lee, K. M., & Lee, M. A. (2010). Relationship between hospital nurses' perceived patient safety culture and their safety care activities. The Korean Journal of Fundamentals of Nursing, 17, 64-72.
  5. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191. https://doi.org/10.3758/BF03193146
  6. Feng, X. Q., Acord, L., Cheng, Y. J., Zeng, J. H., & Song, J. P.(2011). The relationship between management safety commitment and patient safety culture. International Nursing Review, 58, 249-254. https://doi.org/10.1111/j.1466-7657.2011.00891.x
  7. Institute of Medicine. (2000). To err is human: building a safer health system. Washington, DC: National Academy Press.
  8. Jang, W. S., Kim, E. K., & Hwang, J. H. (2006). Changing organizational culture for patient safety, patient safety guidelines series I. Seoul: Korean Quality Improvement Nurse Society.
  9. Je, W. Y. (2007). Hospital workers' perception of patient safety culture in a university hospital. Unpublished master's thesis, Sungkyunkwan University, Seoul.
  10. Jeong, J., Seo, Y. J., & Nam, E. W. (2006). Factors affecting patient safety management activities at nursing divisions of two university hospitals. Korean Journal of Hospital Management, 11, 91-109.
  11. Joint Commission on Accreditation of Health Organization. (2010). National patient safety goals. Retrieved June 15, 2010, from http://www.jointcommission.org/standards_information/npsgs.aspx
  12. Jung, D. Y. (2007). Job stress as risk factor for occupational injuries and near misses among employees of small-and medium-sized enterprises. Unpublished master's thesis, Yonsei University, Seoul.
  13. Kim, E. K., Kang, M. A., & Kim, H. J. (2007). Experience and perception on patient safety culture of employees in hospitals. Journal of Korean Academy Nursing Administration, 13, 321-334.
  14. Kim, I. H. (2005, February 2). U.S. and patient safety culture-1. Doctor's News, Retrieved Janurary 10, 2011, from Doctor's News Web site: http://www.doctorsnews.co.kr/news/article View.html?idxno=20273
  15. Kim, J. E., An K. E., & Yun, S. H. (2004). Nurses' perception of the hospital environment and communication process related to patient safety in Korea. Healthcare Informatics Research, 10(Suppl 1), S130-S135.
  16. Kim, J. E., Kang, M. A., An, K. E., & Sung, Y. H. (2007). A survey of nurses' perception of patient safety related to hospital culture and reports of medical errors. Journal of Korean Clinical Nursing Research, 13, 169-179.
  17. Kim, S. K., Lee, H. J., & Oh, E. G. (2010). Perceived level and associated factors of patient safety culture among health care providers in an operating room. Journal of Korean Clinical Nursing research, 16, 57-67.
  18. Kim, Y. L. (2009). Perceptions of patient safety culture of hospital nurses. Unpublished master's thesis, Chonbuk National University, Jeonju.
  19. Kizer, K. W. (1999). Large system change and a culture of safety: enhancing patient safety and reducing errors in health care. Chicago, IL: National Patient Safety Foundation.
  20. Korea Consumer Agency. (2006). Medical malpractice: falls due to neglecting safety management in a hospital. Retrieved November 25, 2010, from http://www.kca.go.kr/jsp/inf/inf_01_05_ view.jsp?no=751&seq=&ctx=0102&nowpage=1&cnt_list=30&scty pe=30&sctext=
  21. Korea Institute for Healthcare Accreditation. (2010). Accreditation standards for hospitals. Retrieved September 5, 2010, from http://www.koiha.or.kr/home/data/data/doList.act? boardtype=05
  22. Lee, G. O. (2009). The study on nurse manager leadership and patient safety-related nursing activities. Unpublished master's thesis, Kyung Hee University, Seoul.
  23. Lee, H. Y. (2009). JCI accreditation and patient safety. Journal of Korean Society of Quality Assurance in Health Care, 15, 49-54.
  24. Lin, L. C. (2006). Comparison of risk management in Taiwan and the USA. Journal of Nursing Management, 14, 222-226. https://doi.org/10.1111/j.1365-2934.2006.00559.x
  25. Nam, M. H. (2010). The cognition level on the patient safety and safe nursing activities among hospital nurses in Busan. Unpublished doctoral dissertation, Inje University, Kimhae.
  26. Nieva, V. F., & Sorra, J. (2003). Safety culture assessment: a tool for improving patient safety in healthcare organizations. Quality and Safety in Health Care, 12(Suppl 2), ii17-ii23.
  27. Park, S. J. (2008). A study on hospital nurse's perception of patient safety culture and safety care activity. Unpublished master's thesis, Dong-A University, Busan.
  28. Shin, E. H. (2008). A study for analysis of the current status of medical disputes and the characteristics by medical department: centered on the data of 2006 Korea Consumer Agency. Unpublished master's thesis, Yonsei University, Seoul.
  29. The National Assembly of the Republic of Korea. (2010). Medical, law. Retrieved August 25, 2011, from http://likms.assembly.go.kr/ law/jsp/law/Main.jsp
  30. World Health Organization. (2009). Health topics patient safety. Retrieved June 15, 2010, from http://www.who.int/topics// patient_safety/en/

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