디지털융복합연구 (Journal of Digital Convergence)

  • 제13권6호
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  • Pages.185-195
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  • 2015
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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환자안전문화 정착을 위한 리더십 워크라운드(Leadership WalkRounds)의 융복합적 적용 효과

Effect of Leadership WalkRounds Convergence to Establish a Patient Safety Culture

  • 투고 : 2015.02.26
  • 심사 : 2015.06.20
  • 발행 : 2015.06.28
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초록

본 연구는 일 대학병원의 환자안전문화 정착을 위해 리더십 워크라운드(Leadership WalkrRounds, LWR) 프로그램을 개발 적용한 후 의료직의 환자안전문화 인식정도를 비교한 것이다. 리더십 워크라운드는 미국 의료질향상 연구소(IHI)의 도구와 미시건 대학의 환자안전 라운드(Patient Safety Rounds, PSRs)를 기반으로 준비-일정계획-운영-보고-문제해결 5단계로 구성하였다. 대상자의 평균 연령은 30.9세, 방사선사가 55.2%, 간호사가 26.0%, 약무직이 18.8%였다. 중재 후 환자안전문화 인식 총점은 2.63점에서 3.36점으로 유의하게 증가하였다(p<.001). 약무직, 여자, 30대 및 근무경력 1년 이하 그룹에서 인식정도가 가장 많이 상승하였다. 환자안전문화의 모든 영역에서 인식정도가 유의하게 상승했는데(p<.001), 특히 안전사고보고영역(p<.001), 의사소통영역(p<.001)이 가장 많이 상승하였다. 새로운 형태의 리더십과 환자안전관리 개념의 융합으로 의료 질관리에 새로운 관리방안을 시도한 리더십 워크라운드는 의료인의 환자안전문화 인식 향상에 유용한 프로그램으로 활용할 수 있을 것이다.

This study aims to study the change in the level of awareness of medical personnels regarding the patient safety culture(PSC) before and after the Leadership WalkRounds(LWR). The LWR in this study was based on the IHI and the models of the Patient Safety Rounds(PSRs) at University of Michigan, emphasizing the 5 steps of Preparation--Scheduling--Conducting--Reporting--Resolving. After the LWR the scores for the level of awareness showed a statistically significant increase from 2.63 to 3.36(p<.001). Among the participants, those who are pharmaceutists, women, 30.0~39.9 years old, or had work experience of a year or less showed particularly notable increase in awareness. The effect was significant across all categories of PSC, especially in Safety Accident Reporting(p<.001), then in Communication(p<.001). Therefore the LWR proved an convergent concept for applying new leadership skill and the concept of patient safety management as an method to elevate the frontline staffs' awareness of PSC.

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