Quality Improvement in Health Care (한국의료질향상학회지)

Korean Society for Quality in Health Care (한국의료질향상학회)
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The results of recognition survey for patient safety culture in a hospital

일개병원의 환자안전문화 인식도 조사결과

  • Kim, Ki-Young (QPS Team CHA Bundang Medical Center, CHA University) ;
  • Han, Hye-Mi (QPS Team CHA Bundang Medical Center, CHA University) ;
  • Park, Yu-Ri (QPS Team CHA Bundang Medical Center, CHA University) ;
  • Kim, Sun-Ae (QPS Team CHA Bundang Medical Center, CHA University) ;
  • Shin, Hyun-Soo (Department of Radiation Oncology CHA Bundang Medical Center, CHA University)
  • 김기영 (차의과학대학교 분당차병원 QPS팀) ;
  • 한혜미 (차의과학대학교 분당차병원 QPS팀) ;
  • 박유리 (차의과학대학교 분당차병원 QPS팀) ;
  • 김순애 (차의과학대학교 분당차병원 QPS팀) ;
  • 신현수 (차의과학대학교 분당차병원 방사선종양학과)
  • Received : 2016.11.14
  • Accepted : 2016.12.23
  • Published : 2016.12.31
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Abstract

Objectives: This study measures the level of cognition of employee's patient safety culture and evaluates the current level through comparing the results to external levels. Ultimately it is performed to construct a strategic improvement plan through the basic database for patient's safety culture. Methods: A questionnaire survey of self reporting type was carried out using structured questionnaire of the patient's safety culture for employees currently employed in a hospital. Total responders was 1,129 and a response rate was 54.6%. The survey results were calculated with a percent positive response, and the current level was evaluated by comparing with the survey results of a hospital (2009 and 2014) and the survey result of The Agency for Healthcare Research and Quality(2014). Results: Sub-dimension of high percent positive response for each area were 'teamwork within hospital units' (80%), 'feedback & communication about error' (73%) and 'supervisor/manager expectations & actions promoting safety' (67%). Meanwhile, 'teamwork across hospital units' (31%), 'hospital management support for patient safety' (29%), 'staffing' (27%) and 'non-punitive response to error' (17%) were relatively low percent positive response. Compared to the survey results of AHRQ (2014) for each area, 'teamwork within hospital units' (80%), 'feedback & communication about error' (73%), 'frequency of event reporting' (66%) were at the top 50% percentile level and the remaining sub-dimensions showed a very low level in the lower 10% percentile area. Conclusion: In order to establish a system for patient safety culture within the hospital and evaluate the effect on this, it is necessary to periodically evaluate the patient's safety culture and establish regulations on hospital safety culture to comply with this.

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References

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