Quality Improvement in Health Care (한국의료질향상학회지)

Korean Society for Quality in Health Care (한국의료질향상학회)
권호 표지
DOI QR코드

DOI QR Code

Perception and Effectiveness of Education Regarding Disclosure of Patient Safety Incidents: A Preliminary Study on Nurses

환자안전사건 소통하기에 대한 인식 및 교육 효과 분석: 간호사를 대상으로 한 예비 연구

  • Lee, Won (Department of Medical Law and Ethics, Yonsei University College of Medicine) ;
  • Choi, Eun-Young (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Pyo, Jee-Hee (Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Jang, Seung-Gyeong (Asian Institute for Bioethics and Health Law) ;
  • Ock, Min-Su (Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Lee, Sang-Il (Department of Preventive Medicine, University of Ulsan College of Medicine)
  • 이원 (연세대학교 의과대학 인문사회의학교실 의료법윤리학과) ;
  • 최은영 (울산대학교 의과대학 예방의학교실) ;
  • 표지희 (울산대학교 의과대학 울산대학교병원 예방의학과) ;
  • 장승경 (연세대학교 의료법윤리학연구원) ;
  • 옥민수 (울산대학교 의과대학 울산대학교병원 예방의학과) ;
  • 이상일 (울산대학교 의과대학 예방의학교실)
  • Received : 2017.07.03
  • Accepted : 2017.09.15
  • Published : 2017.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this preliminary study was to identify the nurses' perception regarding disclosure of patient safety incidents (DPSI) and to evaluate the effectiveness of education for DPSI. Methods: DPSI education was conducted for nurses majoring in clinical nurse specialist at an university. Before and after the education, the nurses made a questionnaire to evaluate the perception of DPSI. The questionnaires were divided into four categories: first, overall perception of the DPSI; second, recognition evaluation of the DPSI using hypothetical case, third, opinion on legal and nonlegal measures for facilitating the DPSI; and fourth, socio-demographic factors. The Wilcoxon signed rank test was performed on the DPSI questionnaire response to compare the perceptions before and after the education. Results: A total of 10 nurses participated in the education. DPSI education showed the possibility of improving the overall perception, necessity, effect, obstacle, and promotion method of DPSI, although there were also several responses where there was no statistical significance. In particular, DPSI education led to statistically significance change in the perception of obstacles for DPSI. For example, the number of respondents who agreed to the item "DPSI will increase the incidence of medical lawsuits." was 7 before education but decreased to 3 after education (P-value: .025) Furthermore, nurses' perception of DPSI from this study was generally positive regardless of education. Conclusion:In the future, it will be necessary to carry out DPSI education and training and to evaluate its effectiveness for more nurses.

Keywords

References

  1. Ock M. Evaluating the feasibility of introducing open disclosure of patient safety incidents. [Doctoral thesis]. Ulsan: University of Ulsan; 2016.
  2. Ock M, Kim HJ, Jo MW, Lee SI. Perceptions of the general public and physicians regarding open disclosure in Korea: a qualitative study. BMC Medical Ethics. 2016;17(1):50. https://doi.org/10.1186/s12910-016-0134-0
  3. Gallagher TH, Waterman AD, Ebers AG, Fraser VJ, Levinson W. Patients’ and physicians’ attitudes regarding the disclosure of medical errors. Journal of the American Medical Association. 2003;289(8):1001-1007. https://doi.org/10.1001/jama.289.8.1001
  4. McLennan SR, Diebold M, Rich LE, Elger BS. Nurses' perspectives regarding the disclosure of errors to patients: A qualitative study. International Journal of Nursing Studies. 2016;54:16-22. https://doi.org/10.1016/j.ijnurstu.2014.10.001
  5. Renkema E, Broekhuis M, Ahaus K. Conditions that influence the impact of malpractice litigation risk on physicians’ behavior regarding patient safety. BMC Health Services Research. 2014;14:38. https://doi.org/10.1186/1472-6963-14-38
  6. Mazor KM, Greene SM, Roblin D, Lemay CA, Firneno CL, Calvi J, et al. More than words: Patients’ views on apology and disclosure when things go wrong in cancer care. Patient Education and Counseling. 2013;90(3):341-346. https://doi.org/10.1016/j.pec.2011.07.010
  7. Institute of Medicine. Keeping Patients Safe. Transforming the work environment of nurses. Washington, DC: National Academincs Press; 2004.
  8. Lee TK, Kim EY, Kim NH. A phenomenological study on nurses experiences of accidents in patient safety. Journal of Korean Academy of Nursing Administration. 2014;20(1):35-47. https://doi.org/10.11111/jkana.2014.20.1.35
  9. Shannon SE, Foglia MB, Hardy M, Gallagher TH. Disclosing errors to patients: Perspectives of registered nurses. Joint Commission Journal on Quality and Patient Safety. 2009;35(1):5-12. https://doi.org/10.1016/S1553-7250(09)35002-3
  10. Ock M, Lim SY, Jo MW, Lee S Il. Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: A systematic review. Journal of Preventive Medicine and Public Health. 2017;50(2):68-82. https://doi.org/10.3961/jpmph.16.105
  11. Ock M, Choi EY, Jo MW, Lee SI. General public's attitudes toward disclosure of patient safety incidents in Korea : Results of disclosure of patient safety incidents survey I. Journal of Patient Safety. [In press].
  12. Wagner LM, Harkness K, Hébert PC, Gallagher TH. Nurses' perceptions of error reporting and disclosure in nursing homes. Journal of Nursing Care Quality. 2012;27(1):63-69. https://doi.org/10.1097/NCQ.0b013e318232c0bc
  13. Iedema R, Allen S, Sorensen R, Gallagher TH. What prevents incident disclosure, and what can be done to promote it? Joint Commission Journal on Quality and Patient Safety. 2011;37(9):409-417. https://doi.org/10.1016/S1553-7250(11)37051-1
  14. Wagner LM, Harkness K, Hebert PC, Gallagher TH. Nurses' disclosure of error scenarios in nursing homes. Nursing Outlook. 2013;61(1):43-50. https://doi.org/10.1016/j.outlook.2012.05.008
  15. Cleopas A, Villaveces A, Charvet A, Bovier PA, Kolly V, Perneger TV. Patient assessments of a hypothetical medical error: Effects of health outcome, disclosure, and staff responsiveness. Quality & Safety in Health Care. 2006;15(2):136-41. https://doi.org/10.1136/qshc.2005.015602
  16. Hingorani M, Wong T, Vafidis G. Attitudes after unintended injury during treatment a survey of doctors and patients. The Western Journal of Medicine. 1999;171(2):81-82.
  17. Kaldjian LC, Jones EW, Wu BJ, Forman-Hoffman VL, Levi BH, Rosenthal GE. Disclosing medical errors to patients: Attitudes and practices of physicians and trainees. Journal of General Internal Medicine. 2007;22(7):988-996. https://doi.org/10.1007/s11606-007-0227-z
  18. Wayman KI, Yaeger KA, Sharek PJ, Trotter S, Wise L, Flora JA, et al. Simulation-based medical error disclosure training for pediatric healthcare professionals. Journal for Healthcare Quality. 2007;29(4):12-19. https://doi.org/10.1111/j.1945-1474.2007.tb00200.x
  19. Wagner LM, Damianakis T, Pho L, Tourangeau A. Barriers and facilitators to communicating nursing errors in long-term care settings. Journal of Patient Safety. 2012;9(1):1-7. https://doi.org/10.1097/PTS.0b013e3182699919