Quality Improvement in Health Care (한국의료질향상학회지)

Korean Society for Quality in Health Care (한국의료질향상학회)
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Prioritizing Themes Using a Delphi Survey on Patient Safety Theme Reports

환자안전 주제별 보고서의 주제 우선순위 설정: 델파이 조사를 통한 분석

  • Park, Jeong Yun (Department of Clinical nursing, University of Ulsan) ;
  • Shin, Eun-Jung (Department of Clinical nursing, University of Ulsan) ;
  • Kim, Rhieun (The Korean Society for Patient Safety) ;
  • Kim, Sukyeong (Clinical Evidence Research Team, National Evidence-based Healthcare Collaborating Agency) ;
  • Park, Choon-Seon (Review and Assessment Research Institute, Health Insurance Review and Assessment Service) ;
  • Park, Taezoon (Department of Industiral & Information Systems Engineering, Soongsil University) ;
  • Choi, Yun-Kyoung (Department of Nursing, Korea National Open University) ;
  • Heo, Young-Hee (Department of Nursing, Daejeon Health Institute of Technology)
  • 박정윤 (울산대학교 산업대학원 임상전문간호학) ;
  • 신은정 (울산대학교 산업대학원 임상전문간호학) ;
  • 김리은 (대한환자안전학회) ;
  • 김수경 (한국보건연구원 임상근거연구팀) ;
  • 박춘선 (건강보험심사평가원 심사평가연구소) ;
  • 박태준 (숭실대학교 산업정보시스템공학과) ;
  • 최윤경 (한국방송통신대학교 간호학과) ;
  • 허영희 (대전보건대학교 간호학과)
  • Received : 2022.04.26
  • Accepted : 2022.06.07
  • Published : 2022.06.30
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Abstract

Purpose: The study aims to identify the theme list and priority criteria of patient safety theme reports in South Korea. Methods: The survey was conducted twice, and the importance of each criterion and theme was measured on a nine-point scale using the Delphi technique by a panel of 19 patient safety experts. The criteria included severity, universality, preventability, and organizational-social impact. Descriptive statistics such as frequency, percentage, mean, standard deviation, median, and interval quartile range were used to analyze the data. Results: The parameters were assigned a weighted average of 35% for severity, 20% for universality, 30% for preventability, and 15% for organizational-social impact, respectively. The final top three rankings were surgery safety, blood transfusion safety, and medication safety. In addition to expert opinion, for the theme that is selected based on the priority ranking, one to five sub-topics can be derived from the theme based on the priority ranking, societal demands, or the yearly priority list of patient safety incidents. Conclusion: It is recommended that the official patient safety center distribute the report in the form of a summary that can be utilized nationwide at medical institutions, government institutions, and other places. Updates, as well as accumulated theme reports, will serve as the baseline data for the proposal of the system and for the policy designed to implement and improve institutions' safety practices as a standard of domestic patient safety practice guidelines.

Keywords

Acknowledgement

This study was supported by the Korea Institute for Healthcare Accreditation, 2021 (KOIHA).

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