• 성인간호학회지
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• 제26권3호
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• pp.253-265
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• 2014

Purpose: This study was done to develop and evaluate a smartphone application for the medication confirmation of high-alert medications. Methods: A nonequivalent control group non-synchronized design was used for this study. Participants in the treatment group used the application for four weeks. Data were analyzed using descriptive analysis, ${\chi}^2$-test, and t-test for the homogeneity of participants, and a paired t-test for effectiveness in each group with the SPSS 18.0. Results: Stability of medication administration was estimated by knowledge and certainty, ranged from a score of one to three. A correct answer with high certainty was coded as high stability, low certainty regardless of correct answer was coded as a moderate stability, and incorrect answers with high certainty were rated as low stability. There were no differences in 'knowledge of high alert medication', 'Certainty of knowledge', 'stability of medication administration', 'confidence of single checking medication', and 'medication safety activities' between the treatment group and the comparison group. The treatment group reported a greater difference between pretest and post-test in 'certainty of medication knowledge' (t=3.51, p=.001) than the comparison group. Conclusion: Smartphone application for medication confirmation of high-alert medications will provide an important platform for reducing medication errors risk.

• Safety and Health at Work
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• 제9권4호
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• pp.447-453
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• 2018

Background: Patient safety and accurate implementation of medication orders are among the essential requirements of par nursing profession. In this regard, it is necessary to determine and prevent factors influencing medications errors. Although many studies have investigated this issue, the effects of psychosocial factors have not been examined thoroughly. Methods: The present study aimed at investigating the impact of psychosocial factors on nurses' medication errors by evaluating the balance between effort and reward. This cross-sectional descriptive study was conducted in public hospitals of Tehran in 2015. The population of this work consisted of 379 nurses. A multisection questionnaire was used for data collection. Results: In this research, 29% of participating nurses reported medication errors in 2015. Most frequent errors were related to wrong dosage, drug, and patient. There were significant relationships between medications errors and the stress of imbalance between effort and reward (p < 0.02) and job commitment and stress (p < 0.027). Conclusion: It seems that several factors play a role in the occurrence of medication errors, and psychosocial factors play a crucial and major role in this regard. Therefore, it is necessary to investigate these factors in more detail and take them into account in the hospital management.

• 보건의료기술평가
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• 제5권1호
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• pp.31-41
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• 2017

Objectives: To explore prevalently used types of medication error and the types of medication error which would be appropriate to be used in Korea. Methods: In depth literature review was performed to explore the mostly used types of medication error in the United States, Canada, Europe, Australia, and Japan. We intended to examine experts' view on the suitability of the types of medication error to be used in Korea. The types of medicati0on error were classified by activity criteria, severity criteria, process criteria, and responsible person criteria based on literature reviews. Results: According to the result of literature review, activity criteria was the most commonly used type of medication error. Ten experts in the area of patient-safety and medication error responded and the top two types of medication error which were appropriate and suitable to be used in Korea were severity criteria and activity criteria. Conclusion: Severity criteria and activity criteria could be recommended to be used as the standard types of medication error in Korea although there are other types of criteria such as process criteria and responsible person criteria.

• 한국임상약학회지
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• 제30권3호
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• pp.143-148
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• 2020

Objective: This study aimed to investigate pharmaceutical care for critically ill neonates and suggest targeted strategies compatible with the Korean health-system pharmacy. Methods: Articles that reported pharmacy practices for critically ill neonates were reviewed. Pharmaceutical care practices and roles of neonatal pharmacists were identified, and criteria were developed for neonates in need of specialized care by clinical pharmacists. Results: Neonatal pharmacists play many roles in the overall medication management pathway. For clinical decision support, multidisciplinary ward rounds, clinical pharmacokinetic services, and consultation for pharmacotherapy and nutrition support were conducted. Prevention and resolution of drug-related problems through review of medication charts contributed to medication safety. Pharmaceutical optimization of intravenous medication played an important role in safe and effective therapy. Information on the use of off-label medicine, recommended dosage and dosing schedules, and stability of intravenous medicine was provided to other health professionals. Most clinical practices for neonates in Korea included therapeutic drug monitoring and nutrition support services. Reduction in medication errors and adverse drug reactions, shortening the duration of weaning medicines, decreasing the use and cost of antimicrobials, and improvement in nutrition status were reported as the outcomes of pharmacist-led interventions. The essential criteria of pharmaceutical care, including for patients with potential high-risk factors for drug-related problems, was developed. Conclusion: Pharmaceutical care for critically ill neonates varies widely. Development and provision of standardized pharmaceutical care for Korean neonates and a stepwise strategy for the expansion of clinical pharmacy services are required.

• 융합정보논문지
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• 제12권5호
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• pp.21-31
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• 2022

본 연구는 임상간호사의 투약안전역량에 영향을 미치는 요인을 규명하고자 시도되었다. 자료의 수집은 상급종합병원 두 곳에 재직하고 있는 154명의 간호사를 대상으로 진행하였다. 자료의 분석은 SPSS 26.0 프로그램으로 t-검정, ANOVA, 상관관계, 단계적 다중회귀분석을 하였다. 연구결과 투약안전역량은 문제해결능력과 자기효능감과 유의한 상관관계가 있었다. 자기효능감, 문제해결능력, 근무형태, 현부서 근무경력 순으로 투약안전역량에 영향을 미치는 것으로 나타났고 이들 변수는 전체변량의 64.7%의 설명력을 가졌다. 따라서 임상간호사의 투약안전역량을 증진시키기 위해서는 무엇보다도 자기효능감과 문제해결능력을 증진시키기 위한 프로그램이 개발 될 필요가 있겠다.

• 성인간호학회지
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• 제27권1호
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• pp.1-10
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• 2015

Purpose: The objective of this study was to examine patient safety culture (PSC) and patient safety initiatives (PSI) according to IT-based medication errors prevention system which is constructed in this study, and to identify the relationships among system construction, perception to the usage, PSC and PSI. Methods: The subjects were 180 nurses who work at 12 different hospitals with over 300 beds. The questionnaire included the characteristics of participants, a system construction status, the perception to the usage using electric pharmacopoeia (EP), a drug dose calculation system (DDCS), a patient safety reporting system (PSRS) and a bar-code system (BS). The data were collected from July 2011 to August 2011. Descriptive statistics, ANOVA, Pearson correlation and MANOVA were used for data analysis. Results: Systems were constructed in participating hospitals; For EP and PSRS, 83.9%, DDCS, 50%, and BS, 18.3%. The perceptions on the usage of the system were marked highest in BS as 4.54 followed by EP as 3.85. There were significant positive correlations between PSI and EP construction (r=.17, p=.028); PSRS (r=.17, p=.028) and DDCS (r=.23, p=.002). Conclusion: The developed system for improving the user experiences and reducing medication errors was found out well accepted. It is hoped that the system is helpful for PSC and PSI improvement in clinical settings.

• 한국산학기술학회논문지
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• 제15권2호
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• pp.979-988
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• 2014

본 연구는 간호사들이 인식한 안전 분위기와 업무환경을 포함한 조직의 특성과 투약오류보고장애요인간의 관련성을 검증하기 위한 연구이다. 수정된 안전 분위기, 업무환경, 투약오류보고장애 문항을 활용하여 7개 병원의 334명의 간호사들을 대상으로 하여 조사하였다. 자료수집기간은 2012년 9월 한달 간이었고, 서술적 통계, Pearson correlation coefficient, canonical correlation을 적용하였다. 조직의 특성은 투약오류보고장애와 세 가지 유의한 상관이 있었다. 첫 번째 정준상관계수는 .50(Wilks' ${\lambda}$=0.61, df=32, p<.001)이었고, 두 번째는 .35(Wilks' ${\lambda}$=0.81, df=21, p<.001), 세 번째는 .22(Wilks' ${\lambda}$=0.93, df=12, p=.018)이었다. 첫 번째 정준상관은 높은 안전 분위기와 업무환경이 오류보고에의 두려움을 제외한 투약오류보고와 관련이 있었다. 두 번째 식은 '의료인간의 안전 분위기'의 높은 지각과 높은 '병원에의 간호사 참여'와 '인적 자원의 적절성'은 낮은 '불안감'과 '행정자들의 반응'과 관련이 있었다. 투약오류보고장애를 위한 전략과 안전 분위기와 업무환경과 같은 조직의 특성의 진보가 적용되어야 한다.

• 문화기술의 융합
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• 제10권3호
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• pp.625-633
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• 2024

병원간호사의 고위험 정맥주사 약물의 투약오류에 대한 인식과 경험을 파악하고 투약오류의 원인과 개선방안을 파악하기 위해 시도되었다. 연구 대상은 D시에 위치한 일개 대학병원에 근무하는 고위험 정맥투약 관련 업무경험이 있는 간호사를 대상으로 2021년 5월 16일~30일 간 자료 수집하였다. 연구 결과 고위험 정맥주사 투약안전 문제점의 핵심요인으로 병동 별 주요 약물의 투약 protocol 부재, 투약 주입기기의 작동 교육 부족, 표준화 된 고위험 정맥주사 투약수행 절차 미확립, 간호사 대상의 개별화 투약교육 부족, 병원 자체 약물집 부족 혹은 미비치, 비슷한 용기의 포장 약물 확인 부족의 6가지가 도출되었다. 간호실무적 차원에서 고위험 정맥주사 투약안전 프로그램을 적용하고 안전결과 지표를 확인할 수 있는 추후 연구 수행을 제언한다.

• 동의생리병리학회지
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• 제26권5호
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• pp.657-664
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• 2012

The aim of this study is to investigate the effects of onion vinegar on the cerebral blood flow by measuring the changes of regional cerebral blood flow (rCBF) and mean arterial blood pressure (MABP) and by observing the recovery of focal ischemic brain injury in rats. Rats are divided into thee groups depending on the medication; control group (no medication), 8.8-OV group (vinegar using 8.8 brix onion medication), 14.6-OV group (vinegar using 14.6 brix onion medication). The medication of onion vinegar significantly increased rCBF but decreased MABP. This result suggests that onion vinegar significantly increased rCBF by dilating arterial diameter. In addition, focal ischemic brain injury is induced in rats by middle cerebral arterial occlusion. The recovery from focal ischemic brain injury is more significantly improved in the groups using onion vinegar compared to the control group. The amount of recovery is measured by the GAP-43 and the medication of onion vinegar significantly increased GAP-43. This result suggests that onion vinegar is effective on the nerve regeneration. After the medication, the change of body weight, outcomes of renal and liver function test, and outcomes of CBC are analysed for safety examination. There are no statistical differences among control group and all experimental groups in the body weight, renal and liver function test, and CBC. In conclusion, these results suggest that onion vinegar can increase rCBF in normal state, and improve the stability of rCBF in ischemic state.

• 한국콘텐츠학회논문지
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• 제20권10호
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• pp.424-435
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• 2020

본 연구는 중소병원 간호사의 투약 근접오류경험의 영향요인을 확인하여 근접오류 예방과 안전한 투약간호를 위한 교육프로그램 개발의 기초자료를 제공함으로써 중소병원의 환자안전문화 구축에 기여하고자 시도된 서술적 조사연구이다. 수집된 자료의 분석은 SPSS/WIN 20.0을 이용하여 𝑥²-test, Independent t-test, one-way ANOVA, Logistic regression analysis를 실시하였다. 연구결과, 투약 근접오류경험에 영향을 미치는 요인은 일반적 특성 중 근무부서와 환자안전문화였다. 모수 추정치 값의 승산비(odds ratio)는 특수부서 근무자보다 일반병동 근무자가 근접오류를 경험하지 않을 교차비가 2.23(95% 신뢰구간: 1.07~4.67, p=.032)이었으며, 환자안전문화 점수가 1점 증가할 때 근접오류를 경험하지 않을 교차비가 2.24(95% 신뢰구간: 1.02~4.95, p=.045)인 것으로 나타났다. 즉, 특수부서 근무자가 일반병동 근무자보다 근접오류를 경험할 확률이 높고, 환자안전문화 인식정도가 높을수록 근접오류를 경험할 확률이 낮은 것을 알 수 있었다. 따라서 간호사들의 환자안전문화 인식 개선을 위한 병원차원의 오류감시시스템의 개발과 간호조직 차원에서 경력 및 부서별 특성에 따른 맞춤형 투약교육 프로그램을 개발하여 이론 교육과 함께 시뮬레이션 훈련이 필요할 것으로 사료된다.