Physician's perception of and attitudes towards patient safety culture and medical error reporting

The objectives of this study were (1) to describe doctors' perception and attitudes toward patient safety culture and medical error reporting in their working unit and hospitals, (2) to examine whether these perception and attitudes differ by doctors' characteristics, such as sex, position, and specialties, and (3) to understand the relationship between overall perception of patient safety in their working unit and each sub-domain of patient safety culture. A survey was conducted with 135 doctors working in a university hospital in Korea. After descriptive analyses and chi-square tests of subgroup differences, a multivariateregression of overall perception of patient safety in their unit with sub-domains of patient safety culture was conducted. Overall, a significant proportion of doctors expressed negative perception of their working units' patient safety culture, many reporting potentials for patient safety problems to occur in their unit. They also negatively viewed their hospital leadership's commitment on patient safety. Regarding the patient safety in their working unit, doctors were most worried about staffing level and observance of safety procedures. Most doctors did not know how and which medical error to report. They also perceived that medical errors would work against them personally and penalize them. About 22 percent of respondents believed that even seriously harmful medical errors were not reported.OAIID:oai:osos.snu.ac.kr:snu2005-01/102/0000028528/4SEQ:4PERF_CD:SNU2005-01EVAL_ITEM_CD:102USER_ID:0000028528ADJUST_YN:NEMP_ID:A076124DEPT_CD:811FILENAME:07 환자안전문화와 의료과오 보고에 대한 의사의 인식 조사연구.pdfDEPT_NM:간호학과EMAIL:[email protected]:

(The) Applicability of international treaties at the domestic court : with particular reference to practice and implications in the Republic of Korea

Thesis(masters) --서울대학교 대학원 :국제학과(국제협력전공),2008. 2.Maste

Reducing Medical Errors : Patients' Self Protect Behaviors and Involvement in Decision Making

The purposes of this study were (1) to describe patients' behaviors to protect themselves from medical errors and their involvement in decision making on the diagnostic and treatment procedures (2) to examine whether patients' characteristics, such as age, sex, education, experience of hospitalization and/or surgery influence their self protect behaviors and involvement in decision making on the diagnostic and treatment procedures. A survey was conducted with 99 patients visited one university hospital in Seoul, Korea. A 20item questionnaire, a 4-point Likert scale, was used to measure the degree of patients' active involvement in decision making; patients' self protect behaviors regarding medication, hospitalization, and surgery; and commtm.ication (Cronbach's alpha=0.801). SPSS 12.0 was used for the descriptive and correlation analysis. Only 6.1% of the participants were involved in the decision making process for the diagnostic tests and treatment. More patients did self-protect behaviors associated with the medication than other areas but widely varied from 18.2 to 94.3 % among various items. More people with age of 60 or older compared to people in younger age groups reported more protect behaviors particularly associated with medication. Patient education is needed to improve their active role in preventing medical errors and to promote patients' safety.OAIID:oai:osos.snu.ac.kr:snu2006-01/102/0000028528/2SEQ:2PERF_CD:SNU2006-01EVAL_ITEM_CD:102USER_ID:0000028528ADJUST_YN:NEMP_ID:A076124DEPT_CD:811FILENAME:09 의료과오 감소를 위한 환자의 자기보호행동 및 의사결정 참여 수준.pdfDEPT_NM:간호학과EMAIL:[email protected]_YN:NCONFIRM:

A Survey of Nurses' Perception of Patient Safety Related to Hospital Culture and Reports of Medical Errors

Purpose: Purposes of this study were (1) to describe nurses' perception of hospital organization culture regarding patient safety culture and reporting medical errors, and (2) to identify factors associated with perception of patient safety and nurses' safety management. Method: A survey was conducted with 886 nurses using the Korean version of the AHRQ patient safety survey, a self-report 5-point Likert scale. SPSS 10.0 was used for descriptive and correlation analysis. Results: The mean for working environment related to patient safety was 3.41(±0.35), and associated factors were nurses' age, duration of working in present hospital, unit, and special area, direct contact with patients, and the work unit or area. Among organizational culture factors related to patient safety, means were 3.81(±0.54) for boss/managers' perception of patient safety and 3.37(±0.49) for cooperation/collaboration between units. Mean number of errors reported by nurses was 3.68(±0.38) times over the past 12 months. For incidence reporting, the items that nurses perceived communication among clinicians as fair had a mean of 3.53(±0.46) and 'the frequency of reporting was good', 4.03(±0.69). Conclusion: Korean nurses' perception of hospital environment, organizational culture, and incidence reporting was above average and mostly associated with their work experience and position.본 연구는 2003년도 한국학술진흥재단의 협동연구지원사업의 연구비(2003_042_E00135)를 지원받음

A survey of nurses perception of patient safety related to hospital culture and reports of medical errors

Purpose: Purposes of this study were (1) to describe nurses' perception of hospital organization culture regarding patient safety culture and reporting medical errors, and (2) to identify factors associated with perception of patient safety and nurses' safety management. Method: A survey was conducted with 886 nurses using the Korean version of the AHRQ patient safety survey, a self-report 5-point Likert scale. SPSS 10.0 was used for descriptive and correlation analysis. Results: The mean for working environment related to patient safety was 3.41(±0.35), and associated factors were nurses' age, duration of working in present hospital, unit, and special area, direct contact with patients, and the work unit or area. Among organizational culture factors related to patient safety, means were 3.81(±0.54) for boss/managers' perception of patient safety and 3.37(±0.49) for cooperation/collaboration between units. Mean number of errors reported by nurses was 3.68(±0.38) times over the past 12 months. For incidence reporting, the items that nurses perceived communication among clinicians as fair had a mean of 3.53(±0.46) and 'the frequency of reporting was good', 4.03(±0.69). Conclusion: Korean nurses' perception of hospital environment, organizational culture, and incidence reporting was above average and mostly associated with their work experience and position.OAIID:oai:osos.snu.ac.kr:snu2007-01/102/0000028528/6SEQ:6PERF_CD:SNU2007-01EVAL_ITEM_CD:102USER_ID:0000028528ADJUST_YN:NEMP_ID:A076124DEPT_CD:811FILENAME:16 환자안전과 관련된 병원문화와 의료과오 보고에 대한 간호사의 인식조사.pdfDEPT_NM:간호학과EMAIL:[email protected]: