Status and Problems of Adverse Event Reporting Systems in Korean Hospitals

Objectives: This study identifies the current status and problems of adverse event reporting system in Korean hospitals. Thedata obtained from this study will be used to raise international awareness and enable collaborative researches on patientsafety. Methods: We distributed the questionnaire developed by the Agency for Healthcare Research and Quality (AHRQ),USA to the 265 risk managers of hospitals by e-mail. Seventy-two percent of the risk managers responded to the inquiry.Results: Eighty-five percent of the hospitals responded that they collect information regarding the event where harm hasoccurred or might have occurred to a patient. Seventy-five percent of the hospitals did not allow individuals to report occurrenceswithout identifying themselves. Only 54% of the hospitals had an organized patient safety program that manages orcoordinates all of the hospitals patient safety activities. The most frequent reason why errors were not reported was the fearof individuals being involved in the investigation and potential disadvantage resulting from it. Eighty-five percent of the hospitalsproduced reports of their adverse event data, but 68% of the hospitals did not distribute occurrence reports within thehospital. Conclusions: Lack of standardized reporting system, available information, procedures for protecting the reportingindividuals, and mindlessness/indifference of the hospital employees are identified as the major problems. Therefore, it iscrucial to address these problems to develop appropriate solutions, enable proactive involvement from the healthcare community,and change the overall patient safety culture, specifically protecting privacy, to increase the quality of service in thehealthcare industry.OAIID:oai:osos.snu.ac.kr:snu2010-01/102/0000028528/2SEQ:2PERF_CD:SNU2010-01EVAL_ITEM_CD:102USER_ID:0000028528ADJUST_YN:YEMP_ID:A076124DEPT_CD:811FILENAME:34 Status and Problems of Adverse Event Reporting Systems in Korean Hospitals.pdfDEPT_NM:간호학과EMAIL:[email protected]_YN:NCONFIRM:

Determinants of patient participation for safer care : A qualitative study of physicians experiences and perceptions

Objective There is a paucity of research on physicians' perspectives on involving patients to achieve safer care. This study aims to explore determinants of patient participation for safer care, according to physicians in Swedish health care. Methods We used a deductive descriptive design, applying qualitative content analysis based on the Capability‐Opportunity‐Motivation‐Behaviour framework. Semi‐structured interviews were conducted with 13 physicians in different types of health care units, to achieve a heterogeneous sample. The main outcome measure was barriers and facilitators to patient participation of potential relevance for patient safety. Results Analysis of the data yielded 14 determinants (ie, subcategories) functioning as barriers and/or facilitators to patient participation of potential relevance for patient safety. These determinants were mapped to five categories: physicians' capability to involve patients in their care; patients' capability to become involved in their care, as perceived by the physicians; physicians' opportunity to achieve patient participation in their care; physicians' motivation to involve patients in their care; and patients' motivation to become involved in their care, as perceived by the physicians. Conclusion There are many barriers to patient participation to achieve safer care. There are also facilitators, but these tend to depend on initiatives of individual physicians and patients, because organizational‐level support may be lacking. Many of the determinants are interdependent, with physicians' perceived time constraints influencing other barriers